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Home My WebLink About2-15-05WtIU 111 3'rnaoItalt •mittiq flLb • N° 356 THTS INDENTURE MADE This 18th day of May A. D., 19 79 , be the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Marguerite J. Hughes 342 Manly Ave of the County of Indian Ri ver and State of ....2q.4ri da as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .. *.2.00..00* to it in hand paid, the receipt whereof is herewith acknowledged, 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: BLK 15 of LotS . 5 .. & . 6 in Section .Unit . #.2.. of Sebastian municipal cemetery as per Plat Number 1 there- of 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. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the 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, heretofore, now and hereafter adopted or provided for the government and operation of said ceme- tery. 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 observe 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,gJhetsaid party of the first part has caused this instrument to be executed in its name and on its be- half by its Mayor and attested by -its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. Attest: Signed, Sealed and Delivered in the sence of: Lt-til eZL- STATE / OF FLORIDA CITY OF SEBASTIAN, FLORIDA By City Clerk ' Mayor COUNTY OF INDIAN RIVER (City $ a1) I HEREBY CERTIFY, That on this 18th day of May , 1979 . before me personally :..e red Pat Flood, Jr. and . F2.L 1 beth . Reid respectively Mayor a y 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 conveyance to Mrs. Marguerite J. Hughes and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid. Notary Public, State of Florida at Large. My commission expires: Paid by General Receipt No. 13 Dated May. 2979 List Price * *200.00 ** $ Maximum No. Burial spaces 2 Discount $ Total area in square feet Monument permitted Net Paid $ **200.00** Fiat (Data above this line for City Record only) DEED #356 Marguerite J. Hughes 342 Man1y Ave $eb Hit BLK 15, Lots 5 & 6 Unit 2 THIS INDENTURE MADE THIS Day of Marguerite J. Hughes • 9/(- 342 Manly Avenue Sebastian, Florida 32958 , 1967‘, By of the County of Indian River , Florida, as Grantor for and in consider- ation of the sum of * ** Love and Affection * ** , does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee Lawrence A. McDonald his /her heirs, legal representative and assigns the following property situated in Sebastian,, Indian River County, Florida, to - Wit: Lot 5, Block 15, Unit 2, 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. To have and to hold the same forever, provided that said property shall be used solely and exclusively for the interment of the 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, heretofore, now and hereafter adopted or provided for the government and operation of said cemetery. The con- ditions, 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 observe and comply with such rules, regulations, resolutions and ordinances and the conditions of the deed of con- veyance 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 part has caused this instrument to be executed the day and year first above written. Signed, Sealed and Delivered in the Pre ; nce of: 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 Marguerite J. Hughes to me known to be the person(s) described in and who executed the foregoing instrument and she acknowledged before me that she executed the same. -WITNESS my hand and official seal in the County and State last aforesaid this .Alt'1- day of 9 .2r , 19a ?. APPROVED this oL `l Pll. day of , 196q. NOTARY *UREIC STATE OF FLORIDA MY COW"1SSION EX? DEC 10,1998 BONDED TORO GENERAL INS. UND. r ayor City of - bastian, Florida Name Unit Block Lot Date of Mark -out Date of Burial Name of Funeral Home -- AuthoriZe&1 YJ 1 Time *Donald, Lawrence 4. -7 a ge 4e-a-6- ;r ; '-e - Lot 5, Block 15, Unit 2 (Ownership transferred from Marguerite J. Hughes 7/29/86) zatorenee fi. l'Y)e, ona-JI1 )a13! k3 Paid by General Receipt No. 138 List Price * *200.00 ** Discount Net Paid $ * *200.00 ** Dated May 16, 1979 Maximum No. Burial spaces 2 Total area in square feet Monument permitted Fi at (Data above this line for City Record only) Deed No. 356 DEED #356 Marguerite J. Hughes 342 Manly Ave Seb H BLK 15, Lots 5 & 6 Unit 2 State of Florida, Depart of Health and Rehabilitative Services, Vita tistics APPLICA FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of Lawrerii86 Deceased 2. Place of Death Vt rd A. Middle McDonald DATE OF DEATH /s- Year City, Town or Location Barefoot Bay Name of (If neither, give street address) Inst.-704 Wedelia Drive 3. Name of Medical GCgbte A. Mitchell, D.O. 4. Name of Funeral Home/ 4ir t DiGposeL.. Strunk Funeral 5. Check Appro- priate Box Medical Examiner 13855 U.S. j Address Phone Number Sebastian, Florida 32958 (407)589 -8992 Physician Home Address 1623 N. Central Ave. Sebastian, Florida 32958 Fla. Lic. No. /Iileg -Nv: 1228 Phone Number (Area Code) 407 - 589 -1000 a E] b 21 c ❑ The medical certification this application. Peq has been completed and signed. A completed certificate of death accompanies was contacted on hours after death. He /she verified that this death was from natural causes, that nor other external cause of death, and that Dr. Mitchell and sign the medical certification of cause of death. medical certification. 12/28/93 within 72 there was no accident will complete was contacted on . He /she verified that Medical Examiner, will complete and sign the 6. Place of - 514 -rji4� In state cemetery / t1,iii - Removal Final Disposition: b=out , crematory - name/ ounty: n from state n Donation 7 Funeral Director/ Ign -ture F.E. No. /Flagg, lo. Date Signed Qirort INsposar 1672 12/28/93 B. BURIAL — TRANSIT PERMIT 1228 -93 -0577 Permission is hereby granted to dispose of this body. Permit No ❑ A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director /Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for filing ath certificate requested. g.f.t144' Registrar or Subregistrar Signature Date 12/28/93 Date Certificate Issued- Due' C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA Signature Medical Examiner Date or 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. A waiting period of 48 hours after death is required for all cremations. D. Methods of Disposition: BURIAL ❑ CREMATION Signature of Sexton ) or Person -in- Charge ) CEMETERY OR CREMATORY ❑ STORAGE ❑ OTHER (Specify) 60 5. /1' . 'i • Place of Disposition 6k: 64 ST Ai,r Cg w) Date of Disposition /ALI /M.13 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) (Stock Number: 5740- 000 - 0326 -2)