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HomeMy WebLinkAbout4-13-18b0 �� 5���� _�� . HOME OF PEUGN ISUND Certificate No. 2038 ��� ��� ��������� Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Robert Gatchell 159 Caprona Street, Sebastian, FI 32958 (name) (address) in and for consideration of the su.m 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 18a & 18b 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 30th day of August, 2005. :IDA ATTEST: W _ Jeanette Williams, CMC Deputy City Clerk 0 O O G � . . Name Unit BloCk �ot / � /3 Date of Mark-out �!t� O! � - Date of Burial �// Q��/'L� Time �� �oo !� • �G/(' �G� Name of Funeral Home s/ K� ��� '�.�,,� �.� A Authorized by � � 7 N N � S m I O � 0 fQ � . ! f T � Y m . v, � r � s °�, � � ei d m a °.• �� � .Q C 0 � c 'c G 0 0 � 0 A � � o b� $ o o $ z v z o m a o cn v, v, v, o eo 3 0 0 0 0 0 0 �n A .P A A N O W N OD OD tD t0 (D (D O 0 0 0 0 o s r ' m � o�` m m v o c�i n�i (�p L � � � �� �p f�ii .� N .� = G � (n � -n r c � n m O G1 � (n N � � � °a. � � � . fT� =n � -" �/+ � x \ � c � I I I , � � I � � � � n n s d f�f N x � � D o -J C �.�-' d a �� �� � mm0 n � H .m—o �n omo -� O y T � T S n 2 m V J �T \ �� � � T ' �� �. � ^ � V,1 cn � Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify thai these are the cremated human remains of: Patricia F. Gatchell April 3, 2012 (Date of Deaih) Strunk Funeral Home & Crematory (Funeral Home in Charge) 02760 (Cremation !D Number) April 9, 2012 (Date of Cremaiion) Sebastian, Florida (City and State) By: emator Signatu PATRICIA F. GATCHELL Born: April 21, 1938 - New York, NY Passed Away: April 3, 2012 - Palm Bay, FL Mrs. Patricia F. Gatchell, 73, died Aprii 3, 2012 at Wiiliam Childs Hospice House, Palm Bay. She was born in New York, NY and lived in Barefoot Bay for 18 years coming from New Milford, Connecticut. She received her Bachelor's Degree from Western Connecticut University, Danbury, CT and was a bookkeeper for Stop and Shop Food Stores in New Milford, CT. She was a member of St. Luke's Catholic Church, Memoires Writers Group, VFW Auxiliary, Homemakers and the Hibernians all of Barefoot Bay, the Embroidery Guild of America and the Treasure Coast Geological/Archeologist Digs, Sebastian. Survivors include her nieces, Katherine O'Hare of Barefoot Bay, Theresa Anne Moore of Sebastian, Joan Strubel of Dumont, NJ; nephew, James ]. Moore of Newton, NJ ; stepsons, Bob Gatchell of Boise, ID, Don Gatchell and Peter Gatchell both of Waterbury, CT; stepdaughter, Debbie ]ones of Waterbury, CT. She was preceded in death by her husband Donald in 1994. vd� ( � b FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBAST(AN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY �� HOME� OF PEl1G1N ISIND For information contact: Kip Kelso - Cemefsry Sexton � Sebastian Municipal Cemetery (772) 589-2545 City Clerk's O�ce City Ha!!, 1225 Main Street Se6astian, FL 32958 Office (772} 388-8215 or 388-8294 Fax: (772) 589-5570 STRUNK �UNERAL HOME & CREMA39lRY FUNERAL HOME: 1623 No. Central Ave. ADDRESS: SEBAS7IAN, F!. 32958 � �7��-589--10A0 PHONE #: (Check One� OPEN BU RIAL LOT Lot Block Unit �OPEN CREMAINS LOT Lot �� Block � Unit � OPEN COLUMBARIUM NICHE Niche Block Unit /� ,'�op• S E BURIAL DATE A SERVICE TIME: I��� � I �I � ' FOR DECEASED: a�r� �/I � � �Qi� � Name � i ��i�►��S i� NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Mu t provide proper documentation of ownership) GL �., � 1,� �ll n � �l�- Name Signature Date I 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. �M AND SIGN TURE OF LICENSED FU �n Name S Ly' nature C� �' 1 D� ���-- Date Cemetery Sexton Certification: � I certify that t have checked the ownership information by viewing the owner's deed and confirming with Clerk's o�ce an that all fees have been paid: . y a / . Ce ete S xton Da#e This form to be provided to Clerk's Office by Sexton for permanent recard upon cornpletion.