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HomeMy WebLinkAbout4-13-40aUnit / Blo". /',A Date of Mark -out "/, A, f, Time.%�S¢ a�!<4 t OBS 1 Date of Burial ILL% / I L3 Name of Funeral HoµIy- Authorized by""— Cl � Seawinds Crematory 735 South Fleming Street, Sebastian, Florida (772)5$9-1933 For Seawinds Funeral Home We certify this container contains the Cremated Remains of BILLIE WAYNE NABORS who died on December 25.2018 - in the city of Sebastian, county of Indian River, and State of Florida. Your loved one was cremated on 18-73380-5316 1-1-17 Permit # Date of Cremation gREfr vt Tag# Cremator Thank you for allowing us to serve your family CITY OF SEBASTIAN 11681 ADMINISTRATIVE SERVICES RECEIPT Name ,&�, ;0 aEn) O Cash C/ Data T �q jq Check # 1'I I O Credit Amount Paid 6Ir7 GIr7 F�rI:IrIr7 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001 218010 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 0©1501 3439(55 o/c ' - •00 (JAd,r 4 BIrt3 Ll cpf pj Total Paid Initials White -Dept. of Origin - Yellow -Admin. Svcs. - Pink -Applicant CITYLf AST HOME OF PELICAN ISLAND Certificate No. 2622 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: Charles Santichen 449 Tunison 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 lots: Unit 4, Block 13, Lots 40A & 40B 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 15th day of March, 2019. CITY OF SEBASTIAN, FLORIDA ATTEST: Paul E. Carlisle City Manager /ti'�,n.eff ]anette Williams, MMC- ity Clerk _ - CffvLf HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772)589-5330 Phone March 20, 2019 Mr. Charles Santichen 449 Tunison Lane Sebastian FL 32958 RE., Interment Rights to Unit 4, Block 13, Lots 40a & 40b, in the Sebastian Municipal Cemetery. Dear Mr. Santichen, Enclosed is City of Sebastian Certificate 2622 entitling you to full interment rights in Unit 4, Block 13, Lots 40a & 40b in the name of Charles Santichen. If you have any questions, please contact our office at 388-8209. Sincerely, Cathy sta Reco s Clerk Enclosure Car Of HOW OF PEUCAN MAND 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. �zeS �r�ra-ICti+� Name(s) - —lr UlJtsorj Laxia &64-s-rm+ Address '7i�•e3-rcS�c3 Area Code & Phone Num er t (�y ZLI KA-6or'S Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of 6NL `r*M4-f\(b Dollars ($ 00) on this i day of I + tf �ti�l 20 /q for the purchase of the following described Cemetery Lot(s) and/or Niche(s). ,, Unit —4, Block 1-3 , Lot(s) 48A v+k 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: Comer Markers (set of 4 - $20) Opening & Closino Vase and Ring for Niches (cost) Interment Temporary Marker Preparation & Installation wx,44 Jam Signature of Purchaser I:\WW-DATA\MsCemetery%RECEIPT.dw /W O H Circle One Disinterment TOTAL $ City of Sebasti The following documents were provided as Proof of Residency: and CITY OF SEBASTIAN 11669 ADMINISTRATIVE SERVICES RECEIPT Name &MC� ❑tl�Cash Date 3 /19 ].Check# /4�Jh� O Credit Amount Paid 001001208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010369900 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 (/CICIC Zoning Fees gto 1� I IL 13 �!s�wT�5 Total A �' CC . Initials White - Dept. of Origin • Yellow -Admin. Svcs. • Pink - Applicant N '" a SESTIAN HOME Of PELICANISLANDISLAND Certificate # 1969 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: Joseph F. and/or Jean M. Walsh 1212 Gardenia Dr., Barefoot Bay, Fl 32976 (name) (address) in and for consideration of the sum of $1,150.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plots: Unit _ 4_ Block _13_ Lots_ 40a & 40b_ of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 28nd day of June, 2004 OF SEBASTIAN, FLORIDA pi�R. Moore Manager L"I - - - I A. Maio, CMC City Clerk N SESASTI%q _K HOME Of PELICAN ISIAND I(�v�// �� City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase 4- 2 (0& 6- I e & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: Z976 ($ 0,Q0- ) on this Z day of �aVi2. v 20_�L for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit _q, Block # t3 , Lot(s) qQ A d- b N 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 Disinterment TOTAL $ Q nature of Purchaser ty of Sebastian Service fees are to be paid at time of need only I:\WW-DATA\Ms CemeterylRECEIPT.doc W O H Circle One r i�C � QTY OF SEIMASTIAN HOME OF PELICAN ISLAND Certificate # 1969 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Joseph F. and /or Jean M. Walsh 1212 Gardenia Dr., Barefoot Bay, Fl 32976 (name) (address) in and for consideration of the sum of $1,150.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plots: Unit 4 Block 13 Lots 40a & 40b of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 28nd day of June, 2004 ITY OF SEBASTIAN, FLORIDA AT71S"': r L / errenae R. Moore Sal A. Maio, CMC City Manager City Clerk C,lJ A-,I a � a June 29, 2004 Mr. & Mrs. Joseph F. Walsh 1212 Gardenia Drive Barefoot Bay, Fl 32976 Dear Mr. & Mrs. Walsh: Enclosed is City of Sebastian Certificate Number 1969 for the purchase of Cemetery Lots 40a & 40b, Block 13, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sinnperely, , Sally A. aio, CMC City Clerk SAM: ar enclosure an of SEBASTKN I HOME OF PELICAN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Name(s) ' 1212 6ardeDia DE Address (772)(6Lo 3 I X56 Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: FL 3 Zq 76 Dollars ($ 1150, Lo ) on this Z +6 day of TtW e, v , 2004 for the purchase of the following described Cemetery Lot(s) and /or Niche(s). Unit _, Block V �, Lot(s) -1 (s d fh d- b 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 Disinterment TOTAL $ q�6� DfIL 21 h e nature of Purchaser ty of Sebastian Service fees are to be paid at time of need only I: \W W- DATA\Ms- Cemetery\RECEI PT.doc W O H Circle One JEAN M. WALSH 472 JOSEPH F. WALSH 1212 GARDENIA DRIVE 51-110/211 BAREFOOT BAY, FL 32976 DATE '0 BRANCH 95199 PAYT07HE ORDSI p"Yw , + 6 First Union National Bank 'tea firstunion.com Org. 020 R/T021101108 FOR 1:02110L 81: 10 LOO 38 L 33G3 Ci ijg 0472