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Home My WebLink About4-16-19CIN OF �� "' �� # . ,� .:,, :�.� d, r- ; , , . ,_..:_�w -_- HOME OF PELICAN ISLAND Certificate No. 2345 �� '� �� Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Robert &/or Elah ]oy Crerar 1388 Coverbrook Lane 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 19 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 20t" day of September, 2012. CITY OF SEBASTIAN, FLORIDA �� AI Minner City Manager ATTEST: � � � Sally Maio, MMC City Clerk / � / � - / L � I � Unit Block Lot Date of Mark-out �/� 7/� Date of Buriai !�� L�� ' Time �• � � �' �' Name of Funeral Home � ��J�� ' Authorized by � , 7 � � . � O 1 0 � � �. 0 . O 7 � � � I 0 f'f . • .q 5 � � a °� v � Y � » a �.- / �O G � G ,Q a 0 0 � 0 � C�J� o S g � °o o° o o�i m o � '� o 0 0 `° m � > � A N O O W � N O O v O O O O O ( �\ � � � � � � m n � � oNi m � n �p �n° T � � A � � � x (p n m N O � � � y �"�. /Fi 3 O � �� a � � . � _y� m tn" � � c � I� � � A n � y � N �. S � 3 � 0 � � d — a n � � A � m O m�m Ty N W -�Oy T � "s �_ m � � �O � ELAH JOY ��JOYCE" CRERAR Mrs. Crerar was born June 20, 1943, in Florala, AL and lived in Sebastian for 51 years coming from Avon Park, FL. She worked as a technician for the Harris Corporation for 18 years leaving Harris in 1982. She later worked for the Indian River County School Board. Mrs. Crerar was a member of Good Shepherd Church of God, Winter Beach. Survivors include her husband of 37 years, Robbie Crerar of Sebastian; sons Buddy Shivers of Fellsmere, Robert Crerar III of Manchester, NH and Howard Thomas of Vero Beach; daughters Betty Doty of Sebastian and Janet Bobo of Vero Beach; brother, Paul Pate of Branford, FL; sisters Bonnie Gill of Eufaula, AL, Mary Cullum, Marie Manley both of Branford, FL and Ezella Severance of Louisville, GA; 6 grandchildren and 2 great-grandchildren. Mrs. Crerar was preceded in death by a son, John Wesley Shivers; daughter Frances Ellen; brothers, Dewey Pate, Richard Pate and Joe Pate and sister, Oveal Simpson. ,r •� FI.ORlD�1DiI'ARCb{E�LOF�, ,.' State of Florida, Department of Health, Bureau of Vital Statistics ��,� BURIAL TRANSIT PERMIT DATE PRINTED: September 26, 2012 TRACKING NUMBER: 2012132002 1. DECEDENT INFORMATION Name of Deceased Date of Death ELAH JOY CRERAR September 25, 2012 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH PALM GARDEN OF VERO BEACH Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No./Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director/Direct Disposer Fla. Lic. No./Reg. No. WILLIAM B. WHITTAKER F026900 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2012-F041870-5060 • QG / //� • Date Issued: September 26, 2012 Lt, �I �J Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY Method of Disposition: B�URIAL Date of Disposition: `� � �� ` . Sign ure sexton or personai arge (or by the funeral director/direct disposer when there is no sexton) DH 326E, 1/11 ' 64V-1.011, Florida Administrative Code '' I FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING tN SEBASTIAN MUNICIPAL CEMETERY UIYP HOME dF PEUCJIN KI�N�p For information contact: Kip Kelso - Cemefery Sexton Sebastian Municipal Cemetery (772) 589-2545 City C/srk's O�ce City Hall, 1225 Main Street Sebastian, FL 32958 O�ce (772j 388-8295 or 388-8214 �i��l�K ��il�.2��II��CF..�.,�:°.":� ,`� 1623 t�o. Cer��:��zl Av�. FUNERAL HOME: SEBASr�aN, FL 32958 ADDRESS: 6772� 589-1000 PHONE #: ( e One� OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME: Lot �� Block � � Unit i Lot Block Unit Niche Block Unit �.��n�� --rt��+�-��`� 1 �DO �-� FOR DECEASED: � C� ir�'r �J� � x-� Name NAME AND SIGNATURE OF LOT OWNER OR f (Must provide proper documentation of s iE m �- Name S � � � Ir�� i/" � � � 'ATIVE: �1 �21� I L- 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. NA E AND SIGNATURE OF LICENSED FUNERAL DI T - �� l �.h� ��-- � � ��. � ' � � ��D � � t� P9 � . ltihrt �� l� / Name Signature Date Cernetery Sexton Certification: I certify that I have checked the ownership inforrnation by viewing #he owne�s deed and confirming with Clerk's office nd that all fees have been paid: ° .2 8 I '7� • e et ry exton Date This form to be provided to Clerk's Office by Sexton for permanent record upon cornpletion. C�Y � �� _ �� ,•��`�� , �� 0. ' s _:� z�, . ..: ,�.XS�y �'`'.e.... FTC?1VtE £iF F�LICAN 65LRh7I? City of Sebastian Municipal Cemetery Purchase Receipt �� K � L �� a 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. e rf ��o_r � I� h. J o�► C: r e r� Name(s) ' ' 13�� CoUe+�b roo l� L� , S��c�s t� �� .