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Home My WebLink About3-COL-30SnName 5 /E�fl�Elfe'A4 Ute/ 5a (C.PL,A&A'".5 Unit Block C O Lot / Date of Mark -out Date of Burial y% 7/� 7 Time -/o If 6F 51 Name of Funeral Home -5 ff4 LJ ,A4 � 5 Authorized by CITY OF SEBASTIAN 10411 ADMINISTRATIVE SERVICES RECEIPT Name u /ti Se rv� J Cash Date o2 1 / � i )d Check #**�F ❑ 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 n WIS01 3�$CS iJA,,T 3 g 1K Opt- IUta. 30s, Total Pal Initials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian Municipal Cemetery Contact Information: 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 Phone (772) 388-8209 ctesta(a.citvofsebastian.ora (Check) Open Burial Lot Open Cremains Lot Open Columbarium Niche Burial Date and Service Lot Block Unit Lot_ Block_ Unit nit(CNiche -o vi)/ BlockGSA-' Unit-3– (Circle) ircle) N S E W Deceased Name: 41-0-j/ Ad' KW Name and Signature of Lot Owner or Representative: (Must provide proper documentation of ownership) Print Name Signature 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 authorized opening of same. Name and Signature of Licensed Funeral Director: 4, Print Name Signature Date 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 Certification: / /Z1 7 - Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. CrrV OF $EeASTLA1�l W HOME Of PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 589-5330 Phone (772) 589-5570 Fax January 6, 2017 Mr. & Mrs. Craig Munson 319 Bayharbor Terrace Sebastian, FL 32958 RE: Interment Rights to Unit 3, COL -3, Niches 36Dn8 and 30Sn Sebastian Municipal Cemetery Dear Mr. & Mrs. Munson Enclosed is City of Sebastian Certificate 2524 entitling you to full interment rights in Unit 3, COL -3, Niches 36Dnb and 30Sn in the name of Craig T. & Barbara F. Munson. If you have any questions, please contact our office at 388-8209. Sincerely, Cathy Tei a Records Clerk Enclosure IN MEMORY OF STEPHEN MUNSON Obituary for Stephen Munson Page 1 of 1 Stephen C. Munson, 49 of Sebastian, FL passed away Thursday, December 29, 2016 at St. Lucie Hospice House in Ft. Pierce, FL. Stephen was born on April 9, 1967 in Meriden CT, and has been resident of Sebastian, FL for 10 years. He is survived by his parents, Craig and Barbara Munson of Sebastian, FL; and his brother, Brandon Munson of Glastonbury, CT. Family and friends will honor and celebrate Stephen's life by gathering for a Memorial Mass at St. Sebastian Catholic Church, 13075 US -1, Sebastian, FL 32958 on Monday, January 16, 2017 at 11:00 am. Donations may be made in Stephen's honor to Treasure Coast Hospice, 1201 SE Indian Street, Stuart, FL 34997 For directions and online guestbook, please visit www.seawindsfll.com. Seawinds Funeral Home is honored to serve the Munson family. This obituary is protected by copyright by Seawinds Funeral Iiomc & Crematory. Proudly Serving the Communities of Brookside. Cummings. Fellsmera, Florida Ridge. Gifford. Indian River Shores, Nevins, North Beach, Orchid. Oslo, Rionn r, Roseland. Royal Poinciana Park, Sebastian, South Bench, Vero Beach, Vero Lake Estates, Wabasso, Wabasso Beach. Winter Beach Micco, and Grim. Scawinds Funeral Homc & Crematory is located in the state of Florida, United States. All rights reserved. Ibis obituary is also archived at ObitsforLife.com Seavvinds Funeral Home & Crematory Print http://www.seawindsfh.com/book-of-memories/2810137/Munson-Stephenlobituary.php?Pri... 1/5/2017 MOF SEL HOME OF PELICAN ISLAND Certificate No. 2524 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: Craig T. & Barbara F. Munson 319 Bayharbor Terrace Sebastian, FL 32958 In and for consideration of the sum of $3,200.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niches: Unit 3, Columbarium, Niches 36DnB and 30Sn of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 5th day of January, 2017. CITY OF SEBASTIAN, FLORIDA Joseph F. Griffin City Manager ATTEST: anette Wilbams, MMC _. City Clerk _ mr of 5��T!AN HOME OF FEUCAN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. C�R�IG T t �, �,g2a F Mu4so"i Name(s) n Address / '!� ,mar! — Area Code & Phone—Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: 59 lars ($ 34 CO. Oa ) on this 5\4� day of 20_L'I_ for the purchase of the following described Cemetery Lots) and/or Niche(s). Unit 3 Block O—DC., , Lot(s) Niche(s) 3b DnjB +- 3O S(' l for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the Citv of Sebastian. Additional Fees paid at time of purchase: Corner Markers (set of 4 - $20) Opening & Closing Vase and Ring for Niches (cost) Temporary Marker Preparation & Installation Signature of urchase Interment *6-0. oto City of /W O H Circle One Disinterment TOTALS 3d,,!0 -6a The following documents were provided as Proof of Residency: I:\W W-DATA\Ms-Cemetery\RECEI PT.doc and CITY OF SEBASTIAN 10404 ADMINISTRATIVE SERVICES RECEIPT Name L� U>� ❑ Cash Date l�s�i7 XCheck#/52, J 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 61C 4�cnco Total Pa[d c�D: 66 I als Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant