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Home My WebLink About4-26-2712/17/2014 12:23 Rug 24 E011 10:33AM HP LASERJET FAX City of St 1? ai r r rsrl S,•11,1',ivi► Nallettry Pb It 17h SU61 - 1W 1,0% 1117:1 lit . Iml? Yvlt s ThIVIS 1111' Irf:Wrniw1j0n;%l purpo%r. regmara1111 hjj;nNVWpjj Vl stbai:ran VV010Icrti -N„te ; Thb If for-SlAvie-Its rkurm under 2 ft. &- ai•tr ill.( m•a•r 1 111.1% 4 IM4rra fit v11 :1I:nn ) #3943 P.003/004 Mrv•t rc{vro 10 : Car of 30bd4fie rt Dry Mix .4CDa�tiaA t�PAKttt'� 11 1911 North rfli{iii{ �►e. n y � yLly��rrJrsrtaL,�iaY�'�sr �►tt�111111h � i I'rptricry SrrtnnI.,'?;?A date •.I1111v ILauNirns 6 O'e1a : Nle NEp V � !rte.. dppravad rjy CAitkod By _...�.�. AY Example ; STRUNK FUNERAL HOME & CREMATORY 1623 Na. Centra! Ave. SEBASTIAN, FL 32958 (772) 589-1000 ; Legal Dos orlphlonUnit BIN. : Lot Squire Ft- dppravad rjy CAitkod By _...�.�. AY Example ; STRUNK FUNERAL HOME & CREMATORY 1623 Na. Centra! Ave. SEBASTIAN, FL 32958 (772) 589-1000 Name ��° Gi i , Unit Block Lot 2 'r -D eO �.. /N Date of Mark -out / VZ) 7-//Y' Date of Burial f��L—�!7' Time / 0M I—.— Name of Funeral Home S Ale c, H Authorized by VIRGINIA ANNA TESLUK December 9, 1925 - May 12, 2014 Mrs. Virginia Anna Tesluk, 88, died May 12, 2014 at Sebastian River Medical Center in Sebastian. She was born in New York City, New York and lived in Sebastian, Florida. Survivors include husband, John Tesluk; brother-in-law, Alex Tesluk; dear friend, Eleanor Cichy, all of Sebastian and several nieces and nephews. Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 332960 We hereby certify that these are the cremated human remains of: Virginia Anna Tesluk May 12, 2014 (Date of Death) Strunk Funeral Home & Crematory (Funeral Home in Charge) 03583 (Cremation ID Number) May 20, 2014 (Date of Cremation) Sebastian, Florida (City and State) ByC . L ZG7 (Cremator Signature) 10/16/2014 17:09 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso.CemetogSexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Nall, 9225 Main Street Sebastian, FL 32.958 Office (772) 388-8295 or 388-8214 Fax: (772) $89-5570 FUNERAL HOME: Strunk Funeral Home and Crematory - SEBASTIAN ADDRESS: 1523 North Central Avenue, Sebastian Florida 32958 PHONEM - -589-11000 (Check One) xx OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TI #3735 P.001/001 Lot -26 & 27^Block 26 Unit 4 5Dy Lot Block Unit Niche Block ._Unit N S E W _ DROP-IN ONLY (CALL Richelle WHEN READY for interment) FOR DECEASED: John J. Tusluk AND Virginia Anna Tesluk Name NAME AND SIGNATURE OF LOT OWNER OR REPRE=SENTATIVE: (Must provide proper documentation of ownership) Alex Tesluk rgfa 2.2SItlk 1011 612 0 1 4 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. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin Name rLvuptkid Muv✓bw 10/16/201 4 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 hav been paid: v C me ry S xton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Paid by CEMETERY Receipt No..... ........ Dated ..... 6/27/9.7 ............. . . Lots 2 27 NO. �� 1000 00Block 20 t....:..... Maximum No. Burial Spaces ................ 13hit 4 Net Paid $ . 1,000.00 yy1-1 ................ Monument permitted....................... 1 0 U ! (Data above this line for Gly Record only) Titg of Orhastian (�Pritrtrr J. �r-P NO. nd Y THIS INDENTURE MADE Tho ........?.......... dry of ............ Jul ................ 9............ A. D, 19......, between Ilia City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and John J. Tesluk and/or Virginia Tesluk ....................................1347• •Damask• tane........................................................................... Sebastian, Florida 32958 ..................................................................................................................................... of the County of ......Indian,River..................... ani state of Florida ......................................... as Grantee, WITNESSETH[ That the Grantor for and in consideration of the sum of $ ..1 i1099,.9R ............. to it in hand paid, the receipt whereof Is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee their heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: AB of Lot(sA. a:.;? Block, .. 26. , . , UNIT ..:.......... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public records in the office of the Clark of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the ,land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with iuch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert to the CIty of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be executed in Its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. (/ City Clark Signed, Sealed and Delivered In the Presence ofk (c--� �.2 CS CG4/ .......... ......... .................... . CITY OF SEBASTIAN, FLORIDA By..IJUi.W.).. .. A VIJ.V.t..v`.......... Mayor (Citg Seal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ........ 2nd ........... day of...............Jury............................... 1697.., before me personally appeared Walter W. Barnes Kat M. 0 Halloran t ................................................. and ................................. resp+v:tively Mayor and City Clerk .of the City of Sebastian, r municllwl corporation under the laws of the State of Florida to me known to be Ilia Individuals and officers described In and who executed the foregoing conveyance to John J. Tesluk and/or Virginia Tesluk ....................................................................................................................................... and severally acknowledged the execution thereof to be their tree act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation is duly affix ere and the said conveyance is the act and deed of said corporation. /' t WITNESS my signature and official seal at Sebastian, In the last aforesaid. �— of /Florjd%l the d4y and year LINDA M.BAt LEY fly CO WN10N / Ix:41 :. ...... .. ..... ................ . EIIPIRES:JUN 18.INS Notary Public, State of 1 da at Large. R� 8anandamNosey pAktilasnoilMs My co fission expiresr Linda M. Gallev t w^""' &M4 Total Paid l QV 100 Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE - f, 1 ,RIE 1C'EIPT Name S-�rLwLhes l u -I- ❑ Cash Date 10-20—(4 KCheekS -7114 L No. Amount Pail 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots LotlNiahe Bbek Unit 343805 Cemetery Fees .To h h Tees I Wk- 5ox 001501 ViCgin e, Te.sILLk-- 50.00 t w^""' &M4 Total Paid l QV 100 Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant 11/24/2014 15:01 Rug 24 2011 10133nm HP LASERJET FAX city of se b dJ i l rll'-1 ,st-ha%l1aL Crlwl"I' Pb- or it »11 ,Sy,� 130 rj%it I177:1!2' -L192' Volt Thls it for WornlitjonAl Purpo,r+ regalyding All-Agawil + Y1 1tl1astiaA 'I'hl► It rut SlnXlt 11lrkvrr and@r 2 11.4 ewtr 2 114 nor) n. H a 1.nurra h>uud4nftn j Mews resvrn to City Of Sabajlurt 4 ( ebilllan 'cm<itry 1921 hnr1h I`rrtlral -k+c, 32V SA .�It+ntluN ��,� t'rnirlcrt 5t�lnd -I 0"r 1' D X o-4, 3 D1tic . HM k,311f) Q 1` ,6R . #3881 P.001/001 Dry MIX VoIjud40,111 l,rrurIA 6y data .lour ru�1;�1i�1! 11w l,. Legal08scrlp/ilon ' �l if,D po % Unit : est. , Lot Squire Ft Approved Sy Chsckatlsy ; Dy STRUNK FUNERAL HOME & CREMATORY 1623 No. Central Ave. SEBASTIAN, FL 32958 (772) 589.1000