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H;�ME QF PELI�I�►l�l ISLA�tVD
Certificate No. 2252
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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:
Mae Chadwick 766 Wilson Terrace, Sebastian, FL 32958
(name) (address)
In and for consideration of the sum of $500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 13, Lot 17A
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 15t" day of April, 2010.
CITY OF SEBASTIAN, FLORIDA
.
Minner
Manager
ATfEST:
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E;d(- o�'��.
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Sally . Maio, MMC
City Clerk
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Authorized by
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In Memory of
Mildred Frances Chulada
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December 22, 1924 - April 07, 2010
Mildred Frances Chulada, 85 of Sebastian, FL passed away Wednesday, April 7,
2010 at Sebastian River Medical Center.
She was born December 22, 1924 in Boston, MA and was a resident of
Sebastian for 16 years, coming from Miami Beach, FL.
Ms. Chulada retired from Winn Dixie Supermarket as a cashier after 35 years.
Survivors include her sister May L. Chadwick of Sebastian, FL; one nephew; two
nieces; two grand nieces and two grand nephews.
Private services will be held. Inurnment will be held at Sebastian Cemetery.
04114/2810__19:40 � " 7725695570
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QPE J BURIAL
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BURfAL DE TE AND ;
�oR aEcE asEn: 7
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(Must provi le proper
N�tne � �
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administrati �e fees ha�
n�AME ANC SiGNA7U
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( certify khat I have che
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This form to be provlde
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CITY OF SEBASTIAN PAGE 01
'I I i G�Cy1y;1y p.1
!1NERQL DIRECTOR'S REQUESTTO C17Y OI' SEBASTIAN
BUFtIAL OPENING IN SEBASTIAN MUIYICIF�AL CEMETERY
S�Ba��AN
NOUn( Oi PFLKAN �iL1Np
For information contacL'
Kip Kelso - Cemefery Sexlon
Sebssfran Municipa! Cem�fsry
_ � (772) 589-2�'a5
CIYy C/erk's O�ce
-�. Ciry Hafl, f 225 Main Streef
. . Sabastian, F,L 32858
Oltice (�72).388•8215 or 388-82�4
Fax: (772) 589-5570
� Wf NDs F(,lA3�P.A-L HOh1i=
S. '� M/!UG ST.
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OT I_ot 6lxk Unit
5 LOT Lot � Blpck /�_ U ni t�—
�RIUM N1CHE Niche 61ock Unit
N S E W
RVICE TIME: `� I/S,�l G q i4M �, _
E OF LOT pWNER OR REPRESENTA7IVE:
:urnentation of ownersitip) _
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1 t, c. � ��eC,�� 1`� !.d
SignaWre Date
nined the ownership of the abov� described sil2, that ail site fees ar,d
been paid and autY�orize opening of same.
: OF LIC�NSED FUNEF}�L DIRECTOR: ,,
_--_--____.----- --_----------,,._.__--__—_...��•----�------..�—..---
;ation:
;�d the vwnership inform�tion by viewing the ov�ner's deed and confirming
at all fees have been paid:
- y/�/�-
Date
to Gle�ic's Office by Sexton. ior permanent recorcl upaz complelion.
Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Beach, Florida 32960
We hereby certify that these are the cremated human remains of.•
Mildred F. Chulada
April 7, 2010
(�ate of Death)
Seawinds
Funeral Home & Crematory
(Funeral Home in Charge)
02041
(Cremation ID Number)
April 13, 2010
(Date of Cremation)
Sebastian, Florida
(City and State)
By: �
(Cremator Signarure)
0
Feb 13 2009 11:49RM COS CEMETERY
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