HomeMy WebLinkAboutAlcove 1-COL-33DnMatthews
INTERNATIONAL•
Credit Dept. Contact
Cheryl Miller
PHONE: 304-200-7109 203-2222
FAX:1.800-457-2583
Bill -To -Party
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
Ship-TO-Pady
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
BRONZE DMSION
1315 West Liberty Avenue
Pittsburgh, PA 15226-1097
USA
Page 1 of 2
Phone: 412-571-5500
Fax: 412-571-5514
Internet: www.matthewsbronze.com
Customer No.
Invoice No.
Invoice Date
Delivery No.
Delivery Date
Ref Sales Order No.
Ref Sales Order Date
Order Type.
Customer PO No.
Currency
Term of Payment
Incoterm
BOLITracking #
Ship Via
Carrier
Surname
Invoice
10033425
9003502630
06/16/2025
802805064
06/18/2025
121827132
06/05/2025
ZRWK
S. Thompson/ Attn: Cathy
USD _
Net 30 days
FEG FEDEX GROUND
390130087600
FEDX GROUND M-F
FEDX
R.
'25 JUN 24 ANID:02
THOMPSON, SCOTT
Quanof Unit Price �lalu�
Tracking Number: 390130087600 PKG. WT: 1.9
10 71014286 CP,8X4,9007 1.000 EA 364.00 364.00
Original Order Number.121727205
Customer Account Number. 10033425
What Is Incorrect: DRILLED THRU FACE - email sent 4/29 asking to have account updated to NOT DRILL THRU FACE.
Did not get completed before this order submitted on 5/12I25
Correction Needed: REMAKE # NO DRILLING ON THE PLAQUE # CUSTOMER WILL DRILL THEMSELVES
Photos attached to line 10: yes
Vase Pattern? NO
New Vase Needed? NO
Granite Needed? NO
Drawing for Approval? NO
Keeping Loose Scroll? NIA
PRP: YES
Send Payment to:
Matthews International Corporation
20 Box 536621
3ittsburgh, PA 15253-5908
Bill -To:
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
Cmdlt Dept. Contact: Cheryl aitaer
INVOICE REMITTANCE STUB BRONZE
RETURN THIS PORTION VVITH PAYMENT
Ship -To:
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
Invoice No.
9003502630
Invoice Date
06/18/2025
Customer No.
10033425
Ref Sales Oiler No.
121827132
Currency
USD
Term of Payment
Net 30 days
BALANCE DUE: $ 380.19
COMMENT: PAYMENT APPLIED $:
TERMS AND CONDITIONS OF SALE
General
2.
4.
S.
6.
7.
8.
All orders for the goods shall be placed with Seller in the manner and by
use of such forms and procedures Seller establishes from time to time.
Buyer's order is binding only when accepted in writing at the principal
office of Seller. The terms and conditions of sale are only those stated
below and on the other side of this form. All other terms and conditions in
Buyer's order are hereby rejected unless Independently approved in writing
by the Seller. The parties agree there are no agreements between the
parties, oral or written, with respect to the goods sold hereunder (Including
any made or Implied from past dealings) except as expressed herein.
Prices quoted, unless otherwise stated, are F.O.B. factory and do not
Include sales, use, excise or similar taxes or duties. Buyer will pay these
Items directly ff the law permits or will reimburse us If Seller Is required to
pay them. If applicable, Buyer will provide tax exemption certificates or
evidence of tax payment on request.
The terms of payment for the goods shall be due as set forth on the
reverse side hereof. If no due date is set forth on the reverse side hereof
payment shall be net cash In 30 days from date of Invoice. Any amounts
not paid when due shall bear interest at the rate of 1 %% per month or at
the highest rate permitted by law (whichever Is less), from the date due
until paid. Seller, in Its sole discretion, may withhold shipment of goods
from Buyer if Buyer has any overdue accounts. For payment terms, the
Invoice date shall be the date of shipping.
In the event credit has not been established, Seller reserves the right to
require payment, or the issuance of an irrevocable letter of credit in
advance of shipment. Seller Is not obligated to extend credit to Buyer or
assist Buyer in obtaining credit. Buyer agrees that Seller may In Its sole
discretion apply, reapply or transfer any payments made by, or credit
due to, Buyer against the oldest item of account or Indebtedness owed
to Seller by Buyer. Seller may stop any unpaid shipment in transit without
notice to Buyer. Buyer hereby grants to Seller a security interest in all
goods sold to Buyer and all proceeds thereof for which the full purchase
price has not been paid until the full purchase price has been paid. Buyer
agrees to do or cooperate In the doing of all acts necessary to perfect
and maintain such security interest. Seller has the right to file a copy of
this document as a financing statement.
