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HomeMy WebLinkAbout4-13-12BCITY OF ~~~~ _..~~_ . - -~ _,___ ,:_ HOME OF PELICAN ISLAND Certificate No. 2130 ~~ ~~~~ Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Charles G. Bailey 8~ Mary Ann Mahoney 745 Schumann Dr., Sebastian, FI 32958 (name) (address) In and for consideration of the sum of $700.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following Lot(s)/Niche(s) Unit_4_Block_13_Lot(s)/Niche_12a & 12b_ 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 11th day of May, 2007. f CITY O~ S ,STIAN, FLORIDA .~-; ~ % . ATT~S~': -. `"~ ! ~ Q~ ~/ ,~ !, S~l°(y A. Maio, MMC City Clerk °`~' Ail Minner ~~y~--i~;y Manager FORT PIERCE CREMATORIUM P.o. Box 777 FORT PIERCE, FLORIDA 34954 Teresa Rose Bailey We hereby certify that these are the cremains of The remains were received Strunk Funeral Homes, PA Sebastian, FL From funeral firm city and state 1228..-92-0143 Sebastian, FL Permit No. Issued at Date of Death March 17 , 1992 FORT PIERCE CREMATORIUM March 22, 1992 Date of Cremation By GG~~ cremator Name ~ ~ ~ ~°"~ `~-`- ~ ~..:. ~~' -, ,~ ~~ ~` `~v ~. ~/ ~V '~~~~ ~ ~~`p ,. '~, Block }~`~ :%~` ,~ ' ~~ ~' --~ Lot `. ~``?~ ~,~~ ,---: _ Date of Mark-out ~-~'' _..., Date of Burial ~ r-~ ~ ~ ~~~ '""~ r Time ~t~ ~' ` 11 `{ Name of Funeral Nome -" fFr Authorized by ,'~~ ~ ,f ""'~ '~