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Home My WebLink About4-16-28Name A Rl D C�t.t tdD �r.3 /s.ytMY�c C' -Y A Unit y Block L� %S Date of Mark -out 8 A /1,; Date of Burial 8//3. q - Name of Funeral HotP�] Authorized by (/_ Time lB:eo K.,/IADO%✓B/ pt N� A&2C It; 3oM - Strunk Funeral Home - Sebastian Pablo Ocampo- Bustamante ( June 09, 1978 - August 06, 2019 ) Mr. Pablo Ocampo-Bustamante, 41, died August 6, 2019 in Sebastian, Florida. Visitation will be held 10:00 AM — 4:00 PM on Sunday, August 11, 2019 at Strunk Funeral Home Chapel, 1623 North Central Avenue, Sebastian, Florida 32958. A Mass of Christian Burial will be held 10:00 AM on Monday, August 12, 2019 at Our Lady of Guadalupe Mission, 12896 County Road 512, Fellsmere, Florida 32958. Burial will take place at Sebastian Cemetery, 1921 North Central Avenue, Sebastian, Florida 32958 immediately following the service. Arrangements are by Strunk Funeral Home and Crematory, Sebastian, Florida. CRYOF SEeah. TLA HOME OF PELICAN ISLAND Certificate No. 2648 C TY 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: Miriam Pita De Ocampo 10180 91St Street Vero Beach, FL 32967 In and for consideration of the sum of $2000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4, Block 16, Lot 28 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 7th day of August, 2019. CITY OF SEBASTIAN, FLORIDA ATTEST: Paulul E. Carlisle City Manager nette William , MMIC_ City Clerk =- arva SE�►s-ru� HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 589-5330 Phone (772)589-5570 Fax August 9, 2019 Mrs. Miriam Pita De Ocampo 10180 91" Street Vero Beach, FL 32967 RE., Interment Rights to Unit 4, Block 16, Lot 28 in the Sebastian Municipal Cemetery. Dear Mrs. De Ocampo: Enclosed is City of Sebastian Certificate 2648 entitling you to full interment rights in Unit 4, Block 16, Lot 28 in the name Miriam Pita De Ocampo. If you have any questions, please contact our office at 388-8209. Sincerely, j Cathy Te a Records Clerk Enclosure 08/07/2019 3:40 Py FAX 7725892583 STRMi FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, . Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax: (772) 228.9927 City Clerk's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 office (772) 388-8215 or 388-8214 ctesta aocitvofsebastian.ora FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue. Sebastian. Florida. 32958 PHONE* 772-589.1000 U 0001/0001 (Check One)._. ._ )OOIX OPEN BURIAL LOT------ -__OPEN _._OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit - N S E W BURIAL DATE AND SERVICE TIME: 10:00 AM Monday 8/12/2019, Our Lady of Guadalupe Mission, Fellsmere FOR DECEASED: Pablo Ocampo-Bustamante Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Miriam Pita de Ocamoo MLrtawt. Pita de ooawl.Ao 8/7/2019 Name Signature Date 10180 gist Street, Vero Beach, Florida. 