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Home My WebLink AboutAlcove 1-COL-11DnOn Of HOME OF PELICAN ISLAND SEBASTIAN MUNICIPAL CEMETERY Mailing Address: City of Sebastian 1225 Main Street Sebastian, FL 32958 (772) 589-2545 • Fax (772) 228-9927 DOUBLE PLAQUE FORM (PLEASE PRINT) Name of Deceased: Conr)l cur✓ wre(n First Middle Last Year of Birth: Iciy"I Year of Death: a0�5 Name: �'Oya L--e5hi- Vci fen First Middle Last Year of Birth: IGLIN Year of Death: '�)o:1 Signature: Cl' uu C)I,UC)o)'1 Print Name: Lh1°1'It � Ij �z/ Date: al )1Ian FOR OFFICE USE NICHE: Alc.�e, 112r� Unit Block Niche Vase & Ring (CIRCLE) YES NO Matthews Bronze Memorial CUSTOMER # :10033425 DELIVERY: STANDARD REG ONLY: Recent Orders AT NEED : SHIP / STORE: SHIP REGISTERED ORDER: REGISTERED DATE: DATE: 2/27/2026 PO # : DATE ORDERED: PRICE: VEREEN/ATTN:BRIDGET ORDERED BY: DRAWING APPROVAL: DATE WANTED: SECTION: 3 LOT OWNER: LOT UNIT/SITE NO: GR/DP OR BLOCK: Alcove 11 Dn 1 CATALOG# : 71014286 sIZE: 8 x 4 IDESIGN: CRYPT,PLATE,9007 `BORDER: VASE QTY : NO VASE ASE TYPE: `FINISH: medium LETTER STYLE: FLAT FACE SCROLL STYLE: BACKGROUND INSCRIPTION (NO SCROLLS) GRANITE COLOR: GRANITE EDGE: GRANITE SIZE: ORDERING GRANITE: O INSCRIPTION TEXT ALIGNMENT Center USE X TO SHOW EMBLEM LOCATION OR INSCRIPTION Vereen Robert Leslie Connie Sue 1944-2026 1947-2025 SPECIAL NOTES Do not drill through on sides. I DO GIVE PERMISSION FOR MATTHEWS TO ADJUST ORDER FOR AESTHETIC APPEARANCE. INITIALS: LM SIZE: LM QUANTITY: LM TYPE: LM INSCRIPTION: SEPARATE VASE TYPE SEPARATE RING TYPE INSCRIPTION MATCH INFORMATION Bill to: NAME ON MEMORIAL CITY OF SEBASTIAN INVOICE NUMBER 1225 MAIN ST SEBASTIAN DATE RECEIVED FL 122902937- 32958-4165 Ship to: CITY OF SEBASTIAN 1225 MAIN ST SEBASTIAN FL EMBLEMS 4* 5* 6* 32958-4165 CITY OF Sf SASTIAtV HOME OF PELICAN ISLAND Certificate No. 3008 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: Cherie Guidroz 13380 N. Indian River Drive Sebastian, Florida 32958 In and for consideration of the sum of $9,600.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 3, Alcove, Niches 11 Dn and 121I)n of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 11 `" day of February, 2026. CITY OF SEBASTIAN, FLORIDA Brian Benton City Manager ATTEST: CatherineE.Tqeta _ Acting City Clerk CITY OF SEBASTIAN 17032 FINANCE DEPARTMENT RECEIPT �.: 1re freeA Name Cant(qe l /13 Date } 1 n ACheck # {) G - - 1�? A w XC'.�.CYS ❑ Credit � 3� �— W-Y� 1 Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001 208001 Sales Tax 450010 369900 Airport Badge 450010 362521 AP Shade Hangar Rent 450001 208045 Airport Sales Tax 001501 347557 Community Center Revenue 001501 341920 General Fund Copies 001501 354100 Code Enforcement Fines �( �+� 601010 343800 Cemetery Lot Sales Y' "f I Lo Of5 001501 343805 Cemetery Fees V bs.,,Q-�7 Lk Da 480010 341920 Bldg Dept Copies PD Shop with a Cop PD COPE PD Cadets PD SRT 64-1 Krn Total Paid 1 D i Initials Cob White - Dept. of Origin • Yellow - Finance Dpt. • Pink - Applicant Lffy CW SEBASTtAN HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FL 32958 772-388-8209 