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Home My WebLink About3-COL-04DsName OF 1-1 Unit II Block e o h Lot Date of Mark -out / Date of Burial ��/ l Time Name of Funeral Home Authorized by�I Name ` v Unit Block (f e> �, Lot Date of Mark -out Date of Burial ,,�,.f ��6 Time Name of Fune Authorized by WALTER CHESTER RCIZMERSKI Walter Chester Rozmerski, born in Newark, New Jersey, April 7, 1934, passed away peacefully October 23, 2014. A devoted husband, father and grandfather, he is survived by his wife of 60 years, Dorothy; daughters: Cynthia Guimaraes, Judith Jensen, Justine Rozmerski; and son, Gregg Rozmerski. Grandchildren,lan Guimaraes, Ryan Jensen, Zachary Lachowski and Gregg Nicholas Rozmerski. He was preceded in death by his granddaughter, Carly Kronenberger. Mr. Rozmerski enjoyed a lifelong career as a pressman, ultimately establishing his own successful printing business in New Jersey. He, along with his wife, eventually retired to Florida. Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of: Walter Rozmerski October 23, 2014 October, 29 2014 (Date of Death) (Date of Cremation) Strunk Funeral Home and Crematory Vero Beach, Florida (Funeral Home in Charge) (City and State) 3820 By: u (Cremation ID Number) matorSignature MYOF SE$�' NOME OF PELICAN ISLAND Certificate # 1917 CI Yj 0)F/ SEBA ST1AN1 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Walter and/or Dorothy Rozmerski 6794 Sinsonte Ct., Ft Pierce, F1 34951 (name) (address) - (name) (address) in and for consideration of the sum of $2,025.00 , has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 3 , Block COL , Lot(s) 4Ds 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 23rd day of September , 2003 Sally AJC Iaio, CMC City Clerk t CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only htput Date Fiscal Period Document # Entered By Document Amount # of Lines Total HC Hash Due Date To Be Completed By Department 11/7/2014 Single Check Y / N y Vendor Number LN Organization Object TC Reference Code Code Project Code Amount 601010 343800 $100.00 Description Number of Lines On behalf of the family, Strunk overpaid for services. See copy of receipt #4944 attached Amount $100.00 ISSUE CHECK TO NAME Strunk Funeral Home ADDRESS Attn: Tim 1623 N. Central Avenue CITY Sebastian STATE FL ZIP CODE 32958 DRAW CHECK FWM SEE BELOW APPROVED B DATE BUDGET APP 0 6� MAO. ATTACHED DOCUMMATION MKcept for remit slips, requesting department should attach a copy of documentation along with the original) OTHER INSMUCCtONS Please give clerk's office copy of the check CITY OF SEBASTIAN CRY CLERK'S OFFICE 49/, /. RECEIPT 7 4 4 Name -SI 1 r tt.LmLZleo Zrntr-5ic Date Q- 2-q- - t q No. 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. ❑ Cash p Check 71 qU Amount Paid 001501341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees _ 601010 343800 Cemetery Lots -f615 () _ LoUNiche U, J . Block `-0 Unit -3 001501 343805 Cemetery Fees W Total Paid Initials White - Dept of Origin • Yellow - Finance • Pink - Applicant 10/28/2014 16:01 7722287079 CDS AIR BLDG PAGE 01/01 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso. Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388.8215 or 388.8214 Fax. (772) 589-5570 FUNEP.AL HOME: Strunk Funeral Home and Crematory ADDRESS: 91617th Street, Vero Beach, Florida, 32960 _ PHONE#. J72-562-2325 (Check One) OPEN BURIAL LOT OPEN CREMAINS LOT XXXX OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE Lot—Block—Unit Lot—Block—Unit Niche 4 DS Block Unit 3 N -$ —I,- W , November 6, 2014 @ 2:00 PM FOR DECEASED: Walter Rozmerski Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) ��M PITr r,---91Wril 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. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin �L �D_ Z8 - Name Signature Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: ro Awy Ceinefery SS Aon Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. MYor SEBAS,TIAN HOME OF PELICAN ISLAND 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 provided at time of purchase 672 ��s�s� C�u� �7�/,�lzc�_L �f9s/ Address I�Ar.rl e & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: on this ��day of described Cemetery Lot(s) d/or Niche(s). .A- a--� Dollars 20Q;7 for the purchase of the following Unit , Block �, l@4(s)X2 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 Vase and Ring for Niches (cost) •.Fg. Od Interment Signature of Purchaser W O H Circle One Disinterment TOTAL $ 3Q . U a a'e69. eo Service fees are to be paid at time of need only I:\W W-DATA\Ms-Cemetery\RECEIPT.doc (D o 00 N 8 OD rn U rf �4 CC � m F A c 3 a �a Y N U) W Wrn Lug M N114 o0-uj OCC -,w tY=Nw F- W Z— a Q�rn°r 3c6° CITY OF SEBASTIAN 210 5 CITY CLERK'S OFFICE RECEIPT 1 Name ❑ Cash Date heck #� No. Amount Paid 001001 208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/NiicheAX-- Block / Unit 001501 343805 Cemetery Fees Total PD0o�®� ai � nitials White - Dept. of Origin • Yellow - Finance • Pink - Applicant September 26, 2003 Mr. & Mrs. Walter Rozmerski 6794 Sinsonte Court Ft. Pierce, Fl 34951 Dear Mr. & Mrs. Rozmerski: Enclosed is City of Sebastian Certificate Number 1916 for the purchase of Cemetery Niche 4Ds Columbarium, Unit 3. