The URL can be used to link to this page

Home My WebLink About3-COL-37DsAName Unit Block Lot L� � � 1:5 Date of Mark -out Date of Burial /� %/l s Time Name of Funeral Home Authorized by s crTV OF SEBASTLAN HOME OF PELICAN ISLAND Certificate No. 2466 CITY OF SEBASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Alan Broberg 997 Tarpon Avenue Sebastian, FL 32958 In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 37dsa of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS gth day of July, 2015. CITY OF SEBASTIAN, FLORIDA Joseph F. Griffin City Manager ATTEST: Sally A. M,4o, MMC City Clerk CYNTHIA ROSE BROBERG July 2, 1946 -July 7, 2015 Cynthia Rose Broberg, 69, of Sebastian, died Tuesday, July 7th with her family by her side. She was born to the late Merville and Rose Evans on July 2, 1946 in Oswestry, England. Cindy graduated Brockton High School in Brockton, MA. in 1964. She married Alan Broberg in 1969 and they lived in Dania Beach, Fl. before relocating to Sebastian, FI. in 2006. Cynthia was a receiving manager for Publix supermarkets for 39 years. She enjoyed bowling, boating and spending time with family. Cynthia was a loving wife, mother, and grandmother; and was known by all who knew her as a kind and generous person. After retiring, she enjoyed being a volunteer for the City of Sebastian. She also enjoyed traveling to New England, England, Hawaii, and California. Her favorite daily activities included reading, cooking and movies. Cynthia is survived by her beloved husband of 46 years, Alan Broberg, and her son Duane Broberg. She also had a daughter-in-law and a grandchild. CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT `?918 Name 8r o F4 -,m itycash Date — 2q ❑ Check # ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit - 001501362100 Taxable Rent - 001501 362150 Non -Taxable Rent - 450010 369900 Airport Badge 001501 329500 Alarm Permits 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 369900 Miscellaneous Revenue 001501 359000 Other Fines/Forfeitures 001501 351140 Parking Citation 001501 342100 Police Security Services 606of -393fia5 0.6d Total Paid 50 Initials White - Dept. of Origin • Yellow - Finance - Pink - Applicant 715961 a Oda -DCmiz m -u D Coe r LO 7• 0 � Fu CURRENT OVER 30 DAYS DVER 60 DAYS TOTAL AMOUNT a Oda -DCmiz m -u CITY OF SEBASTIAN d20LC�, FINANCE DEPARTMENT RECEIPT 9 91 D Name, F ❑ Cash Date 9 Check#24yp 4� p Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit - 001501 362100 Taxable Rent - 001501 362150 Non -Taxable Rent - 450010 369900 Airport Badge 001501 329500 Alarm Permits 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 369900 Miscellaneous Revenue 001501 359000 Other Fines/Forfeitures 001501 351140 Parking Citation 001501 342100 Police Security Services ,9q�0 0 Total Paid"/' A00 Initials White - Dept. of Origin • Yellow - Finance - Pink - Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SE�TuW raM� a ntKu1 n�wo 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 X (Check One) _OPEN BURIAL LOT Lot Block Unit OPEN CREMAINS LOT Lot Block Unit _.�C OPEN COLUMUARIUM NICHE Niche37 _ Blocker off,Unit ASR• W BURIAL DATE AND SERVICE TIME: 7A, 1 AlS^ FOR DECEASED: &V y % 2 j: 4L rva e NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Name tgnature 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 DIRECTOR. Name � 11 Signature Date ----------- ............................ Cemetery Sexton Cartificallow 1 certify that I have checked the ownership inforination by viewing the owner's deed and confirming YAM Clerk's office and that all fees have been paid 4• t� it��i, Ceme1 ry exit n Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. -�7d CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT ?952 Name Alan Broberg ❑ Cash Date 10/23/15 UCheck# 99A4 I] Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit - 001501 362100 Taxable Rent - 001501 362150 Non -Taxable Rent - 450010 369900 Airport Badge 001501 329500 Alarm Permits 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 369900 Miscellaneous Revenue 001501 359000 Other Fines/Forfeitures 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 343805 vase & ring 84.25 oi 4 Total Paid 84.25 Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant DATE TERMS TO IN ACCOUNT WITH 02 % S>� 13F- L e CURRENT OVER 30 DAYS OVER 60 DAYS TOTAL AMOUNT 'saJamr MW2 01.11