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Home My WebLink About4-31-41eName 4L-,OCg.4eZ S Unit Block Lot 2 Date of Mark -out Date of Burial Time Name of Funeral Home Authorized by FRANCIS C. RUSSELL Francis C. Russell, 86, died June 28, 2013, at Shands Hospital in Gainesville. He was born in Plainfield, N.J., and moved to Sebastian 20 years ago from Cranford, N.J. He served in the Navy He was a member of St. Sebastian Catholic Church and the Elks Lodge of Sebastian. Before retiring, he was a plant manager and worked for PEM -ALL. He is survived by his wife of 62 years, Alice Russell of Sebastian; son, Bill Russell of Cranford, N.J.; daughter, Cathy Dodd of Edmond, Okla.; and four grandchildren. He was preceded in death by his daughter, Cindy Russell. SEAWI DS CREMATORY Sebastian, Florida me Ew 735 Fleming Street • Sebastian, Florida 32958 www.seawindsfh.com (772) 589 -1933 We hereby certify that these are the remains of FRANCIS Q. RUSSELL if IQ . The remains were received from SEAWINDS FUNERAL HOME & CREMA Cremation Permit No. 13- 73380 -5028 Issued at ALACHUA COUNTY Date of Death JUNE 28, 2013 �f Date of Cremation ! —) — 13 By Cremator CiFY OF SESAST ROME OF PELICAN ISLAND Certificate No. 1999 CIT 0 Fr, SEBA T'I N Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Francis andlor Alice Russell 406 Perch Lane, Sebastian, F1 32958 (name) (address) in and for consideration of the sum of $2,700.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 4_ Block _31_ Niches 41e, 42e & 43e_ 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 20th day of January, 2005. Y OF SEBASTIAN, FLORIDA Terrenc . Moore City Manager ATTEST: �2.�� Sa1Ly'A. Maio, CMC City Clerk SE ILI HOME Of PELICAN ISLAND 1225 Main Street, Sebastian, F132958 Telephone (772) 589 -5330 — Fax (772) 589 -5570 January 20, 2005 Francis and Alice Russell 406 Perch Lane Sebastian, Fl 32958 Dear Mr. & Mrs. Russell: Enclosed is City of Sebastian Certificate 1999 for the purchase of Cemetery Niches 41 e, 42e and 43e, Block 31, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sincerely, Sally A. IGlaio, MMC City Clerk SAM:ar enclosure MIS iy9y SEBASTM, HOME OF PELICAN 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, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase r Name(s) ' 51y L e2- 0�9"B Address Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: �••- ,¢�!. - �.�„�� Dollars on this day of , 2Do,�for the purchase of the following described Cemetery Lot(s rid /or N he(s). Unit _, B I o c k , Lot(s) Niche(s)y /, 411Z,. 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: Corner Markers (set of 4 - $20) Opening & Closing W O H Circle One i Vase and Ring for Niches (cost) Interment Disinterment T /au Signature of Purchaser Yit=y�2=fSebastian Service fees are to be paid at time of need only I:1W W- DATA\Ms- Cemetery\RECEI PT.doc /, No. 001001 208001 001501322900 001501 341920 001501 341910 001501 341930 601010 343800 001501 343805 CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT _ 0 Cash eck #�_ Amount Paid Sales Tax Garage Sales Copies/Bid Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots �, �� 4A1MIche / /'�l" -,�—. Unit Cemetery Fees n Z, Total Paf ��. �d Initials White - Dept. of Origin • Yellow - Finance • Pink • Applicant ti. �.. b TAT EM E N T DATE TERMS TO ADDRESS IN ACCOUNT WITH o� c �• ✓, a 19 d �- C- 141; a oda nr DC5812 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY 110m* 01 PFIION ISLAND 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 Block Unit _–OPEN CREMAINS LOT Lot Block Unit .OPEN COLUMBARIUM NICHE Niche Block� —Unit BURIAL DATE AND SERVICE TIME: -{�Z� /(:.opl�1" • i�!od�D, FOR DECEASED: name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must vide proper documentation of ownership) lbfi Rye -flz -710 N mg Signa ure k Date 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 inlorn,iation by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid C6meltry S ton Date This form to be provided to Clerk's Office by 5exton for permanent record upon completion.