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Home My WebLink About3-70-01Name ��/ YID • N//l'F �iip- 7 ii � ' Unit Block4 Date of Mark -out Y150 4� L..n Date of Burial 5-A / n' Name of Funeral Home Authorized b,- �'v�-�"r^""•"— - fix %k :56A1 Time CDOF SEB�sT�AIV HOME OF PELICAN ISLAND Certificate No. 2630 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: Zhanna Marina & Oleksandr Koval 708 Barker Street Sebastian, FL 32958 In and for consideration of the sum of $3,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 3, Block 70, Lots 1 & 2 & 3 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 18th day of April, 2019. CITY OF SEBASTIAN, FLORIDA ATTEST: Pa E. Carlisle 4anette Williams, MMC__ City Manager'City Clerk Lin r SEBAST40W 7� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 589-5330 Phone (772)589-5570 Fax April 23, 2019 Mr. Oleksandr Koval & Mrs Zhanna Marina 708 Barker Street Sebastian, FL 32958 RE., Interment Rights to Unit 3, Block 70, Lots 1, 2 & 3 in the Sebastian Municipal Cemetery. Dear Mr. Koval & Mrs. Marina, Enclosed is City of Sebastian Certificate 2630 entitling you to full interment rights in Unit 3, Block 70, Lots 1, 2 & 3 in the name Zhanna Marina & Oleksandr Koval. If you have any questions, please contact our office at 388-8209. Siinceere�l/y, eG lo - Cathy Te Records Clerk Enclosure CITY OF SEBASTIAN 11703 ADMINISTRATIVE SERVICES RECEIPT Name d"/) ✓Q-% ❑ cash - Date � .y�� Datey ! %Check#S� O Credit Amount Paid 001001208001 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 001501347557 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 iC3 /hob L! Gb1S01 343805 n/r iSnTao Total Paid /.50.00 Initials White - Dept. of Origin - Yellow -Admin. Svcs. - Pink -Applicant State of Florida, Department of Health, Bureau of Vital Statistics =715 BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: April 30, 2019 TRACKING NUMBER: 2019070256 1. DECEDENT INFORMATION Name of Deceased Date of Death MARIYA MARINA April 25, 2019 Place of Deem - County City, Town or Location Nem. of recenty, or street address if at a facility INDIAN RIVER SEBASTIAN 703 BARKER STREET Name and Address of Funeral HcmeiDliect Disposal Establishment Fla. Lie. NoMing. No. Phone Number SEAWINDS FUNERAL HOME FB73380 F073380 (112)588-1933 735 SOUTH FLEMING STREET SEBASTIAN, FLORIDA, 32958 Formal Dlrector/lArect Disposer Fla. Lie. NoJReg. No. KATHLEEN KAUFFMAN F0473M Medical Verification Statement Paige at fire certifying physician's office. was contacted on 042612019 by the funeral director listed above; hershe indicated Nat MICHAEL ANTHONY VENALO, call physician, will complete and sign the medical certification of cause of death within 72 boom. 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 201PF013380.5089 Date Issued: Alan 28. 2019 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY Method of Disposition: BURIAL Data of Disposition: EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for Nair Nle they may do so. UH 326E 10112 "".1.011. Florda Adminisba ,o, Cade c" of SEBwsT1q[V ab 30 HOW Ot>UICANtSIA" City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. �H/irYir%� hiftR/�r.9 h ocF_=r.S�t�'DR .eO�.�L Name(s) 70cP 6Ae/1RA ST.P1'6' 7- IWI My , F 3-Z9sa Address 7 7.2 - R.2,F -,?o-d'O Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: JVUk a In0aet '&-c( °�vo �� Dollars ($ on this IS day of AD Cemetery Lot(s) and/or Niche(s). Unit 3 Block 74 , Lot(s) I, z, 3 20_Lq for the purchase of the following described Niche(s) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. Additional Fees paid at time of purchase: Corner Markers (set of 4 - $20) Opening & Closino Vase and Ring for Niches (cost) Temporary Marker Preparation & Installation N 5 ' 3 � aGI s I:\W W.DATA\Ms-CemeteMftECEIPT.doc /W O H Circle One Interment Disinterment Maid W/C w (f Card TOTAL$ .3006,00 C of Sebastian The following documents were provided as Proof of Residency: ( �—G Orop AL)and i/UtGr y 0. Data For Parcel 31380100003045000016.0 Base Data f Parcel: 31380100003095000016.0�, 4bP' Owner: KOVAL OLEKSANDR IN Site Address: 708 BARKER ST SEBASTIAN, FL 32958 Mailing Address Address: 708 BARKER ST Address Line 2: City, State Zip: SEBASTIAN FL 32958 Short Legal Description t SEBASTIAN HIGHLANDS SUB UNIT 02- BLK 45 LOT 16 PBI 5-36 Click here for more t Note: Legal descdptions on this website are Intended for general Informational purposes and should not be used to convey property. Photos No photos were found for this parcel. [+] Map this property. Property Information Prop ID: 16583 Tax Code: 2 (City of Sebastian) Property Use: 0100 (SINGLE FAMILY - IMPROVED) Neighborhood; 140016.00 (SEB HLS VOCELE/BARB 512) Appraisal Date: 03/03/2015 Additional Owners0ap\J0 a KOVAL TASHA t MARINA ZHANA Y/ Notes Notes: Click here to view oblique Imagery through Bing Maps. Report Discrepancy GIS parcel shapefite last updated 9/17/2019509:50 PM. The G]MA data presented on this website is current as of 9/17/201911:06.•19 PM. CITY OF SEBASTIAN 11701 ADMINISTRATIVE SERVICES RECEIPT Name nvV.S .'Lh an a, Nluri nq ❑ Cash Date 4t-19-1q ❑Check # Credit Amount Paid 001001208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001 218010 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 Cc:mefeny tc+5c3 00.0v ` TotalPaid.3000.00 Initials White -Dept. of Origin • Yellow-Admin. Svcs. - Pink-Applicant