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Home My WebLink About4-14-10Paid by CEMETERY Receipt No... ~,9 4 9... , , , , ,Dated ... AU~ U S t 2 ~ , 2 ~ ~ 2 NO List Price $ .. ~ ~~ : ~~....... Maximum No. Burial Spaces ...... l......... . ~~j i Net Paid $ .. ~ ~ ~ : ~ 0....... Monument permitted ....................... ~ ~ ~ " Unit 4, Block 14, Lot 10 (Data above this line for City Reeord only) ~tt~, it~ ~'P~tMS~tMIt ~PIItP#Px'l~j.' ~PP~ No. ~1.85~ THIS INDENTURE MADE Tl;ls .....?'0 .............. day of .... AUgUS t .............................. A. D.,~'t8.. 202 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor arrd Leon Correll and/or Theresa Newell 1362 Scroll Street, Sebastian, Florida 3295$ ..................................................................................................................................... of the County of Indian..River ....................... an.1 Stnte of .Florida .................................................. as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ . ~ ~ ~ • ~ ~ , , , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , , , , , , , , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) , .1 ~ , , ,Block, , 14 , , , ,UNIT , , ~} , , , , , , , , , , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with such rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first pazt has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto aft"ixed, the day and year first above written. ~' 1. Lam.: ` ~ / ~ ,, Attest: ........~~ ~~.• :.............................. `- °' City Clerk Signed, Sealed and Delivered in t}te Presence of: STATE OF FLORIDA COCtNTY OF INDIAN RIVER CITY OF SETIASTIAN, FLORIDA ~~ Mayor (~tl~r ~~ettl) ~~~~. I HEREBY CERTIFY, That on this ...2:O.trl ..............day of . ~U~USt,•,...•_......,........................, ~{?002 Walter W. Barnes before me personally e.ppeared .................. ................. and .Sa~;l•Y..A. Ma10 .................... ........................ respectively Mayar and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individuals and officers described in and who executed the foregoing cowveyance to Leon Correll and/or Theresa Newell ....................................................................................................................................... •• ••• ~•••••~•••~.•••••~~~ .......................... and severally acknowledge the execution thereof to be their free act and deed as such officers thereunto duly authorised; and that the Official seal of said cor ratio is duly affixed a o, a the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the Co y of I an River and State of Fl rda, the day end lea- lest aforesaid. ;~;~^~ .eye, ANN V. ROUSSEAU .:~., .... ..... .....r.. ..... ................. ;.. .~ ~~ . _ ~,~, r CQMMISSION ri DD 089531 otary Public, State of Flor a at Large. ~., '': EXPIRES: March 18, 2006 ''~~Hf~~F~; ` ` ~~" -'ts Thru ~Jctary Public Undenvrilers My commission expires Named ,c-ni Unit e~ Block / Lot ~ I ~ r /rJ '2'`~ Date of Mark-out Date of Burial Time Name of Funeral Home 5 ~ ~ ~' ~ n ~ J/., ' Authorized bye ~~~_~ - ~LO~if_/r. CITY OF SEBASTIAN O 9 CITY CLERK'S OFFlCE / ,t~b RECEIPT ^ Cash /56(0 AmountPald 001001 2oeool 001501 322900 001501 341920 001501 341910 001501 362100 00,50, 362,00 001501 362150 001501 343800 601010 343800 001501 369400 001501 369400 680800220681 680800220682 680800 220683 Sales Tax Garage Sales CopiesBid Specs. LDC/Code of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lots LotMiche ,Block ,Unit Interment Fee Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit G~~. ~.~°/r%, G ~ ~, ~ oft, ~C ~~ . ~~ ~ ~ ~~~~• 1~ ~o~j !~ ,~ , ~ ~' i ~~y . Si2~~~ . . . Total Pald ~~~ InWals Whits - Dspt. of Orrin • Tallow - Rnsna • Pink - Appliant y 7[`~i~ Seb~.st~~ Ceane~.e~y City of Se~a.sti, ~loa~d~ jp is acknowledged in the sum of: ~f ~iDe~~ ~,/~ Di Dollars ($r°~'d~ - r~ ) S ~' ~_7~S~S-~7~~ on this~~ day of ~Le.~~- 20 ~~? for the purchase of the following described Cemetery Lot(s)/Ni (s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) ~ ~ Block 1~ Unit / ~/> Purchase Price: ~~.~ ,~~~~~ ~ ~~'~ ~ `-` Dollars ($ ~~ d- ~ ) Terms and Condition of Sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described: I, or we, agree to purchase the above described property on the terms. and conditions stated in the foregoing instrument: Purchaser si~rtatur~~ --._ __ ____ --- .