All accepted orders shall be processed, shipped and filled at such
locations as Seller may designate. Shipping dates are estimates only
and are not guaranteed. Seller will use commercially reasonable efforts
to make shipments as scheduled and may make partial shipments. Seller
may make partial shipments. The completion of the order is subject to
acts of God or the public enemy, fires, floods, unusually severe weather,
delays caused by governments (including government priorities,
preferences or allocations), delays of suppliers in furnishing materials
and services, and any other causes beyond its control.
Unless otherwise stated, all shipments of goods will be F.O.B. point of
manufacture. Seller will ship the goods to Buyer only at the address
indicated on the order accepted by Seller. All carriers utilized for delivery
shall be deemed the agents of Buyer and all risk of loss shall immediately
pass to Buyer upon delivery of the goods to carriers for shipment to Buyer.
It delivery is made on Seller -owned trucks, Buyer shall pay all freight
charges, and Seiler shall assume the risk of loss only with respect to any
actual damage to the goods occurring during transit.
All items should be inspected and tested as soon as received. If any
damage Is discovered, a claim should be filed with the carrier. A full report
of the damage should be forwarded to Seller, so that Seller can arrange
for repair or replacement of the damaged goods.
Buyer agrees that Buyer will not modify or alter any goods, or any
packaging or literature relating to any goods, without the prior written
approval of Seller. Buyer may (i) modify or after interiors of caskets with
respect to fabric and decoration and (11) routine repairs and touchups to
goods so long as the modification, alterations, repair or touch-up does
not affect any Sellers mark (as hereinafter defined). In the event Buyer
modifies, alters, repairs or touches -up the goods, packaging or literature
in a manner not authorized hereby, Buyer agrees to defend, Indemnify
and hold Seller harmless from any claims and expenses whatsoever
resulting from the unauthorized modification.
9. Buyer's order will be deemed a representation that Buyer is solvent an -
able to pay for the items ordered. If Buyer falls to make payments whet
due or if bankruptcy or insolvency proceedings are instituted by or again;
Buyer, or If Buyer makes an assignment for the benefit of creditors, Buye
will be deemed In default and Seller will have the right to terminate it
obligations by written notice to Buyer. but such termination will not affec
Buyer's obligation to pay for items delivered and work In progress.
10. No goods may be returned without prior written approval of Seller. Order
placed with and accepted by Seller may not be canceled except upoi
Seller's written consent prior to shipment and Buyer's acceptance c
Seller's cancellation charges that shall protect Seller against all cost
and losses. Seller reserves the right to cancel any sale hereunder withoL
liability to Buyer (except for refund of monies already paid), if th.
manufacture or sale of the goods is or becomes technically o
economically impractical.
11. Seller reserves the right to discontinue the manufacture of, or change c
modify the design and/or construction of the goods sold pursuant to thi
document, without Incurring any obligation to Buyer.
12. The laws of the state from which this order is shipped shall govern a
questions relating to this sale.
Confidential information
13. Buyer agrees that all drawings, prints and other technical material whicl
Seller provides to Buyer, whether prepared by Seller or by third pantie
under contract to Seller, contain data which embody trade secrets ant
confidential know-how of commercial value to Seller or third parties uncle
contract to Seller. Buyer agrees (a) to keep such Information confidently
(b) that It will not disclose such information to any other person, corporate
division or entity; (c) will not use such information except in connectloi
with the goods supplied hereunder; and (d) will not sell, lease, loan o
permit any other person, corporate division or entity to use sucl
Information for any purpose, without Seller's prior written consent. Nothint
herein shall restrict the use of information available to the general public
Limitation of Damages
14. IN NO EVENT SHALL SELLER BE LIABLE, IN CONTRACT, TORT, STRIC
LIABILITY, LAWS RELATING TO THE PROTECTION OF THI
ENVIRONMENT, OR UNDER ANY OTHER LEGAL THEORY, F01
INCIDENTAL, INDIRECT, SPECIAL, CONSEQUENTIAL, PUNITIVE Of
EXEMPLARY DAMAGES OF ANY PARTY, REGARDLESS OF WHETHEI
(1) SELLER WAS INFORMED ABOUT THE POSSIBILITY OF SUCI
DAMAGES OR (11) SUCH DAMAGES ARE FORESEEABLE, AND, IN NC
EVENT SHALL SELLER'S LIABILITY EXCEED AN AMOUNT EQUAL TC
THE SALE PRICE HEREUNDER.
