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Home My WebLink About2-11-16C7 Block Lot / ". ' C, Date of M 7� i Date of Burial n t 1,W � GaL.D Time yti /i Name of Funeral Home C Authorized by CRY Of SEQ HOME OF PELICAN ISLAND CIT, Y OF SEBASTIAN Cemetery Certificate THIS INDENTURE MADE this 29th day of December, 2016, between Maripat Rapach, as Grantor whose address is 559 Texas Hollow Road, Luttrell, TN 37779 and the City of Sebastian, a municipal corporation existing under the law of the State of Florida of the County of Indian River, State of Florida as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $100.00 minus a 5% administrative fee and a $50.00 Disinterment fee, the receipt where of is herewith acknowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee their legal representatives and assigns the following property situated in the City of Sebastian, Indian River County, Florida, to wit: All of lots 16C, block 11, unit 2, of the Sebastian Municipal Cemetery as maintained on file in the records of the City Clerk. To have and hold the same forever; in fee simple. IN WITNESS WHEREOF, the said party of the first part has caused this instrument to be executed in their name and witnessed the day and year first above written. Witness: ori' By: - -1 aA44 cc+ f? -u n cr Maripat R path, Gran or STATE OF Frl orid4 COUNTY OF Zhdi c.n Rive -r I HEREBY CERTIFY, that on this 29th day of December, 2016, before me personally appeared Maripat Rapach who produced TN J�rlyu-S Li c-e-hSe-as identification; and who executed the foregoing conveyance to the City of Sebastian and severally acknowledged the execution thereof to be her free act and deed as such an individual duly authorized. CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only Input Date Fiscal Period Document # Entered By Document Amount # of Lines Total HC Hash Due Date To Be Completed By Department 12/29/2016 Single Check Y / N y Vendor Number 663 LN Organization Object Project TC Reference Code Code Code Amount 601010 343800 $45.00 Description Number of Lines Amount $45.00 Certification # 1204 buy back Unit #2, Blk 11, Lot 16C. $100 minus $50 disinterment fee and 5% Administration fee ISSUE CHECK TO NAME Maripat Rapach Address 559 Texas Hollow Road Luttrell STATE TN ZIP CODE 37779 DRAW CHECK M SEE BELOW APPROVEDB DATE /Z - BUDGET APP 0 MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach a copy of documentation along with the original) OTHER INSTRUCTIONS Please callJeanette 8215) to pickup check k'(pn-4 4�, f5�I-317.788 UN,-. -� 31 K u LcNV I �C, C6nti�rv� I�-�9-IG iii#g of �Pbtis#ittn A 1204 »}�l 6 fl rut t Pr p � fY �[ i � NO. 20thJanuary ........................... A. D., 108 .., THIS INDENTURE MADE ThL day of ........... between the City of Sebostlan, a municipal corporation existing under the laws of the State of Florida, as Grantor and Maripat Rapach „................... .......... ................................................................. 34,9 Sandpiper R ,Aye.,, oyal,. Palm. Beach,,..F1....,,33411....... Indian River Florida of the County of ............................................. an] State of ... .......................... as Grantee, WITNESSETH, 100.00..... 00•00,,,,, to it in hand paid, the receipt whereof is herewith n That the Grantor for and in consideration of the sum of $ ........ , , , , , , , , , , , , o- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , Y12 r, , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: Cr emain CUNIT ....2........ , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat All of Lot(s) ....... , Block, ...1.. • , 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. Cremains - Sylvia Troyer 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 part 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 affixed, the day and year first above written. Attest: .. �... ................ City Cie 'y Signed, Sealed and Delivered t In ttfejpresence of: CITY OF SEBASTIAN, FLORIDA .... Mayor ((Qttut §eul) STATE OF FLORIDA COUNTY OF INDIAN RIVER Januar.. 20th .......day of ................................................., ig.... 89 I HEREBY CERTIFY, That on this ................. Richard B. Votapka........... andKathryn ....... M. 0 Halloran ....... , before me personally appeared ................... ............. ........................................ respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State o4 Florida to me known to be the individuals and officers described in and who executed the foregoing conveyance to Mari at Ra ach and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Ofticial seal of said corporation is duly affixed thereto, and the said conveyance is the net 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 end year last aforesaid. _ 7 � ... n ........................... Notary PubliqfState of Florida at Large. My commission expires: Notary Public, State of Florida My Commission Expires Dec. 10, 1992 Bondad Thm Try Fain- kovranm hu•.