The URL can be used to link to this page

Home My WebLink About1-25-40Name G Unit Block Lot A Date of Mark -out Date of Burial y/ 9 / ��- Time �� g Z ' Name of Funeral Home Authorized by Name Unit Block Date of Mark -out ' r Date of Burial Time A Name of Funeral Home Authorized by 16'7548 WARRANTY DEED INDIVID. TO INDIVID RAMCO FORM 01 This arranty heed Made lice day of June A. D. 19 ?6 by Glendy and Cora Sad:l er, Yiusband and wife hereinafter called the grantor, to Sembler Vernie W. Rt. 1 Box 50, Sebastian Fla. 32958 10 ALL whose postof Tice address is hereinafter culled lice grantee: (Wherever used legal herein rand Kassligns of n individuals, include successors and ands assignslsof scorporations) biltnesseth. I'hal the grantor, for and in consideration of the sum Of $ /0 0 1/'C and Other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, alien, re- mises, releases, conveys and confirms unto lice grantee, all that certain land situate in 1�- t i `A (fit L I `A' Lj County, Florida, viz: /► Section B, Lot 11 Block 25 Grave Space for Lot in NE corner) 6 Sebastian Cemetery (Old Section) Joyther with all the tenements, hereditaments and appurtenances thereto belonging or in any- wise appertaining. To U40C and to told, the same in fee simple forever. I1n nd the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple: that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whontsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 19 (No taxes on cemetery lots) �n '"itness jUhereof.. the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in our presence: i cb...... ..... STATE OF COUNTY OF j I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgments, personally appeared co me know,p , x.:11 the person described in and who executed the forgoing ih41iument d : �J WARRANTY DEED INDIVID. TO INDIVID This IgArrAfity Deed Made the 167548 day of rune Glendy and Cora Sadler, husband and wife RAMCO FORM O A. D. 197 6 I hereinafter called life grantor, to Vernie W. Sembler Rt'. 1 Box 50, Sebastian Fla. 32958 whose posluf five address is hereinafter culled Cite grantee: (Wherever used herein the terms "grantor" and " vantre" include all the parties to this instrumcut and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Uitnesseth: That the grantor, for and in consideration of the sum of $ /U 0 VC aril oil valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, 1 mises, releases, conveys and confirms unto fire grantee, all that certain land situate in {,j t(lA. iA.t L Courtly, Florida, viz: 1 Section B, I,ot 1, Block 25 Grave Space for Lot i.n NE corner).6 Sebast.i.an...0em 00"S R t �. , -- ' i I �1 Together with all Cite tenements, hereditament , and appurtenances thereto belonging or in a wise appertaining. 'fo 'Rapt and to Uotd, the same in fee simple forever. Rnd lire grantor hereby cot,ertants with said grantee that the grantor is lawfully seized of said lc in fee simple; that lite grantor has good right and lawful authority to sell and coru+ey said lurid; that grantor hereby fully warrants the title to said land and will defend the same against the lawful quints "all' Nersti "its whoyi►sog,s i= ;-urtd t1 at said -lan,4 as free - -of all encumbrrances, axcept taxes accruing subsego to December 31, 19 (No taxes on cemetery lots) hwitness whereof, lite said grantor has signed and sealed these presents the day and first above written. Signed, sealed and delivered in our presence: t SPACE REIOW FOR RECORDERS USE STATE OF - �ta�tt~.