32967 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: Tim Marvin Name TiK Mawit Signature ar7/2a19 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 that all fees have been paid: Cem to Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. art+ SPAN61 . a648 r;r -ra rr NIMM tuuru 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, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. (� ARiwm PlTP be 0 I (-b Name(s) �cr8e Cl'lsr Address 27A ,q�iq- 08s�. Area Code & Phone Nuri �/i-$r_p• ��°Nnr'L L7LlS i f�T'ItR-r�i7`� Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: �t-10-�-f'h6LL-SAW-D Al ct Gc/ roc Dollars ($ ��• �� ) on this '744,\ day of At lc oLs r 20 19 for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit, Block « . Lot(s) ,4 S Niche(s) 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 - $20) Opening & Closing ' / w O H Circle One Vase and Ring for Niches (cost) Interment Disinterment Temporary Marker Preparation & Installation R [ l R s= -f P 17.4 SL ignature of Purchaser I:\W W-DATA%MsCemeteryVtECEIPr doc �iAL$) a ISV.66 City of Sebas�n / The following documents were provided w Proof of Residency: �Aef Cds Car.15LcLiw lb�� CITY OF SEBASTIAN 11 879 ADMINISTRATIVE SERVICES RECEIPT Name (11'1+11ib ;Cash Date ? 17 ❑ Check # ❑ Credit Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001208001 Sales Tax 450010 369900 Airport Badge 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 220030 PDSHOP 001501366602 PD SAFE 001501366603 PD COPE 3+386o L faoen.oc 1,0( 010 -0-r cclsol 34-32as oIC- 1 Op IW -r-4- #91L/ 16 1-07-18 CMCJ Total PaidS d�' 06 Initials While - Dept. of Origin • Yellow -Admin. Svcs. • Pink -Applicant ,v, � Ci Certifi� Qn � SEB��'�N � .__� :��.�. �� _ HOME OF PEUCAN ISWVD � �Certi i # 196� � \ ` 0� �,�. - �` ��T��il�` . � � rment Rights � 1 IN ACCO ANCE wi pro isions of the Code of Sebastian, it is here certified th : James and/or Mary ldwell 922 Lanco Avenue, �R�1�el � �a�F►� in and iderati of the sum of 700.00 has in the bastian Municipal Cemeteryl t _ 4_ Block _16 , ' of the Sebast� n' 11 as maintained on file i reco for use in accordance with th conditions, orc prescribed therefore by the C of Sebastian. CONVEYED THIS 7th �ay of Jun 004 OF City jvianager the ,� Or e of the City o (�� V � Sebastian, Fl 32958 � ess) �• � �sed and is entitled to full lowing plot: �28 ......... � � the City Clerk resolutions, rules and regulations �"' A T: } `�.� � , ► � S A. Maio, CMC , City Clerk �i■ � • �' i - . Input Date Document # Document Amount 04� °� aG��q 4p'�`� .E.,u CITY OF SEBAST�AN CHECK REQUEST Accounting Use Qnly Fiscal Period Entered $y # of Lines Total HC Hash To Be Completed By Departrnent Due Date %— �-Q Single Check Y�' N Vendor Number Document pxganization Qbject Project LN TC Reference Code Cpde Code � <�D �D !! 53�959 Number of Lines Description /V� r, � f /Yl 1! r (('.D� Y 0.1t"(�CG�ed � ISSLTE CHECK TO Na1vtE _ g�� ` �. �� w� I 1 ADDRESS Ivo Chc��uca �ri�� Inl�t � Arnount Amount 'p0. OD CITY �O u!� D n STATE 7�N ZIP COI?E 3 7 7 71-f DRAW CHECK FROM ^ APPROVED BY �DATE . BLJDGET APPROVAL (534000 A1VB 535450 ONiY) � MAIL ATTACHED DOCUMENATTQN (E.ecept for remit slips, requestin� department should attach a copy of documentafion along with the original) � OTHER INSTRUCTIONS ��_��(%T (�/ e� if/Yl e.