HomeMy WebLinkAbout4-28-38A
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HOME OF PELICAN ISLAND
Certificate No. 2364
C
AT Y OF SEBASTIAN
l
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Thomas J. Copertino
9360 1015' Court
Vero Beach, FL 32967
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 lot:
Unit 4, Block 28, Lot 38
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 27th day of February, 2013.
CITY OF SE4ASTIAN, FLORIDA ATTEST:
Al Minner
ity Manager
Sally -A. Maio, MMC
City Clerk
Sep 06 2012 3:09PM HP LHSERJET FRX
awn,
City of Sebastian
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HOME OF PELICAN ISLAND
p� Certificate No. 2364
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CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
J Sebastian, it is hereby certified that:
Ann L. Lucianoomt�S
9 bbO1 � Court 9'-f?645r /o/ C'r�URx'
Vero Beach, FL, 32967 �%a acr4ch F13a9�
In and for consideration bf the sum bf, $2,000.00 is entitled to full interment
rights in the Sebastian Muhl�pal Cemetery for the following lot:
Unit 4- Block 28, Lot 38
a maiof the �ebastian Municipal Cemetery,
ntained n file in the records of the City Clerk
for use in ac ordahce with he conditions, ordinances, resolutions, rules and
regulations prescribe refore by the City of Sebastian.
CONVE THI 27th day of February, 2013.
CITY OF SEBASTIAN, FLORIDA 'ATTES
4A,Minner Sally Maio, MMC
City Manager City Clerk
LOU ANN COPERTINO
Louise Ann Copertino "Lou Ann", 55, Vero Beach, FL, passed away on February
17, 2013 at her residence. She was born March 27, 1957.
Lou Ann owned and operated Paradise Florist in Sebastian, FL, for many years
She was of Christian Faith.
She is survived by her husband, Tom Copertino, Vero Beach, FL; daughters,
Susan White, Vero Beach, FL, Carol Copertino, Vero Beach, FL; mother, Ann Lou
Luciano, Vero Beach, FL; sisters, Lorraine Luciano, Leesburg, FL, Lynne Sileo,
West Palm Beach, FL; and 1 grand daughter.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
11
SEBASTS
11omt 01 PELIC 'SUNo
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 #:
(Check One)
OPEN BURIAL LOT Lot 38 Block AS Unit
OPEN CREMAINS LOT Lot _Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
W
BURIAL DATE AND SERVICE TIME: 6 O tcZ2 '
FOR DECEASED: !_fl�L co�� J
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NAME AND GNATURE OF LOT OWNER OR REPRESENTATIVE:
I Must prov a roper doc i of ownership)
-4 -k/.- .?- o L3
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 authorize opening of same
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOF(.
Name Signature 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
If a� 4• P C), • •`C- 2 .3.
Ce et Sexton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
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