>I� �Gt�t�tnal<azv Certificate of Cremation The cremated remains contained in this container are those of the body of Charles Donald Sembler as delivered to us for cremation on the � ay of April 20 10 by Lowther Cremation Service, Inc., Vero Beach, Florida. Permit No. 2559 -10 -132 Issued at 1555 27th Street, Vero :Beac , Florida 32960. (Cremated remains have been wrapped in a plastic pouch.) Bye/ 772 - 770 -5795 0 www.lowthercremationservice.com CITY OF SEBASTIAN CITY CLERK'S OFFICE /. RECEIPT 4 Name Jlu- ct 4 K) 0 f 0 Cash Date L3 XCheck #� No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC /Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Niche 10 6.1'�b, Block Unit 0 001501343805 Cemetery Fees '- I@ S50.� / Total Paid &0. 00 Initials White — Dept. of Origin • Yellow — Finance • Pink • Applicant No. 13417 Certificate of Cremation For Vernie W. Sembler Who died March 26, .20 13 was cremated at Woodlawn Crematory, and these are the cremated remains of deceased. W odlawn Crematory y Funeral Director Robin J. Fisher Woodlawn Crematory 400 Woodlawn Cemetery Road Gotha, Florida 34734 TO: NATIONAL CREMATION & BURIAL 7565 Red Bug Lake Road Oviedo, Florida 32765 Cremated Remains of: VERNIE W. SEMBLER PERMIT AND CERTIFICATE ENCLOSED STATEMENT 099018 Date TO �.J u ,li y �a �tl / TERMS IN ACCOUNT WITH,�� Stock Form 25812 MR FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SEAT_" NOhil tii CFLICAN ISLAND For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8215 or 388 -8214 Fax: (772) 589 -5570 FUNERAL HOME: ADDRESS: PHONE #: (Che,One) ---' PEN BURIAL LOT Lot 10 Block _Unit :OPEN CREMAINS LOT Lot _Block Unit _SJPEN COLUMBARIUM NICHE Niche Block Unit W BURIAL DATE AND SERVICE TIME: FOR DECEASED: ivame NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentatioii of ownership) Name Signature Date I certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same NAME AND SIGNATURE OF LICENSED FUNERAL DIRECIOR. 1114 Name Signature Date ---------------------------------------------------------------------------------------------------- Cemetery Sexton Certification: I certify that I have checked the ownership infoririation by viewing the owner's deed and confirming with Clerk's office ;ind that all fees have been paid Ao��q a - /?/Z / - _Cemekry xton Dat This form to be provided to Clerk's Office by Sexton for permanent record upon completion. r.� t >" -"^•^^- ...- + —•.• —� Svc °� ' � �,. ,0i) � ,i, � :� a jam✓, .. + Q•i,� � ,� -� - � V. � 'i^r"^•"T+.r. •�,•...,i►' .- w....�,�.,;... ?, .. _..._+.. -- • - - - _ ' � � Fes.- y -- _ 1�1 � � -T �-! • - -� . ko ' h G RZ ,p Ir 46 i t yr! � � �,�1•. Q v � `� �t. �! _ Z 0 p L Q - 4 cr IL IR E: •�i- x IA J OWL J w tea. A,•v? u a j �f✓ I Jr f rt A. Aq E T a N FLORIDA DlrAmC tEgr OF. ,�� State of Florida, Department of Health, Bureau of Vital Statistics HEALT BURIAL TRANSIT PERMIT DATE PRINTED: March 28, 2013 TRACKING NUMBER: 2013046867 1. DECEDENT INFORMATION Name of Deceased Date of Death VERNIE W SEMBLER March 26, 2013 Place of Death - County City, Town or Location Name of facility, or street address if not a facility SEMINOLE .ALTAMONTE SPRINGS HOSPICE OF T-IF COMFORTER- HOSPICE HOLSE Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No.rReg. No. Phone Number NATIONAL CREMATION & BURIAL SOCIETY - OVIEDO F04C304 FW304 (407) 3E5 -1500 7565 RED BUG LAKE RD OVIEDO, FLORIDA, 32765 Funeral Director /Direct Disposer Fla. Lic. No. /Reg. No. RCBIN J. FISHER F042C56 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2013- F040304 -5173 Date Issued: March 27, 2013 u. J Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 7 Approval Number: SM12285 4. CEMETERY OR CREMATORY Place of Disposition: WOODLAWN CREMATORY Method of Disposition: CREMATION Date of Disposition: EDRS maintains all statutorily required information regarding the death record an trela ted burial transit permit, therefore, returning the permit to the county health departmno long er required. If the Place of Final Dispo i on wishes to retain the copy of the permit for their file they may do so. DH 326E, 10112 64V- 1.011, Florida Administ ative Code 900/L00 d 9Z6# c9:9L CL0Z /R/co L6LZ99CZOb:I110.j