��L. �TU ��CC.� i1 `/ �;Ty p� 53-643 CITY OF SEBASTIAN � WACI-iOVIA CHECK NO. O� 7 8 C� 2 6�0 �w =�- °�- � 1225 MAIN STREET 6% 8 9 2 — _„� SEBASTIAN, FL 32958 � .� ""�"" GENERAL ACCOUNT HOME OF ?ELICAN ISLAND � � � VENdOR CHECK DATE CHECK AMOUNT 3134 04/18/200 $700.0 ********700 DOLLARS AND NO CENTS � °�� James and/ or Md.Y'�1 Ca1C�W2 �.1. D IFTIOT PAID WITHIN 90 DAYS 100 Chatuga Drive West TcT�E Loudon TN 37774 �j ,%� � � ___.__�l�Ee,;,, �'t�.:_,t _ __ _ ._. _ _ . _. _.. _ _ ' OROER - _ ------ ----.__.__. __�____..__ _�_...___. _ __._._ _____ � ' TWO SIGNATURES REQUIRED i�'067892i�' �:06 70064 3 2�:20000273L6296ii■ I 67892 �Il�'1° �8� �a��,�►�'a'�li�� SEBASTIAN, FL 32958 iNVOiCE t?ATE lNVOiCE NUMBER INVOICE DESCRIPTION 04/15/08,BUY BACK NIC buy back niches-Seb Ceme 31340 James and/or Mary Caldwell :+. 041808 NET INVOICE AMOUNT PO NO. %��.�� 700.00 067892 63722 67892 � � H � � � � � � � � -� ; ^y ?a� ;� � v �N �..7 > - � � � , „ N � C N Q U. � !` � :� `�: � �n � �� ' � �� 7 � � � � �. � � �0 � � � .v: �� S�B��.�' a..�:�� .. HOME OF PEUGN ISIIWD OQ Certificate # 1962 C' _;��'� ; i� 5��',��.��'�' �� l�� . Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: James and/or Mary Caldwell 922 Lanco Avenue, Sebastian, Fl 32958 (name) (address) in and for consideration of the sum of 700.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit _ 4_ Block _16_, Niches_ 28 _ 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 7th day of June, 2004 OF City FLORIDA A �ST: �-f y � � ,W��, J ../" `' � S A. Maio, CMC � , City Clerk o. � � • vJ -- , �11f OF ��,��s� �� .��_ �.�� ; HOME OF �Ei.i�N 1S�AND June 7, 2004 Mr. & Mrs. James Caldwell 922 Lanco Avenue Sebastian, F132958 Dear Mr. & Mrs. Caldwell: Enclosed is City of Sebastian Certificate Number 1962 for the purchase of Cemetery Lot 28, Block 16, 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. Sin��ely, y � ` r� ,--�� Sally A. aio, CMC City Clerk SAM: ar enclosure �� Y � � � ` � � , ;�' ''� �'��j'� � CITY OF SEBASTIAN CHECK RE UEST Accounting Use Only Input Date 6/7/2004 Fiscal Period Document # Entered By Document Amount # of Lines Total HC Hash To Be Completed By Department Due Date 6/ 11 /2004 Single Check Y Vendor Number Document Organization Object Project LN TC Reference Code Code Code Amount 601011 534959 $700.00 Number of Lines Amount $700.00 Description Sell back of cemete lot described as Unit 4, Block 16, Lot 27 - Cop of receipt attached. ISSUE CHECK TO NAME James & Mary Caldwell ADDRESS 922 La.nco Avenue CITY Sebastian STATE Fl 32958 Check Draw� By APPROVED BY DATE 6/7/2004 BUDGET APPROVAL (534000 AND 535450 ONLY) • � Please make copy of check for Clerk Files. Thanks, Ann �� .