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HOME OF PELICAN ISLAND
Certificate No. 2170
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Roy &/or Anna Moberg
849 Aquarina Boulevard
Melbourne Beach, FL 32951
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit_3_Block_C0L_Niche_42/D/S/A_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 17th day of March, 2008.
CITY SE STIAN, FLORIDA ATTES~f: ~~ ,
AI Minner Sally .Maio, MMC
ity Manager City Clerk
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HOME 4F'~PELECAhI CSIANB?
City of Sebastian Municipal Cemetery Purchase Receipt
To enable. the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
b~l-,
Names
l cad -'~ ~ ,3 Z g 5' i
Address ~
~3Zi)g5~ ~3a~
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
vlo
~. ~ ~dD ollars ($ ~U~~~ oo ~
on this. 17~ day of /1~i1'C~ , 20~ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 ,Block CO ~ ,Lot(s) Niche(s) ~~. A ~flf~
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 ~ 1 Q, ~C / O H
Circle One
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installatio
Interment
Disinterment
TOTAL $ ~ ~ ~ d , 0 D
Signature
The following documents were provided as Proof of
Residency:
!:\WW-DATA\Ms-Cemetery\RECEIPT.doc I and
' of Sebastian
....
NORMA L HOLBACH 44,2$
OR ANNA L MOBERG
903 Laurel Circle 772-664-4784 ~ ~~ ~~ sa-sasis~o
Barefoot Bay, FL 32976 ew~NCH Doses
i
Date
Pay to ~
Order ~ / O
Btck.
-` WACHOVIA
Wachovia Bank, N.A.
wachovia.com
For
x:06 70064 3 2~:
X65830504546711 4428
CITY OF SEBASTIAN
CITY C
OFFICE
, 3
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RECE 9 6 9
Name 0 t° r ^ Cash
7
No. Amount Paid
001001208001 Sales Tax
- 001501322900 Garage Sales
001501341920 Copies/Bid Specs.
---~.
001501341910 LDC/Code of Ordinances
001501341930 Ekiction Qualifying Fees
601010343800 Cemetery
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of
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~~
l1
~
Lot/Niche"T~~~-'t'Y"'lock C®I .Unit
001501343805 Cemetery Fees r ~~.~ ~
Total Paid ~ ~ . ~~
Initials
White -Dept. of Origin • Yellow -finance • Pink • Applicant
Obituaries ~ Death Notices ~ Newspaper Obituaries ~ Online Obituaries ~ Newspaper D... Page 1 of 1
NORMA LEE HOLBACH
Norma Lee Holbach, 76, died March 15, 2008, at Life Care Center of Palm Bay. She was
born in Chicago and lived in Barefoot Bay for 27 years, coming from Niles, III. She was a
homemaker and was Catholic. Survivors include her son, Remo Restagno of Palm Bay;
daughter, Anna Molberg of Melbourne Beach; brother, Allen Coyer of Hammond, Ind.; and
two grandchildren. She was preceded in death by her husband, Gerhart "Gary" Holbach.
SERVICES: A graveside service will be at 11 a.m. March 28 at Sebastian Cemetery,
Sebastian, with Rev. Robert Lieffort officiating. Arrangements by Strunk Funeral Home &
Crematory, Sebastian.
Published in the TC Palm on 3/Zi/2008.
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http://www.legacy.com/tcpalm/Obituaries.asp?Page=LifeStoryPrint&PersonID=10606... 3/21 /2008