Warranty
15. Seller's warranties, Including, without limitation, warranties with respec
to the design, materials, workmanship, merchantability, fitness for purpos,
and performance of its goods, shall be limited exclusively to those
specifically expressed in writing from time to time by Seller. Any sucl
warranty shall run directly from Seller to the ultimate consumer of th,
goods and shall not be enlarged, diminished or otherwise altered o
amended in any manner by Buyer. Buyer shall make no representatioi
regarding Seller's warranty, if any, covering the goods but shall refer it
customers to Sellers printed warranty standard In effect at that time,
any. SELLER DISCLAIMS ALL OTHER WARRANTIES, EXPRESS
STATUTORY OR IMPLIED INCLUDING, WITHOUT LIMITATION, IMPLEE1
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTiCULA1
PURPOSE. If any fault develops, the following steps should be taken:
A. Notify us by giving the item model number, serial number and detail
of the difficulty. On receipt of this information, you will be given servio
data or return shipping Instructions.
B. On receipt of shipping Instructions, forward the Item prepaid. If th,
Rem or the fault Is not covered by warranty, an estimate of charges wi
be furnished before work begins.
Form TYG-17
»ro
Matthews
INTERNATIONAL'
BRONZE DMSION
1315 West Liberty Avenue
Pittsburgh, PA 15226-1097
USA
Page 2 of 2
Phone: 412-571-5500
Fax: 412-571-5514
Internet., www.matthewsbronze.com
Bill -To -Party
Customer No.
10033425
CITY OF SEBASTIAN
Invoice No.
9003502630
SEBASTIAN CITY HALL
Invoice Date
06/18/2025
1225 MAIN sT
Ref Sales Order No.
121827132
SEBASTIAN FL 32956-4165
Order Type.
ZRWK
iem Material/Description
Quantity Unit Price
Tracking # K PRP is malled or emailed: 7974 0800 1802
FedEx Claim Filed? NO
Ship/Store? SHIP
Special Instructions?
Product Received Beck?- NO
Rub with original order? NO
Rub with remake? NO
Suggested Reason Code:
CSR Initials/Date: ROSE KRISKY 6/4/25
(M.Strahin 614/2025)
Reason Code: B7C
Price: $360.36 (Full Price Matthevls Error)
Credit Issued on original order: Yes
Remake Team Initials/Date: MReckart 06/05/2025 5:26 AM
Online/MDD Discount 1.000-%
Freight
'racking Number(s):
90130087600 PKG. WT: 1.9
Total Before Tax
Total Amount (USD)
Value�ll
3.64-
19.83
380.19
380.19
Total Amount Due (USD) 380.19
Account# 010059-535200
P.O. #
Project # S . Thompson
Amount $ 380.19
Date: 6-24-2025
Signature ON," .ae :.raa
Ron Paul —��_ ,
0.1. s8zsoosa io ae.oi .oaoo
TERMS AND CONDITIONS OF SALE
General
1. All orders for the goods shall be placed with Seller in the manner and by
use of such forms and procedures Seller establishes from time to time.
Buyer's order is binding only when accepted in writing at the principal
office of Seller. The terns and conditions of sale are only those stated
below and on the other side of this form. All other terms and conditions in
Buyer's order are hereby rejected unless Independently approved In writing
by the Seller. The parties agree there are no agreements between the
parties, orel or written, with respect to the goods sold hereunder (including
any made or implied from past dealings) except as expressed herein.
2. Prices quoted, unless otherwise stated, are F.O.B. factory and do not
Include sales, use, excise or similar taxes or duties. Buyer will pay these
Items directly if the law permits or will reimburse us N Seller is required to
pay them. If applicable, Buyer will provide tax exemption certificates or
evidence of tax payment on request.
3. The terms of payment for the goods shall be due as set forth on the
reverse side hereof. If no due date is set forth on the reverse side hereof
payment shall be net cash in 30 days from date of invoice. Any amounts
not paid when due shall bear Interest at the rate of 1 %% per month or at
the highest rate permitted by law (whichever Is less), from the date due
until paid. Seller, In its sole discretion, may withhold shipment of goods
from Buyer If Buyer has any overdue accounts. For payment terms, the
Invoice date shall be the date of shipping.
4. in the event credit has not been established, Seller reserves the right to
require payment, or the issuance of an irrevocable letter of credit in
advance of shipment. Seller is not obligated to extend credit to Buyer or
assist Buyer In obtaining credit. Buyer agrees that Seller may in its sole
discretion apply, reapply or transfer any payments made by, or credit
due to, Buyer against the oldest item of account or indebtedness owed
to Seller by Buyer. Seller may stop any unpaid shipment In transit without
notice to Buyer. Buyer hereby grants to Seller a security interest In all
goods sold to Buyer and all proceeds thereof for which the full purchase
price has not been paid until the full purchase price has been paid. Buyer
agrees to do or cooperate In the doing of all acts necessary to perfect
and maintain such security Interest. Seller has the right to file a copy of
this document as a financing statement.
