HomeMy WebLinkAbout4-16-06CDC*
SEJA�AST_IAN
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
June 24, 2016
Sheila Schrock
433 Memorial Ave
Sebastian, FL 32958
RE. Interment Rights to Unit 4, Block 16, Lot 6 Sebastian Municipal Cemetery
Dear Ms. Schrock
Enclosed is City of Sebastian Certificate 2507 entitling you to full interment rights in Unit
4, Block 16, Lot 6, in the name of Sheila Schrock.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy
Enclosure
CRY Of
SEBASTIAN
HOME OF PELICAN ISLAND
Certificate No. 2507
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:
Sheila Schrock
433 Memorial Ave
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 16, Lot 6
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 7th day of June, 2016.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
anette WilliaM5, M„MC-
City Clerk - .
::t
r
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Name(s)
Address
3-:�) R\j -C-S-n 0 -c- aq6-?"'
Area Code & Phone Number
77x3 r /
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
� 6us ( C CD// Oy Dollars ($
on this 7 W1 day of �un �= , 20 14 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 4 , Block 4:� , Lots} 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
_ .fir/,
JPSignatu
of
Interment
/W O H
Circle One
Disinterment
TOTAL $
City of Sebastian
The following documents were provided as Proof of
Residency:
I:1WW-DATA\Ms-CemetepARECEIPT.doc I and
CITY OF SEBASTIAN 10093
ADMINISTRATIVE SERVICES RECEIPT
Name sC U-0 t. U Cash
Date (O 171 1 b 0 Check # �C
0 Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150' Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
ON rr 4 13 Lar
-O'
Total Paid 1, 0"
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. - Pink - Applicant
n _
�el. t� 1 c'` �•�� l� � tl `(�
3qa-5�����-a�Q �lU�.
S��J O�-S �' 1 C'1 YJ � T' �— .
3a�s�
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HOME OF PEl1CAN ISUIND
SEBASTIAN MUNICIPAL CEMETERY
TRANSFER OF INTEREST IN BURIAL RIGHTS
CONSENTFORM
I, r� l_ l C l o� �.� 1,11 Y1 Yl , on behalf of �U LU t�l �� A tv Z( (deceased),
Grantee(s) of City of Sebastian Cemetery Certificate # 1989, do hereby transfer my/our interest in the
following: Unit 4, Block 16, Lot 6 of the Sebastian Municipal Cemetery to:
The City of Sebastian
1225 Main Street, Sebastian, FL 32958
in accordance with Section 34-13 of the Code of Ordinances of the City of Sebastian which states:
"Sec. 34-13. Sale of interment sites.
No interment site owner shall allow interments in their interment sites for a remuneration, nor
shall any transfer of interest therein be valid except by written consent of the city. No interment sites shall
be bought or sold for speculation. "
P/ease check one:
� I hereby certify that I am selling back to the City of Sebastian my interest in the above referenced
site(s) and will be reimbursed the purchase price at time of purchase, minus 5% administrative cost set
out in R-08-27 and any other mailing costs. (Please provide the origina/ deed when returning this form)
I hereby certify that 1 have received no remuneration for this transfer. I request the consent of the
City of Sebastian.
1.�.1RJ.4�� �C.(.,�titnti—
Signature of Grantee
State of clx�
County of ,,t�--
Before me, on this /�''� day of �, �, personally appeared �fG� /- d CLuti�-
known to me orwho produced fi.Lz� f,�sv� �2SB-5���� �s identification, who acknowledged to me that he/she/they
exec d the same for the uses and purposes herein set forth.
,—.--,as��:���, Sally A. Maio ,
.. �: Commission # D
Notary Pu ic Signature Name: - . Ql d
�A�.����' • Expires O�tobecD�������mission Expires: io 5��
P��r'i` eo�awrra «
Notary Stamp:
The City
By:
hereby consents to the
�
al f�r�(ey�City� Manager
App ed as to Form and Legal Sufficiency:
�
Robert A. Ginsburg, City orney
\WAS\CityClerkVlppl\Wortf Data\WWDATANASCemetery\Transterof IMeresl Fortri.tloc
r of burial rights:
�^ +
ATTEST: ' �
Sally A. Mai , MMC - City Clerk
o.
O
��
SE��T�1°�N
�
. �.. .�:
HOME OF PE1.iCAN ISWVD
Certificate No. 1989
C;1,�� 0'� �E�3�iSTIz�N
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Sylvia Tanzi
(name)
585 Cottonwood Road, Sebastian, FZ 32958
(address)
in and for consideration of the sum of 700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit_ 4_ Block _l6_ Lot _6_
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 22th day of September, 2004.
OF SEB '�'I.�
f,.
,
�f.
�rre� je �f Moore
CityManager
, FLORIDA ATT
.,. �`��,��0� N���N � �'
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.�` /+► �i HG
w � �II�� y�w �
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,
`�, $:
�, �.
