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HomeMy WebLinkAbout3-COL-14CITY OF HOME OF PELICAN ISLAND CITY OF S ASTIAN Certificate No. 2169 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Joseph Vicari 743 Horizon Terrace /or Gloria Dimeo Vicari Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $3,200.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niches: Unit 3 /S /S /A_& 15 /D /S /A_ 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 12 day of March, 2008. CI OF s BASTIAN, FLORIDA ATT T: gal Al Minner Sally Maio, MMC C ty Manager City Clerk DECEASED NAME: p r'eN (First) DATE OF DEATH: 3 (Month) DATE: Unit 3 Singles N COLUMBERIUM: NICH NUMBER: PLEASE PRINT C7 /l>v /Y (Middle) (Last) DATE OF BIRTH: 3 /7c13 (Month) (Day) (Year) (Day) PRINT SIGNATURE: 2 rc.4 FOR OFFICE USE ONLY ,z (Year) DECEASED NAME: DATE OF BIRTH: DATE OF DEATH: PLEASE PRINT 6 S 9 U i c 2 (First) tv� (Middle) (Last) (Month) (Month) SIGNATURE: PRINT SIGNATURE: Cam �i cz MFG i DATE: 3j a r Unit 3 Singles N COLUMBERIUM: NICH NUMBER: 6/0 2 �J 2 /e�G (O'C FOR OFFICE USE ONLY (Day) (Year) (Day) (Year) Office Use Only Vase and Ring for Niches (cost) Signature of Purchaser I:\WW-DATA\Ms-Cemetery\RECEIPT.doc QIY or SL TIAN HOME 01 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, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase JOS h cyar 6to rta, nia Vicar' Name(s) 7213 Nori zon re.rKace. ,Scbasf FL 3ZQ5& Address Csna SrM Da? 5o Area Code Phone Number Residence Address of Intended Occupant if Other Than Purchaser Receipt is acknowledged in the sum of: t&wLu d tart 1 %DoIIars 3, oQ) UD on this /1" day of ill-a- c)i 20 US' for the purchase of the following described Cemetery Lot(s) and /or Niche(s). iy $in3lc Unit 3 E34ee k 001A-1 Lot(s) Niche(s) 15'4 Dcu-(oi t 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 9 Q U 0 H Circle One Interment TOTAL 33c o 0o 1 LLY uvvw, of Sebastian Disinterment Service fees are to be paid at time of need only Bank ofAmerica Advantage FLORENCE R. DIGIOVANNI OR GLORIA DIMEO 772- 589 -0250 743 HORIZON TER SEBASTIAN, FL 32958-6525 it r1; ACH Fl/T'063100271 63 -4/630 FL 1488 Name V I C (1k r 1 Cash Date 3 3 ©�T Check J 2q No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC /Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots nn f i CC 3200, °C) Lot/Niche 1 #4 j Block 1 J l3 Unit 001501 343805 Cemetery Fees CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 3494 Initials Total Paid 3 390P White D of Orig Yellow Finance Pink Applicant E z 0 o E ALL COUNTY FUNERAL Home Crematory Treasure Coast Chapel 1010 NW Federal Hwy. Stuart, FL 34994 S0851329 ALL COUNTY FUNERAL Home Crematory Palm Beach Chapel 1107 Lake Avenue Lake Worth, FL 33460 We hereby certify that these are the cremated remains of: Florence R. DiGiovanni Cremation Permit No. 23404513 Issued at Indian River Date of Death March 2, 2008 Cremation No. 08 -29483 Date of Cremation 3 i —0 Is By 4 4L4 Cremator