5. All accepted orders shall be processed, shipped and filled at such
locations as Seller may designate. Shipping dates are estimates only
and are not guaranteed. Seller will use commercially reasonable efforts
to make shipments as scheduled and may make partial shipments. Seller
may make partial shipments. The completion of the order is subject to
acts of God or the public enemy, fires, floods, unusually severe weather,
delays caused by governments (including government priorities,
preferences or allocations), delays of suppliers in furnishing materials
and services, and any other causes beyond its control.
6. Unless otherwise stated, all shipments of goods will be F.O.B. point of
manufacture. Seller will ship the goods to Buyer only at the address
Indicated on the order accepted by Seller. All carriers utilized for delivery
shall be deemed the agents of Buyer and all risk of loss shall immediately
pass to Buyer upon delivery of the goods to carriers for shipment to Buyer.
If delivery is made on Seller -owned trucks, Buyer shall pay all freight
charges, and Seiler shall assume the risk of loss only with respect to any
actual damage to the goods occurring during transit.
7. All Items should be Inspected and tested as soon as received. If any
damage is discovered, a claim should be filed with the carrier. A full report
of the damage should be forwarded to Seller, so that Seller can arrange
_ forr repair or replacement of the damaged goods.
8. Buyer agrees that Buyer will not modify or alter any goods, or any
packaging or literature relating to any goods, without the prior written
approval of Seller. Buyer may (i) modify or alter Interiors of caskets with
respect to fabric and decoration and (ii) routine repairs and touchups to
goods so long as the modification, alterations, repair or touch-up does
not affect any Seller's mark (as hereinafter defined). In the event Buyer
modifies, alters, repairs or touches -up the goods, packaging or literature
In a manner not authorized hereby, Buyer agrees to defend, indemnify
and hold Seller harmless from any claims and expenses whatsoever
resulting from the unauthorized modification.
9. Buyer's order will be deemed a representation that Buyer Is solvent an,
able to pay for the items ordered. If Buyer fails to make payments whet
due or If bankruptcy or Insolvency proceedings are Instituted by or aga€ru
Buyer, or if Buyer makes an assignment for the benefit of creditors, Buye
will be deemed In default and Seller will have the right to terminate it
obligations by written notice to Buyer, but such termination will not affec
Buyer's obligation to pay for Items delivered and work in progress.
10. No goods may be returned without prior written approval of Seller. Order
placed with and accepted by Seller may not be canceled except upoi
Seller's written consent prior to shipment and Buyer's acceptance c
Seller's cancellation charges that shall protect Seller against all cost
and losses. Seller reserves the right to cancel any sale hereunder withoL
liability to Buyer (except for refund of monies already paid), if the
manufacture or sale of the goods is or becomes technically o
economically impractical.
11. Seller reserves the right to discontinue the manufacture of, or change c
modify the design and/or construction of the goods sold pursuant to thi
document, without Incurring any obligation to Buyer.
12. The laws of the state from which this order Is shipped shall govern a
questions relating to this sale.
Confidential Information
13. Buyer agrees that all drawings, prints and other technical material whicl
Seller provides to Buyer, whether prepared by Seller or by third partie
under contract to Seller, contain data which embody trade secrets ano
confidential know-how of commercial value to Seller or third parties unde
contract to Seller. Buyer agrees (a) to keep such information confidentia
(b) that It will not disclose such Information to any other person, corporate
division or entity; (c) will not use such Information except in connectioi
with the goods supplied hereunder; and (d) will not sell, lease, loan o
permit any other person, corporate division or entity to use sucl
Information for any purpose, without Seller's prior written consent. Nothirn
herein shall restrict the use of information available to the general public
Limitation of Damages
14. IN NO EVENT SHALL SELLER BE LIABLE, IN CONTRACT, TORT, STRICT
LIABILITY, LAWS RELATING TO THE PROTECTION OF THI
ENVIRONMENT, OR UNDER ANY OTHER LEGAL THEORY, FOI
INCIDENTAL, INDIRECT, SPECIAL, CONSEQUENTIAL, PUNITIVE Of
EXEMPLARY DAMAGES OF ANY PARTY, REGARDLESS OF WHETHEI
(1) SELLER WAS INFORMED ABOUT THE POSSIBILITY OF SUCI
DAMAGES OR (11) SUCH DAMAGES ARE FORESEEABLE, AND, IN N(
EVENT SHALL SELLER'S LIABILITY EXCEED AN AMOUNT EQUAL T(
THE SALE PRICE HEREUNDER.
