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Home My WebLink About3-COL-75SnName r ` "C O_CC , vie! 4- C Q. V1� Unit Block cc� L Lot -7-5— -5 V Date of Mark -out ` ` ^ 2- / - ;,�) .S__ Date of Burial / 7-- v [ Name of Furneral Homed trh Authorized by c D R A W I N G P O R A P P R O V A I. • WE ARE AWAITING YOUR APPROVAL BEFORE PROCEEDING • 12/16/2025 This graphic represenation wag prepared in accordance with the information submitted. Please review accuracy of spelling, sizes,letter style, finish and esthetic appearance. Approval of this representation ac)mow edges ordering and manufacturing confirmation. (W) APPROVE AS SUBMITTED or ( ) MARE CORRECTIONS 6 PROCEED WIT H PRODUCTION or ( ) REVISE 6 RESUBMIT Signed Date: ORDER: 1 22523305- CUSTOMER: 06946 CUSTOMER PO#: CATALO G SCROLL EMBLEM ITEM NUMBER SIZE DESCRIPTION 6005382 8 X 4 CRYPT,PLATE,9007 NOTES: *DO NOT DRILL THRU FACE THIS DRAWING IS FOR PRODUCT, DESIGN, SPELLING AND DATE VERIFICATION ONLY. CORRECTIONS MUST BE NOTED WITHIN 24 HOURS OF ACKNOWLEDGEMENT RECEIPT. THIS IS NOT SCALED DRAWING FOR APPROVAL. Center To Center RICARDA MAYSONET MADRE QUERIDA REINA DEL BOSQUE 1/12/1923 - 11/11/2025 kmichael! DATE 11 /24/2025 Matthews Picture M iM —_ CIPW101 ° 110 w1nev.111lernatNeal BL SZ ST L1 L2 1.3 3/8 L3 3.2 2.0 1 /4 L3 1.9 2.4 114 L3 2.1 3.2 114 L3 2.4 CITY OF SEBASTIAN 17029 FINANCE DEPARTMENT RECEIPT Name l moo' :�6n I i 7u Cash 1 Date H la aL11a5 jCheck#4710 O Credit Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001 208001 Sales Tax 450010 369900 Airport Badge 450010 362521 AP Shade Hangar Rent 450001 208045 Airport Sales Tax 001501 347557 Community Center Revenue 001501 341920 General Fund Copies 001501 354100 Code Enforcement Fines 601010 343800 Cemetery Lot Sales} 001501 343805 Cemetery Fees 02� 480010 341920 Bldg Dept Copies PO Shop with a Cop PD COPE PD Cadets PD SPIT Total Paid I itials White - Dept, of Origin • Yellow - Finance DpL • Pink -Applicant CI IN or SE$�1_AN HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 388-8216 beakins@cityofsebastian.org November 21'', 2025 Ms. Miriam Gonzalez 831 Dunn Terrace Sebastian, Florida 32958 RE: Interment Rights in the Sebastian Municipal Cemetery Dear Ms. Gonzalez, Enclosed is the City of Sebastian Certificate 3001 entitling you to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 75 (Sn) I have also enclosed a copy of the Sebastian Municipal Cemetery Rules and Regulations Booklet. If you have any questions, please do not hesitate to contact me at (772) 388-8216. Sincerely, Bridget Eakins Executive Assistant City Clerk's Office Enclosures CITY OF Sf)3ASTJ)�kN HOME OF PELICAN ISLAND Certificate No. 3001 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: Ms. Miriam Gonzalez 831 Dunn Terrace Sebastian, Florida 32958 In and for consideration of the sum of $2,400.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 3, Columbarium, Niche 75 Sn of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 21" day of November, 2025. CITY OF SEBASTIAN, FLORIDA Brian Ben n City Manager ATTEST: #anette Williams, MMC City Clerk Cm cc -*30 sE T v HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FL 32958 772-388-8209 City of Sebastian Municipal Cemetery Purchase Order Name(s) �,/IIIW'�l�✓1 Iv T'V"" �'�� `'�� Address Ron d- / Area Code & Phone Number I (p lD () 3 - 57M Name & Residence Address of Intended Occupant if Other Than Purchaser �)d agD)4 l` %4 ys ones" Receipt is acknowledged in the sum of: OFFICE USE ONLY on this I')- day of 20 Cemetery Lot(s) and/or Niche(s). //1 r Unit 3 Block l 1 Dollars ($�) for the purchase of the following described L Niche(s) 1 r�Srl 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: Opening & Closing fee for ceremony after hours or on holiday. $ Disinterment Fee $ TOTAL $ 921 (.00t ram., Signature of Purchaser City of Sebastian m L� SEBASTuW HOME OF PELICAN ISLAND SEBASTIAN MUNICIPAL CEMETERY Mailing Address: 1225 Main Street, Sebastian, FL 32958 (772)589-2545 Fax (772) 228-9927 SINGLE PLAQUE FORM (PLEASE PRINT) Name of Deceased: 911 cgrda- A/MVSone, �' First /Middle Year of Birth: I a 19a3 Year of Death: 11 �ll /o20as Signature: Print Name: &OnZl-1 eJZ Date: NICHE: 3 Unit FOR OFFICE USE Last Block Niche Vase & Ring (CIRCLE) YES NO ORLf SEIDAST HOME OF PELICAN ISLAND Sebastian Municipal Cemetery Artificial and fresh flower, blankets. No more than two bouquets of artificial or fresh flowers will be allowed at any gravesite. Artificial flower arrangements will be permitted to remain until they become faded or unsightly. Fresh flowers will remain until unsightly. No glass or ceramic flower containers or ornaments shall be allowed, however, a plastic flower container no more than six inched deep, six inches wide and 24 inches long may remain in place unless broken or in decrepit condition. No wires shall be allowed to hold flower arrangements permanently in place at the interment site. Blankets are allowed to be placed prior to any holiday but must be removed within ten days following the holiday. Initial Sod placement. Sod will be placed after the ground has settled following the burial to ensure a level surface and proper establishment of the grass. This process helps maintain the overall appearance and integrity of the cemeteryg ounds. i WA Initial Permanent Markers. All markers shall be installed within 120 days after burial. Where this regulation renders a hardship or presents any special problems, such as an estate not settled, special consideration will be given. Request for special consideration should be make in writing to the Sebastian Parks and Recreation Director, 1225 Main Street, Sebastian, Florida 32958. nitial Unlawful Conduct. Our Ordinance states that it shall be unlawful for any person to possess or consume any type of alcoholic beverage within the cemetery grounds. TI la Violations of article; penalties. A violation of any of the rules and regulations contained in this article shall be considered a violation of the ordinances of the city, and any person adjudicated in violation of such rules and regulations shall, in addition to any penalty imposed by court not exceeding $500.00 fine and/or not exceeding 9sonment, be denied the right to do further business in the cemetery of the city. Initial I acknowledge that� I /have read and understand the contents on this form. j Signature Date/ Mo,d r,o- Que `do, ;wa ote_ 3osqve