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HomeMy WebLinkAbout4-14-37Name Un/!eJ(i i• Block L-1. 3 �r- Date of Mark -out Date of Burial Name of Funeral Home Authorized b� 3 des Time-firQ /E^ /3G 08/04/2019 9:32 AI,1 FAX 7725892583 STRUNK FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For Information contact: Kip Kelso, .Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589.2545 Fax. (772) 226.9927 City Clerk's Office – Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32956 Ofrce (772) 388.8215 or 388-8214 ctesta0citvoisebastian.orc, FUNERAL HOME! Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue. Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) ___ _ _ 1000( OPEN BURIAL LOT _,_..... .._._ I:.ot 37 Blo_ck14 Unh— 4 _OPEN CREMAINS LOT _OPEN COLUMBARIUM NICHE Lot—Block—Unit Niche Block Unit 14 S E W IID 0001/0001 BURIAL DATE AND SERVICE TIME:Tuesday, March 5, 2019 12:00 PM Chapel Service, committal to follow FOR DECEASED: Wenonah Gay Smith Pafford Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Jeffrev Bass le-FFre I Sass 3/4/2019 Name Signature Date 7985104th Avenue, Vero Beach, Florida, 32967 1 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: Jeff Gibbs Name Je, Gibbs Signature 3/4/2019 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 have been paid: Date2iy/,�. Cem ery M n This form be provided to C.1 /1 -s Office by Sexton for permanent record upon completion. 0 0 arfOF SEBASTMN HOME OF PELICAN ISLAND Certificate No. 2033 CIT Y 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: Jeff andlor Meghan Principe 970 S. Easy Street, 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 _37_ 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 August, 2005. CITY 9F SEBASTIAN, FLORIDA Manager EG A a �� — Maio, MMC Clerk ay of SIBASTKN 6;3 HOME OF PEUCAN 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 Name(6) Address Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: on this Z & day of 1� described Cemetery Lot(s) an( Unit , Block , r Niche(s). Dollars ($ 1760- °d ) 20o-5--for the purchase of the following Lots) �fT 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) Interment Signature of Purchaser of Sebastian W O H Circle One Disinterment TO,TAL--A �d Service fees are to be paid at time of need only I: \W W- DATA \Ms - Cemetery\RECEIPT.doc Total Paid ','& Initials White - Dept. of Origin a Yellow - Finance • Pink • Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 3327 Nam 1;e ❑ Cash Da AC eck #�_ No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 CopktslBid Specs. 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees 0o, O d 601010 343800 Cemetery Lots LotMkfie Z Block . Unit 001501343805 Cemetery Fees Total Paid ','& Initials White - Dept. of Origin a Yellow - Finance • Pink • Applicant m eF SEBASTLAN r.. HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FI 32958 ...Telephone 772 - 589 - 5330... Fax 772 -589 -5570 August 11, 2005 Mr. Jeff Principe 970 S. Easy Street Sebastian, Fl 32958 Dear N-1r. Taylor: According to our records, you requested we hold the following cemetery lots and/or niche(s) for you: Unit 4, Block 14, Lot 37 The city does not accept credit cards or installment pays nents, therefore, as a courtesy it does agree to hold lots /niches for thirty (30) days to allow family members time to exercise their financial options or think of their future needs. If we do not hear from you within the next 14 days, we vrill assume you are no longer interested in the purchase of the lots/niches. If you have any questions regarding this matter, please contact Cemetery Sexton Kip Kelso at 589 -2545. Thanks for your attention to this matter. Siuee rely, Sall A.l�io MvIC y City Clerk SAM `ar U� r 1225 Main Street, Sebastian, F132958 Telephone (772) 589 -5330 — Fax (772) 589 -5570 August 17, 2005 Jeff and Meghan Principe 970 S. Easy Street Sebastian, Fl 32958 Dear Mr. & Mrs. Principe: Enclosed is City of Sebastian Certificate 2033 for the purchase of Cemetery Lot 37, 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. S' re _ ` Sally A. aio, MMC City Clerk SAM:ar enclosure