__ .------- _-_____ _----__-____ _~_. ___- - .~~ .._ .._.__. __ -f'~c~-E.-- -_ _.__...._.._.._. Pur aser signature The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. ~~ r ~ ~ ~~ ~~~~ 'City of Sebastian fitness n ~ -~5 ~', T r~a~b~ b, v h t V a~ Q ~' ~l ~~ ~~ ~ U ~Uv`~iw ~a ~~o~ OZ~a B a aw~~ w c ca a 0 A R V 'i d a o ~ Y C S co ,.. m ~ of [~ ru [~ ri1 rf'I : ~ 0 ~` ` O ~ ~ J ^ • ~ V e- 1 i '~ 0 ~ O ~'! a $ ~ . a ~ ~ ~, , _, o ~ ~D O ~ mr = a o w ~ o ~ ~ o •~ ^ Cash heck # ~~~~ AmountPak 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDClCode of Ordinances 001501362100 Community Center Rent 001501362100 Yacht Club Rent 001501 362150 Non Taxable Ren t 001501 343800 J ' Cemetery Lots ~-l ~ ~'~ %C~-- ~/® QCJ,. ll~„1 601010 343800 Cemetery Lots LoUNiche ,Block ,Unit 001501 369400 Interment Fee 001501 369400 Weekend Service 680800 220681 Yachf Club Security Deposit 660800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposit ,/~, Total Paid ~ ~° ~!~ Initials White -Dept. of Origin • Yellow -Finance • Pink -Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE ocrGro~r ~ f , ~. 'I`~ie 5e~a~s>~a~ Ce~e~~~y City ®~ Se~as~i~.>~, ~.®~d~ is acknowledged in the sum of: %~ QOpp Dollars ($~~ Cr - ~ ) S~ ~_ 7~''R= ~ f~ _ __. on this ~ ~y of vGex-~u~~` 20 cs~ for the purchase of the following described Cemetery Lot(s)/Ni (s) upon the terms and conditions a~ stated herein: Description of Property: Cemetery Lot(s)/Niche(s) / O Bloclc ~~ Unit `~.~.-~~ '~~"~`_~~ Dollars ($ ~~~- ~ ) Purchase Price: ~~~-~~ Terms and Condition of Sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described: I, or vve, agree to purchase the above described property on the terms. and conditions stated in the foregoing instrument: er signaLUre The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. ~, I(~ j V ' F'~`.r~'"GYM/ f `City of Sebastian Purchaser si~natur~--~ fitness ~~ A} .."~`b~, r1i N {. "'~C~4r-.. ~ 'e - .'YY~.~ -~ .~~. H~3ME ~~ F'EL~.1~ ISL~N~ August 22, 2002 Mr. Leon Correll 1362 Scroll Street Sebastian, Florida 32958 Dear Mr. Correll: Enclosed is City of Sebastian Deed Number 1856 for Cemetery lot 10, Block 14, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. S' cer y, ~~_ ally A. M 'o, CMC City Cler SAM:ar enclosure a FLORIDA DEPARTMENT OF HEALT State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL -TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of FSANCES CLAIRE CORRELL Death AIIGIIST 18, 2002 2. Place of Death County INDIAN RIVER City, Town or Location SEBASTIAN Name of (If neither, give street address) Hosp. or Inst. 1362 SCROLL STREET 3. Name of Medical Address Phone Number Certifier ~T~R J, SPLEAIDORIA, >NID 1265 36TH STREET Medical Examiner hysician VERO BEACH, FL 32960 772-567-6340 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 735 PEENING ST SEAWINDS FONERAL HOME EBASTLAN, FL 32958 2617 772-589-1933 5. cneclc a. ~ t ne mealcal certlncatlon nas been completed antl signed. A completed certificate of death accompanies this Appropriate application. Box b. ~ was contacted on He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death within 72 hours. c. ~ was contacted on .He/she verified that ,Medical Examiner, will complete and sign the medi certification of cause of death within 72 hours. 6. Funeral Director/ SigJ~ature /~ F.E. No./Reg. No. Date Signed Direct Disposer _ i_/ Lam- 2294 8/19/ 02 B. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 9nA9_91/,17-045 A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and wilt not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. No extension of time for filin the ath cert~c a has been requested. --~tegis4rere~. Date Date Certificate SubregistrarSignature Issued: 8/19/02 Due: 8/24/02 c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date Medical Examiner, ,gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. Awaiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition BURIAL STORAGE Date of Disposition S/ ~,/~D~ T' CREMATION OTHER (Specify) Signature of Sexton or Person-in-Charge } ~,~ Cj, ~~ [~ This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the county where disposition occurred. Distribution: White: Cemetery or Crematory / ~, DH 326, 8197 (Obsoletes all previous eddions) Yellow: Funeral Director or Direct Disposer ij`/y)l/ (Stock Number: 5740-000-0326-2) Pink: Local Registrar '