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sincerely, Sally A. 'o, CMC City Clerk SAM:ar enclosure 772- ayy 10F HCflVW CSF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 Telephone (561) 589-5330 FAX (561) 589-5570 January 29, 2003 Ms. Dorothy Rozmerski 6794 Sinsonte Court Ft. Pierce, FI 34951 Dear Ms. Rozmerski: 3 CSL q D,s It reference to your letter regarding the availability of columbarium niches, I am enclosing that rates for same and the Ordinance that governs to Sebastian Cemetery. The new Columbarium will be erected shortly and we will be selling the niches on completion. I will put your name in the information booklet. As I told you when I spoke to you, please feel free to contact me at anytime at (772) 589-5330. Sincerely, Kip G. Kelso, Jr. Cemetery Sexton Enclosure CITY OF SEBASTIAN HOME OF PELICAN ISLAND CITY OF SEBASTIAN MUNICIPAL CEMETERY LOT/NICHE PRICES PROPERTY DESCRIPTION (a) CITY RESIDENTS (b) COUNTY RESIDENTS (c) OUTSIDE COUNTY 4'x8`and4'x10'Lots $700 $950 $1125 4' x 4' or 4' x 5' Cremains Lots in specified Blocks of Unit 4) 350 475 575 Columbarium Niches - Single 900 1150 1350 Columbarium Niches - Double 1350 1725 2025 Corner Markers (Set of 4) 20 20 20 Vase and Ring for Niches cost cost cost (a) Residents who reside in the corporate limits of the City of Sebastian and in the unincorporated area of Indian River County, located north of the City of Sebastian, more particularly known as Roseland (b) Residents of the unincorporated area of Indian River County, other than that area north of the City of Sebastian, more particularly known as Roseland, (c) Residents of all other locations other than that described in (a) and (b) above. INCLUDED WITH PURCHASE. The purchase price for In -ground interment sites includes sodding of the grave site and perpetual care, but does not include the cost of installing a suitable concrete foundation for grave markers a! required by Section 34-18 of the Code of Ordinances of the City of Sebastian. The purchase price for niche interment space includes a bronze plaque provided, engraved and mounted by the City of Sebastian. CITY OF SEBASTIAN SERVICE FEES PAID AT TIME OF NEED ONLY OPENING AND CLOSING COSTS FOR LOTS AND NICHES *opening Includes placement of cones & signs for parking, pest control, flagging & spraying burial site, temporary markers, marking site for monuments, removal of niche doors, placement of curtain for niches, flag at half staff for vets *closing includes removal of cones & flags, replacing niche doors, installing niche plaques, removal of flowers after service Weekday................................................................................. $75 Overtime (after 3:30 pm weekdays and Saturday)............ $125 Holidays.............................................................................. $150 Cremain & Niche Interment (this fee is in addition to the above service fees)...............................$20 Cremain & Niche Disinterment (this fee is in addition to the above service fees)..........................$20 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 589-5570 FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 916 17th Street, Vero Beach, Florida, 32960 PHONE#: 772-562-2325 (Check One) OPEN BURIAL LOT Lot Block Unit OPEN CREMAINS LOT Lot Block Unit XOPEN COLUMBARIUM NICHE Niche 4 DS Block Unit 3 N S E W BURIAL DATE AND SERVICE TIME: 2-19-2016 @ 3:00pm FOR DECEASED: DOROTHY ROZMERSKI Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Name Signature ate 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. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Gary D. Evans Vieyeumy 2/16/16 Name Signature Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT 9 9 8 2 Name Strunk/Rozmerski Ll Cash Date 2-16-16 jaCheck# 1 O 3 ❑Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit- 001501 362100 Taxable Rent- 001501 362150 Non-Taxable Rent- 450010 369900 Airport Badge 001501 329500 Alarm Permits 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501 341920 Copies 001501 369900 Miscellaneous Revenue 001501 359000 Other Fines/Forfeitures 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 343805 o/c 150.00 Total Paid 150 .00 if,Is White-Dept.of Origin • Yellow-Finance • Pink-Applicant Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of: Dorothy Rozmerski January 26, 2016 February, 2 2016 (Date of Death) (Date of Cremation) Strunk Funeral Home and Crematory Vero Beach, Florida (Funeral Home in Charge) (City and State) 4373 By: r (Cremation ID Number) (Crema!t ignature) VERO BEACH CREMATORY, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 CERTIFICATE OF CREMATION Cremated Human Remains of Dorothy Rozmerski