City o/f+ Sebastian Municipal Cemetery Purchase Order (l Names) ryry \ _' _ ^1 T '��610 K 1 .J_ -/ �.11! i�Yl puyer k) YlvP Address / 7- - 4-73��ga9 Area Code & Phone Number ,�)yk iA \nleOoeN� Avy Ivlirrn.Fi 7(o Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: Dollars ($ 16,owj ) on this —h_day of 20 � for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit Block Lot(s) Niche(s)aN for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. Additional Fees said at time of Durchase: Opening & Closing fee for ceremony after hours or on holiday. $ Disinterment Fee $ TOTAL $ 101 pop. cDc� ch '�91J ��/;, Signature of Purcha er City of Se astian CM if SEELASTIAN 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 unfil 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 cemetery grounds. r;�- 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 Directtor,1225 Main Street, Sebastian, Florida 32958. — Cr,- initial 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. Initial 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 $500.00 fine and/or not exceeding 90 days imprisonment, be denied the right to do further business in the cemetery of the city. Initial I ac q ledge that 1 have read and understand the contents on this form. II Signature DatA / M IN SEBASTIAN HOME OF PELICAN ISLAND SEBASTIAN MUNICIPAL CEMETERY Mailing Address: City of Sebastian 1225 Main Street Sebastian, FL 32958 (772) 589-2545 • Fax (772) 228-9927 DOUBLE PLAQUE FORM (PLEASE PRINT) Name of Deceased: k\�rc i 'Cke rri 1 IdrioL First Middle Last Year of Birth: (D1 Year of Death: Name: i heri(� 1—Mc try Jr-oz First Middle Last Year of Birth: lOq Year of Death: Signature: 01"Irwu.c �J Print Name: C.hen-e Gr-u Or oz- Date: FOR OFFICE USE NICHE: co labs Unit Block Niche Vase & Ring (CIRCLE) YE NO CID a SEA HOME OF PELICAN ISLAND SEBASTIAN MUNICIPAL CEMETERY Mailing Address: City of Sebastian 1225 Main Street Sebastian, FL 32958 (772) 589-2545 • Fax (772) 228-9927 DOUBLE PLAQUE FORM (PLEASE PRINT) Name of Deceased: �onnii Sue. Vere n First Middle Last Year of Birth: IAyj Year of Death: a0'g5 Name: Ile r(en First Middle Last Year of Birth: I�iLIN Year of Death: Signature: ��1,na �IJA , Print Name: ( h6r-It C k) ICA r-0z / Date: ' FOR OFFICE USE NICHE: --_— Unit Block Niche Vase & Ring (CIRCLE) YES NO ON OF SIE kN HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FL 32958 772-388-8209 City of Sebastian Municipal Cemetery Purchase Order Cherir (_�-ul�_ I�r�z Name(s)I Address Area Code & Phone Number cl)C 01-)nw VCr-if-eI1 01looi Cex) {RUC my( o Name & Residence Address of Intended Occupant if Other Than Purchaser (' j OFFICE USE ONLY Receipt is acknowledged in the sum of: Ci?)1r L4e ' L1S t1nd - &L4Dollars ($ � ) on this day of 20_9(Qfor the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit Block N( LJIW/ Niche(s)ih�-�P�� for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. AA M uo v- OAP (1-,y-t a't Additional Fees paid at time of purchase: Opening & Closing fee for ceremony after hours or on holiday. $ Disinterment Fee $ TOTAL $ Signature of Purchas r City of Seb9stian