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Certificate # 1922
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Certificate of interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Richard & Christine Nevor
(name)
(name)
P. 0. Box 780609, Sebastian, F1 32978
(address)
(address)
in and for consideration of the sum of $1, 400 . oo , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 13 , Lot(s) 1B , 2B , 3B , 4B
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 � th day of November � 2003
City
OF SEBA�T`IAN, FLORIDA
ATT �ST:
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Sally A. aio, CMC
City C erk
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Date of Mark-out ✓—��/�
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Date of Burial ��5�//�' Time � 5
Name of Funeral Hor�re S�� �!t{�s�
Authorized by
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In Memory of
Catherine Kuduk
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May 23, 1918 - December 02, 2009
Catherine (Kitty) Kuduk died on December 2, 2009 at Indian River Medical Center.
Mrs. Kuduk was born May 23, 1918 on Long Island, NY and has been a resident of
Florida since 1974 coming from Bayshore, NY.
She spent the last 26 years in Sebastian enjoying gardening, cooking, sewing and her
family. Surviving are her daughter Christine (Richard) Nevor of Sebastian, son Martin
Peter (Luann) Kuduk of Vero Beach, grandson Michael Kuduk of CA, Scott Kuduk of
PA and Nicholas Nevor of Orlando and 3 great-grandchildren. She is also survived by
her sister Jean Muller of Sun City Center, FL She was preceded in death by her
husband of 63 years Marion Kuduk.
Arrangements by Seawinds Funeral Home & Crematory, Sebastian, FL
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Mar 11 1009:40a SEAWINDS FH 17725891939 p.1
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FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL QPENING IN SEBASYfAN MUNICIPAL CEMETERY
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S��T�N
Kca+E oF v�uc�N isuNo
For in`ormation contact:
Krp Ke/so - Cemeiery Sexfon
Sebasrian Municipal Cemetery
i:- � 177z� 5as-z54s
. City Clerk's Office
-� Crty Nafl, 1225 Main Streef
Sebastian, F�. 32958
O�ce (772) 388-829 5 or 388-82? 4
Fax: (772) 589-557C
FUNERAL HOME: �R� t'f� DS �� .
ADDRESS: r7 35 ��� � 1 N -ST. �S3 �l
PH�NE#: "772-S6g-I�f33
(Check One)
OPEN BURIRL LOT Lot Block Unit
./OPEN CREMAINS LOT Lot � Block � Unit �
OPEN COLUMBARIUM NICHE Nicne Block Unit
N S E W
BUR�AL DATE AND SERVICE T{ME: �' 15-1� I l' Oo-l�- �.]� S_2Jtct=�Sf- �.k�-G
FOR DECEASED: C�`i-��R►U� Ku Du j:
Name
AME A�lD SIGNATURE OF LOT Ob�lNER OR REPRESENTATIVE:
{ti9ust provide proper documenfation of ownershi � .
G�,tz.'s-r, a� til �r o�. . s:�i'� �/�(,% G�L 1 z-3-oa
Name Signature Date
1 oertry that I have determinad Ehe ownership of the aGove described site, that alI site fees and
administrative fees have been paid and authorize opening of same.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
�,,. �.�. � � ,�, �o��, 2.� 3�-/1-� o
Name gnature � �ate
Cemeiery Sexton Certification:
! certify that 1 have checkec the awnership information by viewing the owner's deed and confirming
with Clerk's office and that all fees have been paid:
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Ce �t Sexton Date
ThES form to be provided to Cferk's Office by Sexton for permanent record upon completion.
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HOME OF PELICAN ISWVD
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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
pr�d at time of purchase
9` ��7/Lis'��/r N � v
e(s)
3 . ,c3 �
Address
77z - s-�p-
Area Code & Phone Number
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Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
Dollars ($� d0. � � )
on this aay of �tJ , 20$� for the purchase of the following
described Cemetery Lot(s nd/or Niche(s).
Unit �' , Block ��, Lot(s�.�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 ��s`� O a W O H
Circle One
Vase and Ring for Niches (cost) Interment � o. D d Disinterment
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�,T^ L $ / %s d a
Signature of Purchaser
of Sebastian
Service fees are to be paid at time of need only
I:1W W-DATA1Ms-Cemetery\RECEIPT.doc