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SIEBASMAN
— o ..
HOME OF PELICAN ISLAND
Certificate No. 2124
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Jean Vesia
(name)
1742 Starfish Lane, Sebastian, F1 32958
(address)
in and for consideration of the sum of $900.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following lot:
Unit 4_ Block 31_ Niche(s)_ 37e
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 9"' day of April, 2007.
CITY QF SEBASTIAN, FLORIDA
ATTEST:
f.,
Sall . Maio, MMC
City Clerk
Q
Name
Unit
Block
Lot , ) I— , I
Date of Mark -out
Date of Burial — =- -- -Time
Name of Funeral Home f
Authorized by
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Jean H. Vesia
Jean H. Vesia, 81, of Sebastian, passed away on Friday, December 16, 2011, at
VNA Hospice House in Vero Beach. She was born August 24, 1930 in Valley
Stream, New York, and moved to Sebastian 20 years ago from Long Island, NY.
Jean was an automotive salesperson with Sears in Massapequa, NY. She was a
member of Happy Hoofers Dance Club, and a volunteer with the Humane
Society. Survivors include her husband of 15 years, Frank Vesia of Sebastian,
two sons, Louis Brantmeyer of CA, and Paul Brantmeyer of NY, and 4
grandchildren.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
SE
wmi a PILKA IsLmo
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: T
PHONE #: •�i6 ys� ' S'`� �-
(Check One)
----OPEN BURIAL LOT Lot Block Unit
.�,ZPEN CREMAINS LOT Lot Block Unit
PEN COLUMBARIUM NICHE Niche ', Block Unit
W
BURIAL DATE AND SERVICE TIME::
FOR DECEASED:�v lib t
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership
394^4-m e( of a
Name SiginAture Date
1 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 DIRECTOR.
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 t at all fees have been paid
�3 i I
Ce ete Sexton Da e
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
HOME OF FSLIC —A&I ESLAPD,
2 2 5 tvl a: 7,1 SL-reet,
7' 589--53)"30 — Fax "77" '89-55-7,0
April 9, 2007
Mrs. lean Vesia
1742 Starfish Lane
Sebastian, Fl 32958
RE • Interment Rights to Unit 4, Block 31, Niche 37e, Sebastian Cemetery
Dear Mrs. Vesia:
Enclosed is City of Sebastian Certificate 2124 entitling you to full interment rights in
Unit 4, Block 31, Niche 37e.
Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal
Cemetery.
If you have any questions, please contact our office.
Sincerely,
Sally A. io" MMC
City Clerk
SAM:ar
enclosures
G'1Y Qsr.
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, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
.JLfiirt% f��SiA
Name(s)
Address
/1S7 `5213?—�5%6
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
is acknowledged in the sum of:
Md Xjwn - In
on this day of , 20� for the purchase of the following
describ d Cemetery Lots) d /or Niche(s).
Unit , Block , Lot(s) Niche(s) 2 7-,o-
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:
Comer Markers (set of 4 - $20) Opening & Closing
Vase and Ring for Niches (cost)
1g #`ture of Purchaser
Interment
Disinterment
W O H
Circle One
Service fees are to be paid at time of need only
I: \W W- DATANMs- CemeterylRECEIPT.doe
JEAN H. VESIA OR 01 -00 3236
FRANK VESIA
772 - 589.3516 " Y (.o 63 -4830 FL
1742 STARFISH LN. Date Y 1c� 1084
SEBASTIAN, FL 3 958-6226 40
Pay to the /� L 1
Order of
rt�
Bank of America
ACH PIT 063100277 �' /V.' �✓'�(Fl.'
for
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1:0 6 30000 4 71: 003068092 - 3 236
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Initials
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
4592
Name �ril
V C.� j lT.
❑ Cash
Date
Check A
No.
Amount Paid
001001206001
Sales Tax
001501322900
Garage Sales
001501341920
CopiesMid Specs.
001501341910
LDCICode of Ordinances
001501341930
Election Glual4ing Fees
601010 343800
Cemetery Lots
LotMiche 3 -7e., BW
�[
Unit r
001501343805
Cemetery Fees
V&S e, 4- r i n Q
wjlza-lr� 00
k64*1z� - (064,
Total Paid
Initials
White - Dept. of Origin • Yellow - Finance a Pink - Applicant