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HomeMy WebLinkAbout3-COL-081SnName-�� CLeE.✓_tetr� Unit Block n Lni� %.-ve-8 1 .5/w. Date of Mark -out .._.__. C?Aq 1" J. Ti— 1!00,0. CGOweM.//.i L..- 1 Name of Funeral Ho Authorized by Strunk Funeral Home - Sebastian GRACEIDA SYLVESTER P ( Febmary 19, 1933 - September 10, 2019) — Mrs. Grace Ida Sylvester, 86, died ft September 10, 2019. Survivors include her sons, John Sylvester of Allendale, Robert Sylvester of Palm Bay and Raymond Sylvester of South Daytona Beach; sister, Kathleen Pickard and dear friend, Cindy Skrzypek of Mount Bethel, Pennsylvania. Visitation will be held 10:00 AM — 12:00 PM on Friday, September 13, 2019 at Strunk Funeral Home Chapel, Sebastian, Florida. A Mass of Christian Burial will be held 12:00 PM on Friday, September 13, 2019 at St. Sebastian Catholic Church, Sebastian, Florida with Father John Morrissey, celebrant. Arrangements are by Strunk Funeral Home and Crematory, Sebastian, Florida. FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax. (772) 228-9927 City Clerk's Office – Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or388-8214 ctesta0citvofsebastian.oro FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE* 772-589-1000 (Check One) OPEN BURIAL LOT OPEN CREMAINS LOT XXXX OPEN COLUMBARIUM NICHE Lot—Block—Unit— Lot—Block—Unit otBlockUnit LotBlockUnit Niche 81 Block COL Unit 3 N S E W BURIAL DATE AND SERVICE TIME: Monday, September 23,20P 1:00 PM Committal Service @ Cemetery FOR DECEASED: Grace Sylvester Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) John Svlvester lohASVWestBr 9/18/2019 Name Signature Date P.O. Box 238042, Allendale, Florida, 32123 I certify that 1 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: Jeff Gibbs Name Je(r(r Gibbs Signature 9/18/2019 Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. 09/18/2019 12:56PK FAX 7725882583 SIRUNK FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, .Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax: (772) 228-9927 City Clerk's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 ciesta0chvofsebastian.oro FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1823 North Central Avenue._ Sebastian. Florida. 32958 PHONE* 772-589-1000 (Check One) _OPEN BURIAL LOT LoL- tot. Unit '�- ----OPEN CREMAINS LOT Lot_Block Unft �X-OPEN COLUMBARIUM NICHE Niche 81 Block COL Link- 3 ..----N-_ S E W 0 0001/0001 BURIAL DATE AND SERVICE TIME: Monday, September 23,200 1:00 PM Committal ServiceO Cemetery FOR DECEASED: Grace Sylvester Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) John Sv_ Ivester _ _ Iohw_svbvastzr 9/18/2019 Name Signature Date P.O. Banc 238092, Allendale, Florida, $2123 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! Jeff Gibbs Name J" Gibbs Signature 9/18/2019 Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: _9/ 4. CemeterySekton Date This form to be provi e f to Clerk's Office by Sextan for permanent record upon completion. CITY OF SEBASTIAN 11885 ADMINISTRATIVE SERVICES RECEIPT Name �� %�'r.irllG.. /, VLJ -E Si23Lp Cash II II ll Date i I (Check # O Credit Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001208001 Sales Tax 450010369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 220030 PD SHOP 001501366602 PD SAFE 001501 366603 PD COPE col Soi 34376S 0C, 1 .cc e -3 ZIL COL NCtk- 91s, Total Paitl 'tt Initials White - Dept. of Ongln • Yellow -Admin. Sven • Pink -Applicant CITY OF SEBASTIAN �- HOME OF PELICAN ISLAND Certificate No. 2511 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: Grace Sylvester 525 Belfast Terrace Sebastian, FL 32958 In and for consideration of the sum of $1,200.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 81Sn 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 6`' day of July, 2016. CITY OF SEBASTIAN, FLORIDA — 44, Joseph F. Griffi City Manager ATTEST: anette Williams_, MMC City Clerk mvor SEBASTL , HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 589-5330 Phone (772) 589-5570 Fax July 18, 2016 Grace Sylvester 525 Belfast Terrace Sebastian, FL 32958 RE: Interment Rights to Unit 3, Columbarium, Niche 81Sn, Sebastian Municipal Cemetery Dear Ms. Sylvester, Enclosed is City of Sebastian Certificate 2511 entitling you to full interment rights in Unit 3, Columbarium, Niche 81 Sn, in the name of Grace Sylvester. If you have any questions, please contact our office at 388-8209. ly, Cathy Td Records Clerk Enclosure '/ p.01 06/2-, /16 01:34PH HP LASERJET FAX PLEASE PRINT DECEASED G R ft C NAME: ..,s � L- VL::�s 7��L k (Furst) (Middle) - - (Last) DATE OF BIRTH:- (Month) (Day) (Year) DATE OF DEATH: (Month) SIGNATURE. PRINr SIGNATURE: DATE: Ora� (Day) -- --- - --- (Year) -sYL FOR OFFICE i1SE ONLY Unit 3 Singles / N J f COLUMBERIUM: NICII NUMBER: CITY OF SEBASTIAN 10101 ADMINISTRATIVE SERVICES RECEIPT Name -Tly L V Tr=� ❑ Cash Date `7 It.Check # 10 ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees 3� w -e0 Trsfd ' l p p. o0 Q Jim) 3 -3 kno Aqrs') /> 00' -.90 Total Pai i ' Is Security Dep Held - Amount $ Check # White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant Vero Beach Crematory,. LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of.- Grace f:Grace Ida Sylvester September 10, 2019 September, 18 2019 (Dote of Death) (Date of Cremation) Strunk Funeral Home and Crematory (Funeral Home in Charge) 6246 (Cremation ID Number) Sebastian, Florida (City and State) By' (Cremator5igna[ureJ