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Home My WebLink About3-COL-16DsName Unit Block Block Lot Date of Mark -out Date of Burial �Kz, / /� Name of Funeral Home Authorized by Time%oDt e N. - Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian Municipal Cemetery Funeral Home:g �, L Address: Phone: (Check) Open Burial Lot Open Cremains Lot Open Columbarium Niche Burial Date Deceased Contact Information: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery Phone (772) 589-2545 Fax (772) 228-9927 City Clerk's Office Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Phone (772) 388-8209 ctesta(a)cityofsebastian.org Lot Block Unit Lot_ Block_ Unit_ Niche,jTp Block c"- Unit_3 (Circle) N S E W Name and Signature of Lot Owner or Representative: (Must provide proper documentation of ownership) Print 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 authorized opening of same. Name and Signature of Licensed Funeral Director: Print Name Signature Date 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 Certification: �j yid i Cemetetry SeVon This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Ditrapano, Elizabeth From: Cathy Testa [CTesta@CityofSebastian.org] Sent: Tuesday, February 28, 2017 9:03 AM To: Ditrapano, Elizabeth Subject: Burial Hi Ms. bitrapano, I am the records clerk at City Hall in Sebastian. Kip Kelso asked me to touch base with you regarding the burial of your Mother. We would need you to send $50.00 for the opening of the Niche. Please make the check payable to the City of Sebastian at least 10 days before the date of the burial. The address to City Hall is 1225 Main Street, Sebastian, FL 32958 and please put ATTN: Cathy Testa on the envelope. I will then make sure Kip knows that the payment has been received. We would like to have your Mother's full name, her date of birth along with her date of death for the plaque. I wanted to make sure that you would like your Mother to be in the same Niche as Angelo which is Niche 16. If you are sure about the date of 4/10/17 we will mark that date and be ready for you when you arrive, we would just like to know a time. If anything changes please let us know. Please contact me if you have any other questions or concerns. Cathy Testa Records Clerk City of Sebastian 1225 Main Street Sebastian, FL 32958 772-388-8209 CTesta@cityofsebastian.org Lisa DiTrapano 974 Main st # 30 Wakefield,Ma 01880 yv� A e— C -A 2� T m.s� -,i2 Pe A N D lTJ r�)3,2 - �J) eA ,t l , 5 VJ-M'e_ 1 rJ 1 CIA %P- A -S {�r\g .e [ 0 CITY OF SEBASTIAN 10420 ADMINISTRATIVE SERVICES RECEIPT Name 'l'_RA PA -6J r) v Cash Data 1(0' 7 Wheck# 353 ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees C)71Sy I 34376S J_t (0- '�o LAN it 3 LI_ IL ns Vps Total Paid itials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Liz Ditrappano 974 Main St. #30 Wakefield, Ma 018800 Pay 10 ,l; l Lvh ��Y Ordcrpp. ,I � HAMARa�/ [HveEurtvl� Camb�ntlg(f�, MA For— -- -- -58-817312113 _- BRCH2 s 5-O.�V.. J Dollars EG Off OF SE48�T�IAN HOME OF PELICAN ISLAND 00p Certificate # 1948 CITI V OF SEBASTI I Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Margaret M. Di Trapano 962 Chelsea Avenue, Sebastian, FI 32958 (name) (address) in and for consideration of the sum of $1,350.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit _ 3_ Block _COL , Lot(s)_16Ds _ 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 3rd day of March, 2004. CY rOFSYEPASTIAN, FLORIDA Terrence R. Moore City Manager O TEST: Sall . Maio, CMC City Clerk 0 t' - Cr Name A fAr\o : Unit Block Lots Date of Mark -out ` Date of Burial 00 Time L 0 Name of Funeral Home` Authorized by Ln F �illllll c v V � m g rs CL g d • • s a .ri e s OY OF ASTIAhl HOME OF PELICAN ISLAND March 3, 2004 Margaret M. Di Trapano 962 Chelsea Avenue Sebastian, Fl 32958 Dear Mrs. Di Trapano: V OA ;P::21 Enclosed is City of Sebastian Certificate Number 1948 for the purchase of Cemetery Niche 16DS, 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. Sin rely, rj Sally A. o, CMC City Clerk SAM:ar enclosure alror SlAASTIM HOME OF PEUCUN 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 Name(s) Address " 77..7- Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: "ROW on this ?d.� day of , 20�for the purchase of the following described Cemetery Lot(s) and /or Niche(s). Unit o? , BlockGo_, Lot(s) for Niches) 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 W O H Circle One Vase and Ring for Niches (cost) Interment Disinterment Sig ature of Purchaser Vity of Sebastian Service fees are to be paid at time of need only I:1W W- DATA\Ms- Cemetery\RECEI PT. doc 1 ANGELO DTI'RAPANO, R. OR MARGARET M. DRANO 962 Chelsea Ave. Sebastian, FL 32958 l PkYTOThfE -� I 014 2157 83- 843/670 DA / a� BRANCH 006ES /sra 06 DOLIAP.S OWN j r V t!t FkW Won AMNOW Bm* BmefuBankbWo Org. 003 RIT 067006432 4 LL. / L - . N = W S U. Q O � W Y co a? Y O�O V � S 0. Q7 a `q C N LL •J llqq `O O c' cc qt CIO 0 U J W V J C d_ 4O a� 6 O F y Q d Y w �i 1 0 I ! O O e 1 y �3 e O pp p p p Z S S S S S S S C d_ 4O a� 6 O F y Q d Y w �i 1 0 I ! O O e 1 y �3 e NAME: R�2 (First) NIPA PLEASE PRINT S Pace b e,+w eert i T(d pang r )�?, (Nddle) (Last) DATE OF BIItTH: OS p '71 � a (Month) (Day) (Year) DATE OF DEATH: (Mom') (Day) (Year) __SIGNATURE: PRIlf SIGNATURE:r x,44 DATE: 0310 / /D FOR OFFICE USE ONLY Unit 3 Doubles / South j COLUMBERIUM: (South) MCH NUMBER: F� �� DECEASED NAME: DATE OF PLEASE PENT rst)(0, 5 . R( rn y� (Middle) eig r� ( Month) (Day) DATE OF DEATH: Q (Month) SIGNATURE: PRINT SIGNATURE: DATE: 0 -1;,- Unit 3 FOR OFFICE USE ONLY Doubles / South f COLUMBERIUM: (South) NICH 3 .O-W-Am S pace n0 Z�� (Last) a (Year) D (Year) v Y