Warranty
15. Seller's warranties, including, without limitation, warranties with respec
to the design, materials, workmanship, merchantability, fitness for purpose
and performance of Its goods, shall be limited exclusively to those
specifically expressed in writing from time to time by Seller. Any suci
warranty shall run directly from Seller to the ultimate consumer of the
goods and shall not be enlarged, diminished or otherwise altered o
amended in any manner by Buyer. Buyer shall make no representatfoi
regarding Seller's warranty, if any, covering the goods but shall refer it
customers to Seller's printed warranty standard in effect at that time,
any. SELLER DISCLAIMS ALL OTHER WARRANTIES, EXPRESSE
STATUTORY OR IMPLIED INCLUDING, WITHOUT LIMITATION, IMPLiEI
WARRANTIES OF MERCHANTABILITY OR FiTNESS FOR A PARTICULAi
PURPOSE. If any fault develops, the following steps should be taken:
A. Notify us by giving the item model number, serial number and detail
of the difficulty. On receipt of this Information, you will be given service
data or return shipping instructions.
B. On receipt of shipping Instructions, forward the item prepaid. If the
Item or the fault is not covered by warranty, an estimate of charges wi
be fumished before work begins.
Form TYG-17
Rev. 11to
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:
�Co ,
First
Year of Birth:
Year of Death:
Name:
First
Year of Birth: I q 5
Year of Death:
Signature:
Print Name:
Date:
I V1�mn5Q�
Middle
Middle
Last
- -_I Ilhmpson
Last
///4� //J /Z j /-1D17-711�16�
NICHE: ,/�� �v��
Unit /X t}�', �Iock
Vase & Ring (CIRCLE)
YES
FOR OFFICE USE
`33Dn
Niche
NO
14 LovF_ W ii)46oT- E1,10
Order Confirmation
Sold-To-Pany
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
Ship -To -Party
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
MEMORIAL SALES
' `ep'6u rrv-fL-'
1315 West Liberty Ave.
Phone: 1-888-838.8890
Pittsburgh, PA 15226
Fax: 1-412-325-3942 f�
USA
Internet: www.matthewsbronze.com
Information
Sales Order No.
121827132
Document Date
06/05/2025 —
Customer No.
10033425
Currency
USD
CSR
Rose Krisky
Phone Number
888-838-8890
E-mail
rkrisky@matthewsintl.com
Fax
412 306-5100
Order Type
ZRWK BRZ Remake or Repair
Purchase Order No. S. Thompson/ Attn: Cathy
Surname
THOMPSON, SCOTT
Estimated Ship Date 06/23/2025
SHIPPING ALERT REMAKE
I LINE NO.
INSCRIPTION
000010
THOMPSON
000010
SCOTT B. MICHELLEA.
000010
1966 D-T 1956 D-T
000010
ALOVEWITHOUTEND
Item
Material Quantity Price Price Unit
Amount
Old Matt #
10
71014286 1.00 EA 364.00 USD 1 EA
364.00
6005382
CP,8X4,9007
20
113525 1.00 EA
30346
HDW-1 1 /21N,8/32,RHMS,NUT,WASHER,DTF
30
114798 1.00 EA
157/30543
FIN -CAL DARK MATTHEWS = KINGWOOD MEDIUM
40
116099 1.00 EA
8802
PRO -USE DIAMOND SHIELD
50
118218 1.00 EA
8300
GRH-LEATHERETTE
60
115148 1.00 EA
8941
DRL-SEND HARDWARE DO NOT DRILL PLAQUE
70
129943 1.00 EA
FIN -HIGHLIGHT BORDER
Items total:
^364.00
Online/MDD Discount 1.00- % 364.00
3.64-
Estimated Charge:
360.36
HSISLER 06/05/2025 10:45:67
"Want to track your order? Ask your Customer Service Representative how you can get Fast-Trax today."
ORDER: 121827132- CUSTOMER: 06946 CUSTOMER PO#:
ITEM NUMBER SIZE DESCRIPTION
CATALOG 6005382 8 X 4 CRYPT,PLATE,9007
SCROLL 30466 0.57 X 1.69 1.69X.57,RIBBON,S41
EMBLEM
NOTES: DO NOT DRILL
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 3.9
THOMPSON �
SCOTT B. MICHELLE A.
p 1966 1 p D-T � p 1956 � p D-T
A LOVE WITHOUT END /
m bolya
DATE 6/5/2025
Adure M im
Copyright 01999 Matthews International
6.0 BL SZ ST L1 L'
1.1 5/8 L3 2.6
2.1 1/4 L3 1.0 1.
