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Certificate No. 2064
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Certificate of Interment Rights
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iN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Paul & Evelyn Adrian 1982 E. Lakeview Drive, Sebastian, Fl 32958
(name) (address)
in and for consideration of the sum of $350.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following plot/niche:
Unit 4_ Block _13_ Lot(s)Niche(s)_19a
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 10�' day of February, 2006.
IDA AT'�:
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Sal Maio, MMC
City Clerk
_ _.. __ _--- ----------- __ _-- — _ __ _ _ _ ___ __ _---- _ _ _ __------
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Name �f � �'�i t i f �� � �.�
Unit �
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Block # � l., o;' � �` `M f� �.� G 1�' �..� t.. �t .
�ot 1 � �-�
Date of Mark-out � � 7� � �
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Date of Burial �� � ��
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Name of Funeral �ome �" �y -� '�~
Authorized by
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Time � � ` �� ;' � ��
�IE����T�� cCIE�I�� ���I��
Sebasuan, Flon
— �° –
735 Fleming Street • Sebastian, Florida 32958
www.seawiudsfh.com
(772) 589-1933
We hereby certiTy that these are the remains of
DELPHIA REESER __ _ , The remains were received
from SEAWINDS FU___ NERAL _ HOr.E
06-2617-028 ��ued at INDIAN RIVER COUNTY
Cremation Permit No. --
Date of Death FEBRUARY 9, 2006
FEB. 13, 2006 gy SAM COBURN
Date of Cremation Cremator
SEBASTiAN,
. Delplua Re�ser �
Delphia R' er, 9'1,:died Feb. '�
� g, 2p06i at_her;. ome. ;
She was bo.: in Livingston, ;
Tenn., and li�red in Sebastian `,
for 15 years, c'�ming 4rom Liv- �
ingston,
`� Before reti �ment; she was a�
seamstress. ; �
� Survivors inclade her ,'
_ �
: daughter, �v�lyn�Adrian of Se-
bastian; son, : Bil� Vaughn of
Crossville, Tenn.;„ one grancl-
chilcl; and two gr�t-grandchil
dren. ,.
SERVICES: A; service will be
private. Arrarigements are by
<Seawinds Funeral` Home and
Crematory, Sebastian. Conda �
lences may be sent through
www.
seawindsfh.com/obit.php.
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1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
February 10, 2006
Paul & Evelyn Adrian
1982 E. Lakeview Drive
Sebastian, Fl 32958
Dear Mr. & Mrs. Adrian:
Enclosed is City of Sebastian Certificate 2064 entitling you to full interment rights in Cemetery
Lot 19a, Blk 13, Unit 4. Also enclosed is a copy of the receipt and the Rules and Regulations
governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sin „
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Sa11y M ' , MMC
City Clerk
SAM:ar
enclosure
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City of Sebastian Municipal Cemetery
Purchase Receipt
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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
.
�, �_ c]"_ �� n O��„ i � a �.. __ .
Name(s)
Haaress - � � - �
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Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
O�ce Use On/y
Receipt is acknowledged in the sum of:
��O D i � �-,� � � . 1��'1P/C_!� �! " " �--�Z��
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on this l� day of �
described Cemetery Lot(s) and/or Nic e(s).
Dollars ($� � �a )
2��_ for the purchase of the following
Unit , Block /� , Lot(s) ,/ �� 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 ��� O H
Circle One
Vase and Ring for Niches (cost) Interment
5 � Disinterment
�e �
A
! G�
Signat e of Purchaser
Sebastian
Service fees are to be paid at time of need only
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:; DELPHIA REESER 24,7
` EVELYN ADRIAN
� PAUL R ADRIAN %F
" Su5 S EASY STREET PH. 772-589-9$05 � 63-&t�9/2670
�` SEBASTIHN. FL 32958 " a:-G� - -� � _%= '� �cH oos
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