HomeMy WebLinkAbout1-41-11w
.reu-JLI
/ aed ;,i
41
R,rA
�
�\ �
BIZ`%
S
R�
I Al
Q
4
t
io
\
41
R,rA
�
�\ �
BIZ`%
S
R�
I Al
Q
����
l Vk ,
\
w
BLOCk 41; LOT 11, UNIT 1 ADDITION DEED 1040, RECETPT 401
E. EMILIE WASSET
641 LAWSON ST.
SEBASTIAN, FLORIDA 32958
LEO WASSET INTERRED 314185
• alitu of 6tha stV
(Irmeterg Berb NO. 1040
THIS INDENTURE MADE Thh ........4th..... day of ....... March .............................. A. D.,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
........... E. Emilie Wasse ..................................................................... ...............................
�641� Lawson �St�.
... I ........ Sebastian,,..Flor des„ 32958 .......... ............................... ............. ...............................
ofthe County of ... Indian River ........................ aul State of ..... Florida......... ...............................
as Grant*% WITNBSSETHn
That the Grantor for and in consideration of the sum of $ .. , ,15 0:00 . _ ............. to it in hand paid, the receipt whereof" is herewith so-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,her .... heirs, *0 representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
11
All of Lot(a) ....... , Block .... .. 4I 1 ... ,UNIT ............. addition . 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 Clark of the Circuit Court of St. Lucie County of Florida; said had now lying and being
in Indian River County, Florida.
To Have and to Hold the same forever; provided that said property shall be used ably and exclusively for the interment of the huma8 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 avoid of the failure of the owner of any property situated within said cemetery to ob-
serve and comply with such rubs, 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 Clark and its corporate seal to be hereto of&", the day and year first above written.
CITY OF BASTIAN, IDA
Attests ..................
City Clerk ) Yyor
Signed, Sealed and Delivered
In a Peo of I
. ...
.4. .. . . . .. .............. �94 ..
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on tbis .....4.th .. day of ........ March . .. ..............................1 10.85,
. .......... .........
before me personally appeared ... Jim Gallagher alad Deborah C: Krages......
respectively Mayor and City Clerk of the City of Sebastian, • munkip•1 mrporstlon under the laws of the State of FbrMda to me
known
to be the individuals and officers described in and who executed the foregoing conveyance to
E. Emilie Wasset
..I. .. ...................................................................... ...............................
......... ... I ........................ ... .. and severally acknowledged the execution thereof to be their Ogee act and dead
" such officers tbereuMo duly autborfsedi and that the Official dal seal of said corporation Is duly affixed thereto, and tbo said eonveyanee
is the act and deed of said eorpo�tiba...
WiTNAM sey-Aw"tum axd- a 1QW seal at Bebeetion, in the County of Indian River and State of Florida, t1ke day and year
last aforesaid.
Notary Public, State of Fknrlda at LnRe.
my coo talon uNresn Nbtary Puw, State of Florida
My Commission Expires Shpt. S, WU
tvra.a DO RRY f•NI:IINWi.ew, Iffj
X16 /
0 0
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
Dollars ($ /,S-0 • d-7) )
FROM:
on this y Y day of , 198X-for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s) # / J Block# Ca j Unit#
Purchase Price • _ p Dollars ($ /,S`p . �, G )
Terms and'conditions of sale:
&A21/1
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 proper on the terms and conditions
stated in the foregoing instrument:
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.
City of Se a t an
Witn Asl
3yfS
STATE OF FLORIDA
OEPARTMENT OF HEALTH & REHABILI E SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL— TRANSIT PERMIT
A.
(Type or Print)
1.
Name of
First Middle Last DATE Month Day Year
Deceased
OF
Leo J. Wasset DEATH March 8, 1985
2.
Place of Death
City, Town or Location Name of (If neither, give street address)
County
Hosp. or 641 Lawson Street
Indian River
Sebastian Inst. Sebastian, Florida _
3.
Name of Medical
® Physician 777 37th Street Address Suite A -107
Certifier William Panakos ❑ Medical Examiner Vero Beach, Florida 32960
4.
Funeral Home/
Name Address
X)[fK%II<ll:KiV*K
Strunk Funeral Home 734 N. Central Avenue, Sebastian, Florida 32960
5.
Check
a E] The medical certification has been completed and signed. A completed certificate of death accompanies
— Appro.
.-fti application. _ _
riate
Box
B
b ® Donna was contacted on 3/4/85 . He /she verified that
this death was from natural causes, that there was no accident nor other external cause of death, and that
Dr. William Panako8 will complete and sign the medical certification of
cause of death.
c C]
was contacted on . He /she verified that
Medical Examiner, will complete and sign the
medical certification.
6. Funeral Director/ Signature Fla. Lic. No.)"X . Date Signed
XXfY►JI`A'M1V=r _
David Hincemon ��ni1 YLke Lic. #1672 March 4, 1985
BURIAL— TRANSIT PERMIT
Permit No. 1228 -85 -84
Permission is hereby granted to dispose of this body.
® A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and
granted. If it cannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed
wi the Local Registrar of the County in which death occurred.
Registrar or Date
Sub - Registrar Signature Issued March 4, 1985
C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA
Q
Signature
or
Medical Examiner,
Medical Examiner Date
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.
Method of Disposition:
❑ BURIAL ❑ STORAGE
❑ CREMATION ❑ OTHER (Specify)
Signature of Sexton
or Person -in- Charge
CEMETERY OR CREMATORY
Deborah C. Krages, City 4C`lerk
Place of Disposition Sebastian Cemetery
Date of Disposition 314185
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.
HRS Form 326, APR. 81
(replaces previous editions which may be used.)