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Home My WebLink About4-16-09O �� SE�� 4��. HOME OF PELIUIV ISUIPID Certificate # 1945 C'I.�'Y 0� � " �,�$��i,.��" � "11�1�V Certificate of Interment Rights 1N ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Siria and Jose Mendez I53 N. Maple Street, Fellsmere, Fl 32948 (name) (address) in and for consideration of the sum of 1 900.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 4_, Block _16 , Lot(s)_9 & 10 _ of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS l Oth day of February, 2004. �IrT'Y OF S ASTIAN, FLORIDA ,'' ��...�'��. � �� ' erre�R. Moore City Manager ATTEST: C�L. - Sal A. Maio, CMC City C1erk �O ,._ � � � rnra r��B�►s�� "Y �� 1��5'A._ HaME OF PELiGN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt / I �� ,� � To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase �:J�iP i /9 'A�- �oLS" t� �,�Nrcf��Z-- Name(s) /S,� �V, �l�t.a /,E ..�'�EEf �E//s.�•.�tr"; l L • .3�9'id� Address ,y :'C3 , ao�c �..�4� �'E/•ls�E.�� L. ,j.,z9�8 T72 —,�'7/-8��' Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: f1,v. lars ($ �9G�C�� '� ) on this /D� day of �� , 200 � for the purchase of the following described Cemetery Lot(s) and/or Nicf e(Y s). Unit �, Block �1 _, Lot(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: Corner Markers (set of 4-$20) Opening & Closing Vase and Ring for Niches (cost) Signature of Purchas Interment bastian Disinterment Service fees are to be paid at time of need only I:\W W-DATA\Ms-Cemetery\RECEI PT.doc W O H Circle One � $ / 00. D� �� _ �� .�.��.. � :�� H�ME OF FELICAN ISCANU February 11, 2004 Siria and Jose Mendez P. O. Box 1365 Fellsmere, F132948 Dear Mr. & Mrs. Mendez: o� Enclosed is City of Sebastian Certificate Number 1945 for the purchase of Lot Numbers 9& 10, 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. Sinc � w � Sally A. aio, CMC City Clerk SAM: ar enclosure No. , 001001 208001 001501 322900 001501 341920 001501341910 001501 341930 601010 343800 001501 343805 CITY OF SEBASTIAN CITY CLERK'S OFFICE °� � O � RECEIPT `� ash ❑ Check# Amount Paid Sales Tax Garage Sales Copiesl8id Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots �� '� LoUNiche7'f''/� , Block�_, Unit� Cemetery Fees Total P� ,� Q � Imtia s• White - Dept. of Origin • Yellow - Finance • Pink • Applicant 11/16/2007 03:59 56158925B3 STRUNK FUNERAL HON1E PAGE 01 FUNERAL DIRECTOR'S REQUEST TO CITY OF SESASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY �mn . � NOMF Of IfLIGAN �SIAND � For informatipn contact' Kip Kelso - Cemetery Sexfon Sebasfian Municlpal Cemetery (772) 589-2545 City Cl�rk's 0/�ice Cify liaU, 1225 Meln Streef Sebasfian, FL 32958 O/(ice (772J 388-8215 or 388-8214 Fax; (7i2J 589-5570 FUNERAL HOME' Strunk Funer�! I�lome ADDRESS' 1623 N. Cenkral Ave., Sebastlan, FL, 32958 PHONE #: 772-589-1000 (Check One) XXOP�N BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE Lot 9 Blo�k __ 16 Unit � Lot Block Unit � Niche Block Unii � N S W BUf�IAL DATE ANp SERVICE TIME: Q � 30 �, M � � a v — �i��•GrCd FOR DECEAS�D. �� Cano Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE� (Musf provide proper ocumentation of ownership) . ��na nc�z //�,�y Name Signature � –� Date I 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 ot same. NAME ANp SIGN�'URE OF �IC�NSED FUN Name L DIR�C;TOR; ��.� a7 Date ------------------------------------------------------------ ----------------------------- Cemetery Sexton Certification I cenify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and ihat all fees have been paid: > • �/��b , Cem ery exton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion, Obituaries � Death Notices � Newspaper Obituaries � Online Obituaries � Newspaper D... Page 1 of 1 FRANCISCO S. CANO Francisco S. Cano, 76, died Nov. 19, 2007, at Community Center in Garland. He was born in Mexico and moved to Garland from Fellsmere. He was a member of Our Lady of Guadalupe Catholic Church in Fellsmere. Survivors include his sons, Napoleon Cano of Mexico, Anarbol Cano of Edinburg, Texas, Francisco Cano of Dallas, Honorio Cano of Fellsmere and Gaston Cano of Texas; daughters, Martha Cano, Dora Cano and Beatriz Cano, all of Mexico, Elizabeth Cano, Veronica Hernandez and Siria Mendez, all of Fellsmere, and Blanca Nelly Pedraza of California; 35 grandchildren; and 21 great- grandchildren. SERVICES: Visitation will be from 5 to 7 p.m. Nov. 23 at the Strunk Funeral Home in Sebastian. A Mass of Christian Burial will be celebrated at 8:30 a.m. Nov. 24 at Our Lady of Guadalupe Catholic Church in Fellsmere. Burial will follow at Sebastian Cemetery. Published in the TC Palm on 11/Z1/2007. Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Pow�re�' fay L�`�;41��'.COf11 obituaries nationwide Back http://www.legacy.com/tcpalm/Obituaries.asp?Page=LifeStoryPrint&PersonID=9833... 11 /21 /2007 _ d e _ � 0 � N C 0 � � M c 0 a. u m � m � � � � d a 0 x � � � d E � 0 v � � d E E > 0 m � N y t H V Z Z a � l�i;4�, .?l;� , �:rAi�� \� � ��S Age �� Sex Da Male ❑ Female P ce of Death rn mun � � �r � Neme of Cemetery or Cremeto ium n as BURIAL-TRANSIT PERMIT r f � � � ! V �`-� � �`�� . � Removal ❑ CremaUon ❑ Burial v��r - ��,r -°•- ( �--� G�' � Gc��-C� � c�ry scece C�'�v� �-� f,� �� Address Ciry State I �% S� S � �-� I v� � 1�`'- �1 �r � A certifiaate of death having been registered or completed in so far as possible; permission is hereby given for final disposition, transport, or removai of the body from the state of Texas. s . Signature of Regiaker or ElecVonic Validation Received by: Date NO V 19 200? Date Vital Statistics 25 Texas Administrative Code Sec. 181.2(b) "if a dead body or fetus is to be removed from this state, transported by common carrier within this state, or cremated, the funeral director, or person acting as such, shall obtain a burial-transit permit from the local registrar where the death certificate is or will be filed, or from the state registrar electronicaliy through a Bureau of Vital Statistics electronic death registration system. The registrar shall not issue a burial-transit permit until a certificate of death, completed in so far as possible, has been presented " A file numbec'may be assigned by the Registrar as needed. A copy of this permit is to accompany the body in transit. There is no fee authorized for the issuance of a Burial-Transit Permit. If an incomplete death certificate is used to obtain the Burial-Transit Permit, the registrar will validate that the body is no longer needed by the certifier of cause of death before issuing the permit, to ensure that a completed death certificate will be received. "Completed in so far as possible" means the information relating to the deceased, including the name, date of death, place of death and funeral directo►'s information is completed. In a few instances, the cause of death may not be completed. It is the responsibiliry of the person presenting the Certificate of Death, and obtaining the Burial-Transit Permit, to assure that the fully completed Certificate of Death is filed as soon as possible. In accordance with state statute, before a dead body can be cremated, a Cremation Authorization must be signed and issued by the medical examiner or justice of the peace of the county in which the death occurred showing that an autopsy was performed or that no autopsy was necessary. If an inquest is being conducted by the medical examiner or justice of the peace, authorization for cremation from the medical examiner or justice of the peace is required. [HSC §193.008, 25 TAC §181.2, §181.3] � ,. ,� ` � ,�3�,�, � Li % �/ s ,� /.� �si� ,� J� �� wJ � / /� �' y , ✓ VS-118 Revised 9/2004 ��`�y�7 �� • f� 7 ��S��T�I ' � , � _ � .� . .. � _. �. . .. �_! S z c.0 r i t y r.rf Ir n n � � e A'� d o� u� � t 5��e G � c k.. �. ( ' STRUNK FUNERAL HOMES, P.A. C41 1 CASH ADVANCE ACCOUNT-SEBASTIAN . 916 17TH ST. ` VERO BEACH, FL 32960 83-1205/670 PH.772-562-2325 DATE ��'Z��Q l ot PAY O T ��'`� �+ m TO THE ORDER OF � a p� � QQ � �,�,:�,� ...�-+ : � � J Lu o ( �-�% �"l�tJ C.' � � d D O L L A R S� ��°b.� ° Me��ar� �� VaeoBea�di,Fl 329b0'�� _ � �' � , . � •. --. a.s �a_ �si ., 1xwwJRNB.com .", ' ." .. � . . Indian RiverNatioaa4Bank �� ss9azoo • N [� � a FOR `��_ M' ¢; `u��064�Lu■ i:0670,L2D5?i: ' 0206L \0iii' ' � . _ ! „ � ; Name ��t; ��r� �,� c� .;� , c�� x�c� ;�. z� i��-S � I �; � Uni# � . ; i i Block `� _ _ �I Lot � � »a � � �� ' � . � � � � . '�� Date of Mark-out ..�� } �`Q �� ', _ , /� � �„ t I Date of Burial �� ` �� Time ' ` �d �� '�' ...�""'` � Name of Funeral Home � �� '"� �� ,, r , ,f i ; � :' � Authorized by � ,�,f � ��_ .. .�_�___—.. �� _. �_ ___ '.i �i � � — � . CITY OF SEBASTIAN � CITY CLERK'S OFFICE . 4 0 4 0 ' RECEIPT C��, j� I Name ✓ � �`- ❑ Cash ', Date �' � � c0 — � ! �Check# �=t � L Na Amount Pafd ' 001001208001 Sales Tax ' 001501322900 Garage Sales 001501341920 Cop'�esl8id Specs. 001501341910 LDCICode of O�dinances ' 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots LoUNiche "7 . Blodc ! � . Unit� � 001501343805 CemeteryFees ��!� Total Paid �Z5•�.�0 Initials White - D�t of Origin • Yellow - Finance • Pink • Applicant