�..v� _��, � � O. Certifi �� E�AST��N �� HOME OF PEUCAN ISWVD Certificate # 1962 ��'"'��,�,�,��,_ '�� ghts IN ACCORDANCE w h�rovisions of the Code of Ordinances of he City of an, it isJ4ereby certifie that: xes and/or Mary well 922 Lanco Avenue, Sebas ' 32958 (name) (address) � fo onside ion f the sum of 1400.00 has purchase is entitled to full ;nt ri ts in th e stian Municipal Cemetery for the f ing plot: � Unit _ 4_ Block _16_, Nich� . of the Sebastian Municipal � as m'ntained on file in the records for use in accordail�c`�vith the conditions, orc prescribed therefore by the City of Sebastian. CON YED THIS 3rd day of June, 2004 t C OF SEBA,,�TIAN, FLORIDA C�'�� City Manager �,. .,�� 28_ :ry, City Clerk �tions, rules and e ulations O � � � . YII VI �� -,, a ��' �� ,�:_ ;�� - � HOM� 0� PEUCAA! ISihND �'� � / ; r w� � � - (.; ` � % . �,; �) �'� j �, �- r / �i�� i�y of Se�as�ian Niuni�ipa! ��me�e�y �ur�i�ase i�ecei�� To enable the City of Sebastian to determine the correct rate, and in accordance with ce e ;ate regulations, residence of purchaser or person for whom lot is intended for interment mu provided at time of pur�hase � /� / / �:1.� r!1 ��t E S �:� fi ii � C_--�=i � G�.Ge� � n � s) ' � � � f¢ �"C [�' j'—i l� C Address � � �7�� 3 �� -� � c� � � Area Code & Phone Number Residence Address of Intended Office Use Only ipt is acknowledged in the �� _�� / n Purch � , �. ., � ;�i �� on this ��_day of _, 0� for th purchase of t follo in described Cemetery Lot(s) d/or Niche(s). Unit ` , Block �� , Lot(s)� %��?� Niche(s) � J, for use in accordance with the conditions, ordinances, resoiutions, ru s and regulaiions prescribed therefore by the City of Sebasiian. � Additior�al Fees paid at time of purchase: Corner Markers (set of 4-$20) Opsning & Closing Vase and Ring for Nicnes (cost) fnterment � �� C �� ignature of Purchaser ity of Sebastian W O H Circle One Disinterment �oT��.�a . �� Service fees are t� be paid at time of need onl� I:1W W-DATA\Ms-CemeterylRECc1P'i.doc . � � �.� -�a+�.aa�- `✓7 0 2 Q��o��o�'`'� ' C�`�,QQ �� l� n U l� e'�i ��2�'"r"�� j C�iC�`7� � �� ii �' CITY OF SEBASTIAN CITY CLERK'S OFFICE /, RECEIPT � � °� � Nam � ❑ Cash D e � �a� - _ eck ��I � � No. Amount Paid 001001 208001 001501 322900 001501 341920 001501 341910 001501 341930 601010 343800 Sales Tax Garage Sales Copiesl8id Specs. LDC1Code of Ordinances Election Qualifying Fees � � Cemetery Lots��DO• dj� '�''� LoUNich��Block,�, {� Unit 7 001501343805 Cemete�jeg� - c�c/� �� . Qd , Total Paid ' Imtiais White - Dept. of Origin • Yeilow - Finance • Pink • Applicant � � � ` � JAMES C. CALDWELL OR MARY CALDWELL g22 LANCO AVE. SEBASTIAN, FL 32958 �, �� Pay_ , _� ��, _.. . , _ . 5611 63-4I630 FL - " � � � � � � 1488 Date � �/� .�_--� $ �`�O� � 8 �,�..�... � � � v��-� ` - � ankofAmeric �� ACH R/T 063100277 � � . . . � . //fJ .. _._�- —6'�"��.�J"� . '_' NP .. .__ . _ :.[-�C-:.�'��_� Memo �;�6 3:0�004 7�: 0� 3 388 L.56 .� 5i�,-�_56 L L ui a � � m i I 0 m � � � 0 m � < � � � T d 0 . � � : .� 0 a o, v v .p � � � � � � O o. 0 0 w a W O u+ rn o 0 0 0 o z v 0 0 0 0 0 0 o gL o v+ cn cn o 00 '9�� 0 0 0 0 W W W W W N A A A .A N O /� O W � N O O V� O O O O O ` � o � � v o m � ¢ � n 'v_, y m (D 7 (C � O y � p� `� '� O N p. N x m o fl' ° � y y � .�; O m � n � S T j � � � N y W �C�Y �c O � c �� I \ 0 � ❑ c� � N � � o � � ` v m a: /��p) �i��/ � � ��d �� c'� �n � � mm0 � � N W -1 O y T T n � Z m ��; O . . 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