HomeMy WebLinkAbout4-14-30Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian
Municipal Cemetery
Contact Information:
City Clerk's Office
Cathy Testa
Sebastian City Hall, 1225 Main Street
Sebastian, FL 32958
Phone (772) 388-8209
ctesta(dcitvofsebastian. oro
Funeral Home Name: Strunk Funeral Home
Address: 1623 N. Central Ave, Sebastian FL 32958
Phone: 772-589-1000
(Check)
Open Burial Lot Unit_ Block_ Lot
X Open Cremains Lot Unit4 Block14 Lot30
Open Columbarium Niche Unit_ Block_ Niche_
Burial Date and Service Time:
9/ib/2025 at 10AM %{� ,q y
Deceased Name: Elisabeth Toussaint
Name and Signature of Lot Owner or Representative:
(Must provide proper documentation of ownership)
Print Name Signature Date
Address Phone Number
I certify that I have determined the ownershi of the above -described site that all site fees and
administrative fees have been paid and a -zed opening of same.
Name and Signature of Licensed Fu
Sandy Mastrando 12/2025
Print Name Sig u Date
I certify that I have ch ke ownership information by viewing the owners deed and confirming with
Clerk's Office and that a ees have been paid:
Cemetery Certificatio
Cemetery
Date
This form is to be provided to Clerk's Office for permanent record upon completion.
alyOf
SE�'��N
HOME OF PELICAN ISLAND
Certificate No. 2003
CITY OT' SUB - STIA N
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Henk & /or Elisabeth Toussaint 906 Canal Circle, Sebastian, Fl 32958
(name) (address)
in and for consideration of the. sum of 7$ 00.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit —4— Block 14 Lot 30
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 26th day of January, 2005.
Y OF SEBASTIAN, FLORIDA
i
erre c. Moore
City Manager
ATTEST:
Sally . Maio, MMC
City Clerk
0
m of
S d.3
HOME OF 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
•el _
me(s)
77,Z- -
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receiptt.)s acknowledged in the sum of:
on this day ol , 20e,4---for the purchase of the following
described Cemetery Lots d /or Ni e(s).
Unit, Block, Lot(s) 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)
Signature of Purchaser
Interment Disinterment
OT
� dZ�
tv of Sebastian
Service fees are to be paid at time of need only
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! #1 01i
SE
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, F132958
Telephone (772) 589 -5330 —Fax (772) 589 -5570
January 26, 2005
Mr. & Mrs. Henk Toussaint
906 Canal Circle
Sebastian, Fl 32958
Dear Mr, & Mrs. Toussaint:
Enclosed is City of Sebastian Certificate 2003 for the purchase of Cemetery Lot 30, Block 14,
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.
Sincgrely,
Sally A. Mai "o MMC
City Clerk
SAM: ar
enclosure
�t.iQ
CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date 1/10/2005 Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
Due Date
To Be Completed By Department
1/ 14/2005 Single Check Y / N Y Vendor Number
LN
TC
Reference
Organization
Code
Object
Code
Project
Code
Amount
601011
534959
$1,125.00
Description
Number of Lines Amount
Buy back of cemetery lot described as Unit 4 Blk 14 Lot 30
(Copy of Deed attached)
ISSUE CHECK TO
$1,125.00
NAME
Alan & Jonette Ritt
ADDRESS
6612 Alheli
CITY
Ft. Pierce State FL ZIP CODE
34951
DRAW CHECK FROM SEE BELOW
APPROVED BY
DATE 1/10/2005
BUDGET APP
D
MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach
a copy of documentation along with the original)
OTHER INSTRUCTIONS Please make
i- , / OS
�t.iQ
(U
CM or
SEISASTKN
HOME OF PELICAN ISLAND
Certificate # 1869
crrY(oF,/ sEli3AsTuNi
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Alan & Jonnette Ritt 6612 A1heli, Fort Pierce, FL 34951
(name) (address)
(name)
(name)
(address)
(address)
in and for consideration of the sum of $ 1,125.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 14 ' Logs) 30
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 9th day of December 2002
C ' OF S ASTIAN, FLORIDA
T` yre ce R. Wore
City Manager
ATTEST:
Sally A. Mario, CMC
City Clerk
:O.
Certificate # 1869
00F
SE��AiV
HOME OF PEUCM ISLW
CITYOFSEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Alan & Jonnette Ritt 6612 Alheli, Fort Pierce, FL 34951
(name)
(name)
(address)
(address)
(name) (address)
in and for consideration of the sum of $1,125.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 14 ,Lot(S) 30
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 9th day of December 2002
C Y OF S ASTIAN, FLORIDA
T ce R. ore
City Manager
ATTEST:
Sally A. Malo. CMC
City Clerk
�U
CITY OF SEBASTIAN 1343
CITY CLERK'S OFFICE
RECEIPT
r1�
Name 1 \ ❑ Cash
Date Check
AmountPaid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC /Code of Ordinances
001501 362100
Community Center Rent
001501 362100
Yacht Club Rent
001501 362150
Non Taxable Rent
001501 343800
Cemetery Lots
601010 343800
Cemetery Lots 11 �4 L -1
LoUNiche —, Block Unit
001501 369400
Interment Fee
001501 369400
Weekend Service
680800 220681
Yacht Club Security Deposit
680800 220682
Community Center Security Deposit
680800 220683
Riverview Park Security Deposit
i Total Paid
t
Initials
White - Dept. of Origin • yellow - Finance • Pink • Applicant
Certificate # 1869
alr or
SEBASTIM
NOME OF PELICAN ISLAND
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Alan & Jonnette Ritt
(name)
(name)
(name)
6612 Alheli, Fort Pierce, FL 34951
(address)
(address)
(address)
in and for consideration of the sum of $1,125.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 14 'Lot(s) 30
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.
CONVEYEDTHIS 9th dayof December 2002
C Y OF S ASTIAN, FLORIDA
T ' ce R. Wore
City Manager
1.
ATTEST:
Sally A. Medo, CMC
City Clerk
U