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P�'�'i,y��� j'+�rd� �� s�•'� �: �;;�s
��F
Maio, CMC
ity Clerk
0
,0�,
CITY OF 1 c
ClTY OF SEBASTIAN �= j�TACHOVIA CHECK NO. O� 1 U� O
1225 MAiN STREET �" 716 3 0
SEBASTIAN, FL 32958
GENERALACCOUNT
HOi�tE OF PELICAN ISLqND
� VENDOR � CHECK DATE �
� 17012� 06/12/200
********665 DOLLARS AND NO CENTS
���
TO THE
O�DrR
63-64;
67G
CHECK APAOUNT
$665.0
Ms . Fel icia QU1T111 VOID IF NOT PAID WfTHIN 90 DAYS
392 Seagrape Avenue I ,
Sebastian FL 32958 ��
�c,��-�,� . 1 ��a.�2�..,.��
TWO SIGNATUR RE IRED
ii■0 7 16 30��' i:06 70064 3 2�: 20000 2 7 3 l6 296i►'
71630
.i�°� �� ���AST�%a� SEBASTIAN, FL 32958
h��IGiCE DATE � INVOICE NUMBER INVOICE DESCRIPTION
06/12/09 SOLD BACK-PL sold back burial plot
170125 Ms. Felicia Quinn
,, a�in;i
061109
NET INVOICE Afv10UNT—� PO NO.
665.00�
665.00
�
071630
70571
71630
Input Date 6/ 1 1/2009
Document #
0�� °C,�
f�
���q QoQ
.v .o
CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Fiscal Period
Entered By
��OC �f ! �� �� `�i
Document Amount # of Lines Total HC Hash
To Be Completed By Department
Due Date 6/19/2009 Single Check Y/ N Y Vendor Number
Organization Object
LN TC Reference Code Code
1 Number of Lines
Description Transfer of interest in burial rights
Sold back burial lot: Unit 4 Block 16 Lot 6
_...� .� � : :.� � �. ,.� � �. �n a � �, ?, a ,, � � r� R ��
ISSUE CHECK TC�
NAME Ms. Felicia T. Quinn
Project
Code Amount
$665.00
Amount $665.00
ADDRESS 392 Seagrape Avenue
CITY Sebastian State FL Z1P CODE 32958
DRAW CHECK FROM SEE BELOW
APPROVED BY DATE " / / ";
BUDGET APPROVAL 534000 AND 535450 ONLY)
MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting deparhnent should attach
a copy of documentation along with the originaU
� OTHER INSI'RUCTIONS Return check to �eanette in CCO for mailing.
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Tanzi, Sylvia Rose
Sylvia Rose Tanzi, 91, died June 9, 2009. She was born in Italy and lived in Sebastian for eight years,
coming from Fort Lauderdale. She worked for Frances Brewster in Fort Lauderdale. She was a member
of St. Sebastian Catholic Church and the Women's Guild, Sebastian. Survivors include her daughter,
Felicia Quinn of Sebastian; sisters, Josephine DeLuca of Coral Springs, Rose DePaola of Fort
Lauderdale, and Clara Valeria and Mary Cento, both of Brooklyn, N.Y.; two grandchildren and one
great-grandchild. SERVICES: Visitation will be from 11:30 a.m, to 12:30 p.m. ]une 15 at the Strunk
Funeral Home, Sebastian. A Mass of Christian Burial will be celebrated at 1 p.m. June 15 at St.
Sebastian Catholic Church. , .
Publisned in the TC Palm on 6/11/2d09
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HOME OF PEUGN ISLAND
Certificate No. 1989
�a�� �� � ���'� ����������
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Sylvia Tanzi
(name)
585 Cottonwood Road, Sebastian, FZ 32958
(address)
in and for consideration of the sum of 700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit_ 4_ Block _16_ Lot _6_
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 22th day of September, 2004.
OF
City
EB , FLORIDA A
�-f' ,
, �;.' y+,��N1rN��t� � �i
, �` ��
�~ 1
r �
. Moore � �.
:anager � � ""' ° � 7'
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Maio, CMC
;itv Clerk
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HOME OF PEUCAN ISIAND
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
Name(s)
�
�� � �
Addres �
�e�C�S-�\� r� � �� - �� Q� �
Area Code & Phone Number
�t�ia- ��g��ys°�
Residence Address of intended Occupant if Other Than Purchaser
Office Use Only
is acknowledged in the sum of:
.f __ �ls _ /% ,._ � 7iTJ ,
on this .y,� day of;
described Cemetery Lot(s)
Dollars ($ d D _ � �' �
� U , 20�for the purchase of the following
d/or Niche(s).
Unit , Block �_, Lot(s) �o 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)
� r
Sign re of Purchaser
Service fees are to be paid at time of need only
W O H
Circle One
��o, r�
I:1W W-DATA\Ms-Cemetery\RECEIPT.doc
CITY OF SEBASTUIN
CITY CLERK'S OFFICE 3114
RECEIPT
Name ' �[ ��� ❑ Cash
Date � � eck �
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copiesl8ld Specs.
001501341910 LDCICode o( Obinances
001501341930 Eleclion �ua�ify(ng Feea
601010 343800 Cemetery Lots �%DD �o�
LoUNkhe � . Blodc i(D • Unit.�
001501 343805 Cemelery Fees
Total Paid ,v D•0�
ini a
White — Dept. of Oripin • Ileliow — Fin�nc� • Pink - Applicant
C�Y Of
�������
.�._,. r-�w.,�.� ,
����� �
. �i+wr�+.���.
HOME OF PEUCAN ISUND
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
September 22, 2004
Ms. Sylvia Tanzi
585 Cottonwood Road
Sebastian, F132958
Dear Ms. Tanzi:
Enclosed is City of Sebastian Certificate 1989 for the purchase of Cemetery Lot 6, Block 16,
Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the
Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sincerely,
Q . /�yJ� �
� r//
Sally A. aio, CMC
City Clerk
SAM:ar
enclosure