� Z�S� Address . � `?��158� - Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: �.{/t� .�,�'l.�-c�tJ1l.'�.r/�� w°� D-o ouars (� /DOU� � � � - on this. � day of s P.� f , 20 1oZ for the purchase of the following described Cemetery Lot(s) and/or Niche� Unit �_, Block ��, Lot(s) � � Niche(s for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribeci 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 i:\!NNW-DATA\Ms-Gemeta�y\R FCEIPT.doc Interment /W O H Circle One Disinterment �Cir^�� U � _ 0 0 . 1 � y of Sebastian The following documents were provided as Proof of Residency: ISL✓ and (N�.�'JSl Z, CITY OF SEBASTIAN 4 4 9 2 CITY CLERK'S OFFICE . RECEIPT Name / r` r.�6 e�-t C r e i'� r ❑ Cash Date � ' 2 � ' � � fxCheck# <D �5 No. 001001208001 001501 322900 001501 341920 001501 341910 001501 341930 601010 343800 001501343805 Amount Paid Sales Tax Garage Sales CopieslBid Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots / � , ,�� LoUNiche �, Block 1(,�—, Unit � Cemetery Fees � Total Paid 6 G�%v • o� Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant CITY oF 63-643 ' -. , '' CITY OF SEBASTIAN WACHOVIA CHECK NO. O 7 51 � 6 6�0 �� 1225 MAIN STREET 7 5 1 9 6 "' _.;�; �- , SEBASTIAN, FL 32958 F GENERAL ACCOUNT . � HOME OF PELICAN� ISLAND . � � � - � . � . � � � � - � � VENDOR CHECK DATE CHECK AMOUNT 23 06/18/20I $700.0 ********700 DOLLARS AND NO CENTS PAY � OID IF NOT PAID WITHIN 90 DAYS Estelle Chase 7475 131 Street TpTHE Sebastian FL 32958 ,�f ./J .___. IZ��. 1- . - --....._._ _ __.. ORDER _�_ __.�_.._ ---__.__ �_._____� �_._...,__.. _..._._____---- TWO SIGNATURES REQUIRED u'075 L96ii' �:06 70064 3 2�:20000 273 L6 296ii■ rrr nm 75196 . _ __ __ �Y OF SEBASTIAN SEBASTIAN, FL 32958 0 7 519 6 061810 NVOIGE DATE 1NVOIGE'NUMBER INVOICE DESCRIPTION NET INVOICE AMOUNT PO NO. 06/14/10 Certificate Unit4 Blockl6 Lot 19 Buri 700.00 77381 234 Estelle Chase 700.00 75196 __ _ __ -- --- ___ �'� Y �° � � ` � %{`,� t'l+ � �> t E`��/,P � CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only Input Date Fiscal Period Document # Entered By Document Amount # of Lines Total HC Hash To Be Completed By Department Due Date 6/ 18/2010 Single Check Y/ N Y Vendor Number Organization Object Project LN TC Reference Code Code Code Amount 601011 534959 $700.00 Number of Lines Amount $700.00 Description Mrs. Chase wants to sell back to Cit Unit 4, Block 16, Lot 19 burial lot issued to her by Certificate No. 1967 ISSUE CHECK TO NAME Estelle Chase ADDRESS 74 75 131 Street Sebastian, FL 32958 CITY ' STATE ZIP CODE DRAW CHECK FRO SEE BELOW APPROVED BY ,; < —1 DATE 6/ 1 2010 BUDGET APP 0 MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach a copy of documentation along with the original) G� OTHER INSTRUCITONS Please give copy of check to City Clerk's Office OFFICE OF CITY CLERK CITY HALL/SEBASTIAN 1225 MAIN ST. SEBASTIAN FL 32958 TO WHOM IT MAY CONCERN; J U N E 10. 2010 This is to request refund on the following cemetery plot, as I am moving out of state. Unit 4, Block 16, Lot 19. I paid $1,400.00 for two plots on June 22, 2004. I wish to have $700.00 returned. My address is 7475131 Street, Sebastian, Florida. 32958. The payment was by check, Bank of America acct #005493419025, check #760. I am leaving June 30, 2010. Please expedite this. If it takes longer than this, I will reside at 2320 Wolford Street. Pittsburgh, Pa.15226. Thank you in advance; 1 � � i �, � Estelle Chase N Cs � « �; � � ... C � _ Z m F-� O T, � � G� C7 1-� '. �i � G; � -,� L' ' F-� n U� O r - U't �; :u . �% 7; .: �r �� .- i `� '�t `:f ��. �, °Ja ; � �� i'"� i� � i'"'i � �'� � f �i M:.,� :!y !e,:t "`, • � � � � � a �� ` � v �. � N �► � �S 0 T �Id �, � ��f OIOZ 7i�31� �llf� .�0 �,1l��0 'ri'� I 1 � 9'r; 3 � � ::, + ' � �:I.�?,`,. :� :, =I `.. __;; '�� ;:� .,;, ��_ �v;f t,°.= 1,�! i,'.� �'�;� �GJ Ct1Y OF �� -,�-� _, ..,.,-� •�` ..r_.: HON1E OF PELIUN IS1N1D Certiiicate # 1967 �� 1 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Clifford H. Chase, Jr., Estelle Chase and Jennifer Julian (name) 7475131 St., Sebastian, FZ 32958 (address) in and for consideration of the sum of 1 400.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plots: Unit _ 4_ Block _16_ Lots_ 19 & 20_ 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 22nd day of June, 2004 OF SEB City , FLORIDA A'TT • � - - � ; -- Sall A. Maio, CMC City Clerk �J i O �� - ��