3.1 114 L3 .5 .:
3.9 1 /4 L3 2.5
Matthews Bronze Memorial)
CUSTOMER # :10033425 DELIVERY: STANDARD REG ONLY: &Qent Orders
AT NEED: SHIP / STORE: SHIP REGISTERED ORDER: REGISTERED DATE:
DATE: 5/12/2025 Po # : S. THOMPSON/ ATTN: DATE ORDERED: PRICE:
CATHY
ORDERED BY: DRAWING APPROVAL : DATE WANTED:
SECTION: 3 LOT OWNER:
LOT. 33dn UNIT/SITE NO: GR/DP OR BLOCK: COL
CATALOG# : 71014286 7ASE
:8x4 IDESIGN: CRYPTPLATE,9007 BORDER:
VASE OTY: NO VASE TYPE: FINISH: medium
LETTER STYLE: FLAT FACE SCROLL STYLE: UNICAST SCROLLS
GRANITE COLOR: GRANITE EDGE: GRANITE SIZE: ORDERING
GRANITE:
INSCRIPTION TEXT ALIGNMENT: Center
USE X TO SHOW EMBLEM LOCATION OR INSCRIPTION EMBLEMS
Thompson
Scott B. Michelle A.
1966 - DT 1956 - DT
A LOVE WITHOUT END
**
SPECIAL NOTES
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
121727205-
Ship to:
CITY OF SEBASTIAN
1225 MAIN ST
SEBASTIAN
32958-4165 FL
4*
5*
6*
32958-4165
Matthews
INTERNATIONAL"
BRONZE
Sold -To -Party
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1 225 MAIN ST
SEBASTIAN FL 32958-4165
Ship -To -Party
CITY OF SEBASTIAN
SEBASTIAN CITY HALL
1225 MAIN ST
SEBASTIAN FL 32958-4165
Header Information
Purchase Order No:
Estimated Ship Date:
Terms of Payment:
Terms of Delivery:
RIAL SALES .
13150WestLibertyAve. Phone: 1-888-838-8890 IIIIIIIIIIIIIIIIIIIIII
Pittsburgh, PA 15226 Fax: 1-412-325-3942 121827132
USA Internet: www.matthewsbronze.com
S. Thompson/ Attn: Cathy
06/23/2025
Net 30 days
FEG FEDEX GROUND
Item Material Quantity
10 71014286 1.00 EA
CP,8X4,9007
THOMPSON
SCOTT B. MICHELLE A.
1966 D-T 1956 D-T
A LOVE WITHOUT END
Order Confirmation
Information
Sales Order No.
121827132
Document Date
06/05/2025
Customer No.
10033425
Currency
USD
CSR
Rose Krisky
Phone Number
888-838-8890
E-mail
rkrisky@matthewsintl.com
Shipping Type
Order Type
ZRWK
Surname
THOMPSON, SCOTT
SHIPPING ALERT
REMAKE
Purchase Order Date:
Reference:
Price
364.00 USD
Price Unit
1 EA
'25 JUN 10 AsID9:22
Amount l
Matthews
INTERNATIONAL'
BRONZE
MEMORIAL SALES
1315 West Liberty Ave.
Pittsburgh, PA 15226
USA
Item Material Quantity
Phone: 1-888-838-8890
Fax: 1-412-325-3942
Internet: www.matthewsbronze.com
Information
Sales Order No.
Document Date
Customer No.
Currency
CSR
Phone Number
E-mail
Shipping Type
Order Type
Surname
SHIPPING ALERT
Original Order Number: 121727205
Customer Account Number: 10033425
What is Incorrect: DRILLED THRU FACE - email
sent 4129 asking to have account updated to
NOT DRILL THRU FACE.
Did not get completed before this order
submitted on 5/12/25
Correction Needed: REMAKE # NO DRILLING
ON THE PLAQUE # CUSTOMER WILL DRILL
THEMSELVES
Photos attached to line 10: yes
Vase Pattern? NO
New Vase Needed? NO
Granite Needed? NO
Drawing for Approval? NO
Keeping Loose Scroll? N/A
PRP: YES
Tracking # if PRP is mailed or emailed: 7974
08001802
FedEx Claim Filed? NO
Ship/Store? SHIP
Special Instructions?
Product Received Back? NO
Rub with original order? NO
Rub with remake? NO
Suggested Reason Code:
CSR Initials/Date: ROSE KRISKY 6/4/25
(M.Strahin 6/4/2025)
Reason Code: 67C
Order Confirmation
Price
121827132
06/05/2025
10033425
USD
Rose Krisky
888-838-8890
rkrisky@matthewsinti.com
ZRWK
THOMPSON, SCOTT
REMAKE
Price Unit Amount
Matthews
INTERNATIONAL'
BRONZE
MEMORIAL SALES .
1315 West Liberty Ave.
Pittsburgh, PA 15226
USA
Phone: 1-888-838-8890
Fax: 1-412-325-3942
Internet: www.matthewsbronze.com
Information
Sales Order No.
Document Date
Customer No.
