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4-31-58e
anroF ,'~ ~ ~~ ~ ~ __- HOME OF PELICAN ISLAND Certificate No. 2112 ~~ Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Carolyn Gribbroek 1049 Foster Avenue, Sebastian, FL 32958 (name) (address) in and for consideration of the sum of $1,800.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niches: Unit 4 Block 31 Niches 57 & 58 East of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 13th day of February, 2007. CTT OF ASTIAN, FLORIDA ATTE .~_ inner Sally .Maio, MMC City Manager ity Clerk rnv a ~ ~, l l ~, ..~~ ~~. HOME Of VPEUCAN ISUIND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Name(s) Add Area Code & Phone Num ri FL Receipt is acknowledged in the sum of: Residence Ad ess of Intended Occupant if Other Than Purchaser Office Use Only (~~ ~ B~0 Dollars ($~~0, QD ) on this 13'x`` day of ~~r(.llt.t'y _, 20 ~7 for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit ~_, Block ~_, Lot(s) Niche(s),5 7 ~- 5~ ~ctsf 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 Vase and Ring for Niches (cost) T . ~~ Interment ~ O Disinterment TOTAL $ I ~~, ~~ / i Signature of Purchaser ty of Sebastian ~ Service fees are to be paid at time of need only I :\W W-DATA\Ms-Cemetery\RECEI PT.doc Name Unit Block ~~ Lot ~~~ ~~=~~ Date of Mark-out Date of Burial ~~ ~ ~ ~~ '~ ' _ Time ~ i ~~ ~t'~' ~t '~'° Name of Funeral Home ~ ~/~~~- Authorized by_ Jamestown, N.Y. area, Matthew and Mitchell i I C" ' Ge where hey, eventually Gribbroek, and Cade and ~e , It OO ge " ©1 became president:. 'He CharCiiing Fallis, 'all of r ~_ ,i ~ ~ _,'~ , ~ ~~ subsequently.. became .Sebastian; a sister, Lila , " ` '" ` ' " "^~~ owner, and the 'president -Miller of Henrietta, N.Y.; ~ ,.. =" of GC Wayside ~ Lumber and a nieceLi~nda Donnel- 1 Co. ! t , ly of Delanson,'N.Y. ~ ~f~>. He>served°as president'of A merrioral service will. ~~ ~ ~, : 6 ' ^''' the _Jamestown° ~Kiwanis beheld Saturday Feb; ~ 19 at , I , ~ ~'~'~~ ~ ~, ~ ~~~,, Club.was on the board of .10:30 ~.m., at the,tStrunk : as ` J directors~forthe"Red-Cross Funeral"Home,`Seb~astian. 1 5 if n 't' - and the' Jamestown Boys In eu:;ol flo~~ers, dona- , , "`~~ --; ; He at C1ub;`was="an active mem- ber of the ~ Jamestown s tion an be mad '©;~:the ~ Seba.^ C ;is"tian ,, etta'Hr °~~' "° x Jaycee's;" a member of ,the Churc . ' "90 Day, rive, _ Caiifo °r, '" Masons, Carrroll ' Lodge, ~ Sebastian;~FL 32J5'8, or The ball scho .,. ~ ~ _ ~c ~ and a member ' of the Humane Society of Indian o;-~ aced with a gr , ~~ust " ~ "` church council at Bethel River Gourity, PO. Box 6~4, ly 4 ` ' ~ ' Lutheran Chure h ' ' Vero Beach, FL 329.61-Q644 ~Hetwas a memo -i~of ttie _ In ~` 1983, ~e moved, to ~ : ~ ~-ffra~~` S~igi~?a'. Alpha'. Epsilo Sebastian, 'where he ~ ternity ~~~~ workedfor James Doolittle ~ He;'was ~,tlie mari`ager~of ~_- & 'Associates until his. ~ Green; Brot~i'ersk~~L,umber K retirement ` ~° '" _ _ ~° i ~~ ~oiripany,~ '," in"° '"the ~' He is'survive"d byhis wife! ~ ~~^*~ . ~ . "' .~° of 49`years,'`C'arolyi-I Grifi= broek ' a daughter, 'Jeanne Fallis of ,Sebastiaan, .two sons; Robert Gribbroek' of Sebastian and Kevin `Grib- broek, of Baltimore, Md.; four grandchildren; ~~-~? __-~ ~._-- ~-w,______.______ ____ C a-~-~r. ~ 2.~. b b,~oe. Vt Io~~ ~ST~ ~. ~oa..~st~a.,~.. , ~C, 3.24 ~" a __---._~... p,! ~ ~ to P~ C .. ~a.~~__~, R ~ ~ ~ Rem -___-_ ~T N S ~~ S g ~.a~c, t~-.~. Vast ~~~~,~. L ~ ~~~~ ~ C`~.. u ~- ~ ~~ CRY OF SEBASTIAN CRY CLERK'S OFFICE ~ p i U I RECEIPT Name ~~ r i b b ~' c~ ~~~ ^ Cash ~' Date ~ ~ tJ 3 ~~ 7 ~Check# 3 No. Amount Paid 001001208001 Sales Tax ', ' 001501322900 I Garage Sales 001501341920 CopiesBid Specs. ~i 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees I, 601010343800 L t ~~ ~~ ~ C t eme ery o s LotMiche ~~(L Block y~.1_, Unit ~"~ ~ i `S t G~~ d 0 ~ 001501343805 Cemeter e?; VaS~ ~- ri na ~,_~ Total Paid ~~ Initials White - Dep of Origin • Yellow -Finance • Pink -Applicant GEORGE C. GRIBBROEK CAROLYN G. GRIBBROEK 1049 FOSTER RD. SEBASTIAN, FL 32958 Pay to the Order of ~~~ Rosoland Offico 13600 U.6. Hwy Ni s=. ~- = ~ = Sobastlen, FI 32958 wwwJRNB.cpn Indian River National Bank Q72) See-12oo For I:0 6 70 L 20 5 7t: .4316 ss-i2osis~o Date o D oz ~a tfG~ s.a,,,,.a,n L' ~~ ~~~.-~,z~ Dollars d o.,.,.~o.d " Indian River Gold 0 LB 4 580 20 Lu~ 6