HomeMy WebLinkAbout4-14-37Name
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Block
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Date of Mark -out
Date of Burial
Name of Funeral Home
Authorized b�
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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