Currency
CSR
Phone Number
E-mail
Shipping Type
Order Type
Surname
SHIPPING ALERT
Item Material Quantity
Price: $360.36 (Full Price Matthew's Error)
Credit issued on original order: Yes
Remake Team Initials/Date: MReckart
06/05/2025 5:26 AM
Sub -items 000020 to 000070 belong to this item
Old Part#: 6005382
20 113525 1.00 EA
HDW-1 1 /21N,8/32,RHMS,NUT,WASHER,DTF
Old Part#: 30346
30 114798 1.00 EA
FIN -CAL DARK MATTHEWS = KINGWOOD MEDIUM
Old Part#: 157/30543
40 116099 1.00 EA
PRO -USE DIAMOND SHIELD
Old Part#: 8802
50 118218 1.00 EA
GRH-LEATHERETTE
Old Part#: 8300
60 115148 1.00 EA
DRL-SEND HARDWARE DO NOT DRILL PLAQUE
Old Part#: 8941
Order Confirmation
Price
121827132
06/05/2025
10033425
USD
Rose Krisky
888-838-8890
rkrisky@matthewsintl.com
ZRWK
THOMPSON, SCOTT
REMAKE
Price Unit Amount
Matthews MEMORIAL SALES
1315 West Liberty Ave. Phone: 1-888-838-8890
1 N T E R N AT I O N A L' Pittsburgh, PA 15226 Fax: 1-412-325-3942
USA Internet: www.matthewsbronze.com
BRONZE
Item Material
Quantity
70 129943 1.00 EA
FIN -HIGHLIGHT BORDER
Items Total:
Online/MDD Discount 1.00-
Estimated Charge:
Order Confirmation
Information
Sales Order No.
121827132
Document Date
06/05/2025
Customer No.
10033425
Currency
USD
CSR
Rose Krisky
Phone Number
888-838-8890
E-mail
rkrisky@matthewsintl.com
Shipping Type
Order Type
ZRWK
Surname
THOMPSON, SCOTT
SHIPPING ALERT
REMAKE
Price Price Unit Amount
364.00
% 364.00 3.64-
360.36
HSISLER O6/05/2025 10:45:52
ORDER- 121827132- CUSTOMER- 06946
CUSTOMER PO#:
CATALOG
SCROLL
EMBLEM
ITEM NUMBER
6005382
30466
SIZE
8 X 4
0.57 X 1.69
DESCRIPTION
CRYPT, PLATE,9007
1.69X.57,RIBBON,S41
NOTES: DO NOT DRILL
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 :3.°
THOMPSON
SCOTT B.
MICHELLE
A.
1966 D-T
1956 J D-T
A LOVE WITHOUT END
mbol
DATE 6/5/2025
Matthews
PoctureMirl
Copyright C 1999 Matthews International
6.0 BL SZ ST L1
1.1 5/8 L3 2.6
2.1 1 /4 L3 1.0
3.1 1/4 L3 .5
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- - =::v
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:
vCo�i� pj;
First
Year of Birth: (nG
Year of Death:
Name:
I Vlnmhsnn
Middle Last
yl i L 14 F-L)-E A.
First Middle
Year of Birth:
Year of Death:
Signature:
Print Name:
Date:�1—
FOR OFFICE USE
u,Vl' NICHE: ' -03Dn
3 Unit Block Niche
Vase & Ring (CIRCLE) YES NO
Last
Ling
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery
Name: David and Rebecca Thompson
Address: 7218 Gallery Lane. Vero Beach, FL 32966
These following niches are intended for interment of the following individuals.
Unit 3, Alcove 1-COL North-07Dn
Intended for Keith Thompson and Carol Thompson
Unit 3, Alcove 1-COL North-20Dn
Intended for David Thompson and Rebecca Thompson
Unit 3, Alcove 1-COL North-33Dn
Intended for Scott Thompson and Michelle Thompson
I hav a d der and the terms of this agreement.
Dapson Date
STATE OF FLORIDA
COUNTY OF 0,;1-iu�
The foregoing instrument was acknowledged before me by means of (4 physical presence or ( ) online
notarization this Z6 4"' day of IM6 r64, zo2-5 , by David Thompson, who is personally known to me, or
has produced FL Drive,-s L-�cz45c as identification.
L�i- C,U� Q�Ic ewnq
6Ibtary Public, State of Florida,,,
�1g1lE WIL(�,
pSty PUS,:s
r a S- oc
Rebecca ThomdOn U Date MY COMMISSION
v i EXPIRES 2-28-2027
STATE OF FLORIDA = Q
COUNTY OF 1`-(6 ', du '� �� 1O.
The foregoing instrument was acknowledged before me by means of ( ) physical presence or
uuuu„x
notarization this 7_( day of m4 rck, ZOZ 5 , by Rebecca Thompson, who is personally known to me,• 11E .......
