HomeMy WebLinkAbout4-13-38bCertificate No. 2163
CITY 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:
Connie Hink 260 Clearbrook Terrace, NE Palm Bay, Fl. 32907
(name) (address)
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit_4_B1ock_13_Niche_38b_
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 23rd day of January, 2008.
CI OF 14EBASTIAN, FLORIDA ATTES :
614
AI Minner Sally A. aio, MMC
City Manager Ci y Clerk
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Date of Mark -out
Date of Burial Time ' �a 10 o l
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Unit 4 - Blk 13 - Niche 38b
Delia Cox 1948 -2008 cremains
Kelsey Cox 1945 -2006 cremains
Service is Monday at 10:00 am
Son Mr. Cox (321) 426 -4067
ill
Example:
4 " deep
24"
12"
City of Sebastian
Sebastian Cemetery
D.O.B. ,_ , COOS
Pb. # 1(772) 589 - 2545
Kr-" Ey
Fax # 1(772)
D.O.D. — m
Note : This Is for larormational purposes reguarding Monuments at Sebastian Cemetery .
Note
Unit
Please return to
Dry Mix
13
Sebastian Cemetery
Lot :
38 - B
1921 North Central Ave.
Foundation poured
32958
by ; E.C.M. /
Attention
Cemetery Sexton
date : 3/2/11
stone installed
312/11
by: E.C.M./
1 - 0 x 2 - 0 x 0 - 4
Size : '
standard grey granite flat grass marker
date: 3/2/11
Names & Dates: His:
,__ . Delia & Kelsev Cox
Example:
4 " deep
24"
12"
D.O.B.
D.O.B. ,_ , COOS
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D.O.D.
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Legal Description:
Unit
4
Blk.:
13
Lot :
38 - B
Approved By:
K. G. K.
K. G. K.
Checked By:
Date :
312/11
By:
E.C.M.
Example:
4 " deep
24"
12"
FPn" : FAST f r1A,T mnNI IMFNT f' IPANY FAX Nn ; - ?1 ?99FIR9PI
St Cometaq, . . .
oast I. on
J. R. Williford, PrWldent
■ Telephone: 321 -724 -1949
r FAX: 321 - 259 -8696.
TO:
FAX number �, 77 21 a a 4 1-7
ATTENTION:
FROM:
BY:
DATE: "r'r
Number of pages including cover sheet
MAr R1 ?PI11 11 ; PRPIM P1
onument Company
TIME
reply is requested I l othK
ff �you experfe W aftuoy in re @MV (Na &&W" *n please confect us ar 321 - 7141949
We erg licensed. bonded, and insured. Broker of Burial Rites and related items. We offer upright
monument and bronze memorials. bronze, and aluminum plaques-
Rev. Nov. 2002LP
Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1
1 View /Sign Guestbook
DELIA COX MELBOURNE Delia Florence Cox, 59, passed away
Tuesday, Janu ary 22, 2008. Originally from Dover, New Jersey,
Delia moved to Mel bourne in 1993. Delia is survived by her
daughter, Connie Hink (Edward); sons, Anthony Cox (Rickey
Morris), Michael Cox (Patricia); grandchildren, Korry Hink,
Nicholas Hink, Tiffany Cox, Vinnie Cox; mother Florence Marra;
brothers, Lloyd, Joseph and William; sisters, Martha, Joann, and
Viola; and her beloved dog, Norton. She was preceded in death
by her father, Joseph and her husband, Kelsey. Funeral
Arrangements by Davis Seawinds Funeral Home.
Published in FLORIDA TODAY on 1/24/2008.
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CHY Of
SPASTLOW
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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, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Cc rl rl � �} ► rn k
Names)
D Cl e- a.r b r o o k 7 -crrac e. AJ E: Pa-(rr, Ba-V FL
Address 3z 9 6 7
(32-1) 7c2 g 994q
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of: A,q/
/t ollars ($ /, d 00. v o )
on this 023 F-d day of J—anaary 20 U8 for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
Unit , 4 _, Block /3 , Lot(s) W b 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)
Temporary Marker Preparation & Installation
mac...
Signature of Purchaser
I: \W W -DATA\ Ms- Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL $ 1, D 0 O, 'o °
19 1
of Sebastian
The following documents were provided as Proof of
Residency:
and
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 3955
RECEIPT
Name (. Ox Son �---- Cash
Date a/ ❑ Check#
No. Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501341920 Copies/Bid Specs.
001501 341910 LDCICode of Ordinances
001501341930 Election Qualifying Fees
J DDO O�
601010343800 Cemetery Lots�j � /�
LotlNiche 3, Block Unit 1
aO
001501 343805 Cemetery Fees Q/
Total Paid
I,M00
Initials 4 0,00
White -Dept. of Origin • Tellow - Finance •Pink - Applicant
! aq& 00