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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.)