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Certificate No. 2364
CITY OF S-
REEBASSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Thomas J. Copertino
9360 101St Court
Vero Beach, FL 32967
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 28, Lot 38
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 27th day of February, 2013.
CITY OF SEBASTIAN, FLORIDA ATTEST:
A] Minner
ty Manager
,A. Maio, MMC
City Clerk
�v
1\� x
CITY OF
I
HOME OF PELICAN ISLAND
Q)) Certificate No. 2364
CITY OF SEB STIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
v J II Sebastian, it is hereby certified that:
Ann L. Lucianoo�ns ~C����+d
0 10 'Court � �6 /�/ (?dJ� --7`
Vero each, F 32967
In and for consideration the sum $2,
rights in the Sebastian Mu ipal Cemeter
Unit Block 28,
0.00 is entitled to full interment
for the following lot:
Lot 38
4 ma the ebastian Municipal Cemetery,
a maintained On file in the records of the City Clerk
for use in acorda e with he conditions, ordinances, resolutions, rules and
regulations p escribe refore by the City of Sebastian.
CONVEYEQ THN 27th day of February, 2013.
CITY OF SEBASTIAN, FLORIDA ATTEST
\ Al Minner
City Manager
SallyX Maio, MMC
City Clerk
LOU ANN COPERTINO
Louise Ann Copertino "Lou Ann ", 55, Vero Beach, FL, passed away on February
17, 2013 at her residence. She was born March 27, 1957.
Lou Ann owned and operated Paradise Florist in Sebastian, FL, for many years.
She was of Christian Faith.
She is survived by her husband, Tom Copertino, Vero Beach, FL; daughters,
Susan White, Vero Beach, FL, Carol Copertino, Vero Beach, FL; mother, Ann Lou
Luciano, Vero Beach, FL; sisters, Lorraine Luciano, Leesburg, FL, Lynne Sileo,
West Palm Beach, FL; and 1 grand daughter.
STATEMENT
DATE 2 Z/3
_
1 TERMS
TO
IN ACCOUNT WITH
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Z
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"A(
X 6
CURRENT
OVER 30 DAYS
OVER 60 DAYS
TOTAL AMOUNT
C&MIMM' DC5812
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
Oa +E vi rEUC&« BUnD
For information contact:
Kip Kclso - Cemetery Sexton
Sebastian Municipal Cemetery
(7721 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME:
ADDRESS
PHONE #:
(Check One)
_X_OPEN BURIAL LOT Lot �g Block�Unit
OPEN CREMAINS LOT Lot _Block Unit
__OPEN COLUMBARIUM NICHE Niche Block Unit
_ — — W
BURIAL DATE AND SERVICE TIME: 6 /Z C,
J_ ��rl•t%�£ S'�t7�1
FOR DECEASED: Z,,,, `
INaMe
NAME AND GNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must prov e roper doc i of ownership)
7 7�— -- O
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 of same
NLIEAL GNATURE OF LICENSED FUNERAL DIREC -f OR.
e.
Name Signature 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
Ce ete Sex on Dale
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
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