IQ %
or has produced FL Dr v t. '1 License- as identification. Po� ..........
tary Public, State of Florida MY COMMISSION
EXPIRES 2-28-2027
OF
CITY OF
SEELASTIN
HOME OF PELICAN ISLAND
Certificate No. 2973
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:
David and Rebecca Thompson
7218 Gallery Lane
Vero Beach, Florida 32966
In and for consideration of the sum of $14,400.00 is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following
niches:
Unit 3, Alcove 1, North COL, Niche 07113n
Unit 3, Alcove 1, North COL, Niche 2013n
Unit 3, Alcove 1, North COL, Niche 33113n
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 March, 2025.
CITY OF SEBASTIAN, FLORIDA
Brian Benton
City Manager
ATTEST:
anette Williams, MMC
City Clerk
�ma
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery
Name: David and Rebecca Thompson
Address: 7218 Gallery Lane, Vero Beach. FL 32966
These following niches are intended for interment of the following individuals.
Unit 3, Alcove 1-COL North-07Dn
Intended for Keith Thompson and Carol Thompson
Unit 3, Alcove 1-COL North-20Dn
Intended for David Thompson and Rebecca Thompson
Unit 3, Alcove 1-COL North-33Dn
Intended for Scott Thompson and Michelle Thompson
I have read and understand the terms of this agreement.
David Thompson Date
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of ( ) physical presence or ( ) online
notarization this day of by David Thompson, who is personally known to me, or
has produced as identification.
Notary Public, State of Florida
Rebecca Thompson Date
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of ( ) physical presence or ( ) online
notarization this day of by Rebecca Thompson, who is personally known to me,
or has produced as identification.
Notary Public, State of Florida
CITY OF
SE�T�A1V
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
March 12, 2025
David and Rebecca Thompson
7218 Gallery Lane
Vero Beach, Florida 32966
RE: Interment Rights in the Sebastian Municipal Cemetery
Dear Mr. and Mrs. Thompson:
Enclosed is the City of Sebastian Certificate 2973 entitling you to full interment rights in
the Sebastian Municipal Cemetery for the following niches:
Unit 3, Alcove 1, North COL, Niche 07Dn
Unit 3, Alcove 1, North COL, Niche 20Dn
Unit 3, Alcove 1, North COL, Niche 33Dn
I have also enclosed a form designating your intentions for each of your niches. You
can have this notarized and brought to City Hall to be kept with the Cemetery records,
or you can come by when it is convenient and we will be glad to notarize it for you.
I am also prepared to order your plaques after you decide on the wording you would
like. The plaque company is able to put up to four words on the plaque without it being
a special request.
If you have any questions, feel free to give me a call at (772) 388-8216
Sincerely,
Ann Thomas
Administrative Assistant
City Clerk's Office
Enclosures
GTY0F
SEBASTIAN
ram-
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 e- laced prior to any holiday but must be removed within ten days following the holiday.
Ini'
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 Leisure Services Director, 1225 Main Street, Sebastian, Florida 32958.
I al
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.
Initia��
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
$500.00 fine and/or not exceeding 90 days imprisonment, be denied the right to do further business in
j
W',�etery the city.
ead and understand the contents on this form.
Date
-*/1-6i -I 3
crrY or
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958 772-388-8209
City of Sebastian Municipal Cemetery Purchase Order
Dkv (
Nam-1 21
Address U
i,x u i d 1 '12- 3 5 9- -1 -7 14 IZdge cca -1-1 2- 3 L(Z- vz -7-7
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
Receipt is acknowledged in the sum of:
on this 541\day of NAGt,r 1 I_
Cemetery Lot(s) and/or Niche(s).
Unit
Block
OFFICE USE ONLY
Dollars ($ q, Q)� X3
, 20 D� for the purchase of the following described
Lot(s)
Niche(s)
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed
therefore by the City of Sebastian. A"vo I _COI_ _ 0 —1 Dn
[-COL--w Dn
Additional Fees paid at time of purchase: i —COL — 33 Dt'1
Opening & Closing fee for ceremony after hours or on holiday. $
Disinterment Fee $
TOTAL $ 14, W m . °"
I�F
` Purchased
City o" f Sebastian
CITY OF SEBASTIAN 16298
FINANCE DEPARTMENT RECEIPT
Name n I m Vu" ❑ Cash
Date / �. kheck# 015
Ll 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
001001 220030 PD Shop with a Cop
001001220033 PD COPE
001001 220032 PD Cadets
010043 535270 PD Uniforms �Z
601010 343800 Cemetery L Sales
001501 343805 Cemetery Fees
480010 341920 Bldg Dept Copies
Total Paid ) Ef 00
Initials
White - Dept. of Origin - Yellow - Finance Dpt. - Pink - Applicant
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