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Cert�cate # 1950
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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:
Eugene Dernbach
(name)
757 Forster Avenue, Sebastian, FZ 32958
(address)
in and for consideration of the sum of 700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit _ 4 Block 13 , Lot(s)_9B & l OB_
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 19th day of March, 2004.
IDA ATTES,�.
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Sally .1Viaio, CMC
City Clerk
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Name
Unit
BloCk
Lot�l�` �
Date of Mark-out `�" � 1 � � '�
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Date of Burial `,� ���� �'� Time / ��.r ��%:1��
Name of Funeral Home°� _ �� � � �f���
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Authorized by � . ' : , -- ,
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Sebastian, Florida
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735 Fleming Sueet • Sebastian, Florida 32958
www.seawindsfh.com
(772) 589-1933
We hereby cefify that these are the remains of
ROSEMARIE DERNBACH
The remains were received
naR, SEAWINDS FUNERAL HOME
Cremation Permtt No. 04-2617-067 Issued at INDIAN RIVER COUNTY
Date of Death MARCH 23 2004
Date of Crematfon BY
Cremator