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HomeMy WebLinkAbout3-COL-33Sn- - - - - - _Certificate No. 2188 CITY OF BASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Anthony & Rose Masi 851 Dunn Terrace, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $1,200.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 33sn of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk (This deed supersedes the previous deed dated February 20, 2009, giving Mr. & Mrs. Masi interment rights to Unit 3, Columbarium, Niche 40sn) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 28th day of July, 2010. CITY OF SEBASTIAN, FLORIDA ATTEST: city Manager Sally aio, MMC City Clerk Name IXA164 , 6'5 ,� l �'.,E ".� �,►CS ) 'S Unit Block Lot .P4ifjf/�iP� !i Date of Mark -out Date of Burial /�(,D Time Name of Funeral Home Authorized by �� Certificate No. 2188 CITY OF SEBASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Rose Masi 851 Dunn Terrace, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $1,200.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, COL, Niche 40SN of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. COP�VEYEQ THIS 20th day of February, 2009. BASTIAN, FLORIDA Al Minner ty Manager ATTE,S-T,: Sally . Maio, MMC City Clerk MOF X Sioux s: HOME OF PELICAN ISLAND. Certifica 0.2188' r CITE OF SE$x�T Certificate of Interme "` Rights -P ' ANCE .w th rovisions af. C de of Ordinances of City �of IN ACCQ p i tY �Sebasti it i$rh6reby` certified that ` Rosy` "`Masi 85 `:Dunn �rr��ce, 5�bastian, FL 32958 (name) (address) In "and for consideration of the um of $ , 0.OWis entitled to full interment rights in the Sebastian Mun,Jc' al Cemetery for the:following niche: U ' t 3, COL, ,Niche 40SNB Of Sebastian kuniciloo, Cemetery, as mainta' ed on file in the rec u of .the City Clerk for use in accord- ccord ce with the condition ordinances, resolutions, rues and regulations pre ribed therefore by the 'tity of Seibastiallk CONVEYED IS 10th day of July, 2008. CI OF ASTIAN, FLORIDA ATTEST: :y Clerk Certificate No. 2188 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Rose Masi 851 Dunn Terrace, Sebastian, FL 32958 (name) (address) I f2U01//W V In and for consideration of the sum of . 0 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Q W1, AkUkr Unit 3, COL, Niche 40S Px + 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 10th day of July, 2008. a Name 1tt %1 }rCicl�i�Cf"t,� "�%?���a�S� Unit Block Lot Date of Mark -out r Date of Burial r Q 6 Time Name of Funeral Hom L l�r Authorized by �f a or st HOME Of PEUCAN 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, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. W Name(s) Ij ' &5.1 .Dckm n I-erract, Se_baS f�Oln , FL 32-g5-S- Address 3 &F -��f Area Code & Phone Number Yn0-ria Saar Name & Residence Address bf-- Intended Occupant if Ofher Than Purchaser Receipt is acknowledged in the sum of: OFFICE USE ONLY Yu: A Dollars ($ /cW o." ) on this. O day of I Lk , 20 69 for the purchase of the following described Cemetery Lot(s) and /or Niche(s). Unit -3 , Block L, Lot(s) Niche(s) 40 S N z 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) Temporary Marker Preparation & Installation Signature of Purchaser 15D,00 Interment 40, W /W O H Circle One Disinterment TOTAL $ IMO, U j4ali�_ CJj F ity of Sebastian The following documents were provided as Proof of Residency: I: \VIM/- DATAWIs- Cemetery\RECEIPT.doo I and FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY OWN "OmE CK PELICAN ISLAND 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: — eAW 1 41* ADDRESS: 73 S F'16 rr.- 0j g PHONE #: 190q_.1933 (Check One) OPEN BURIAL LOT OPEN CREMAINS LOT ,,--OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME Lot Block Unit Lot Block Unit NichedifASOIP Block Co t Unit �S N S E W FOR DECEASED: m NZI Ar .SL► A 9,6 Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownershi goSr !�'I Asp !L>9- ?. 9• off' 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. NAME AND SIGNATURE OF LICENSED FUNERAL CTOR: -A •. � �a� 7-940r 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 hat all fees have been paid: Ce to S xton Date r This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 MARIA J. SUAREZ Maria J. Suarez, 95, died June 17, 2008, at Sebastian River Medical Center. She was born in Cuba and lived in Sebastian for 13 years, coming from Miami. She retired from St. Mary's Hospital in Hoboken, N.J. as a registered nurse. Survivors include her son, Frank Deloshoyos of Vero Beach; daughter, Rose Masi of Sebastian; sister, Annita Suarez of Havana; four grandchildren; and six great - grandchildren. SERVICES: Visitation will be from 2 to 4 and 6 to 8 p.m. June 20 at Seawinds Funeral Home, Sebastian with a wake service at 7 p.m. Arrangements are by Seawinds Funeral Home & Crematory, Sebastian. A guest book may be signed at seawindsfh.com /obit.php. Published in the TC Palm on 6/19/2008. Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Powered by Legacy.com obituaries nationwide Back http:// www .legacy.com/tcpalm/Obituaries. asp ?Page= LifeStoryPrint &PersonID= 111825... 7/8/2008 SEAWINDS CREMATORY Sebastian, Florida 735 Fleming Street • Sebastian, Florida 32958 www.seawindsfh.com (772) 589 -1933 We hereby certify that these are the remains of MARIA J. SUAREZ The remains were received from SEAWINDS FUNERAL HOME AND CREMATORY Cremation Permit No. 08- 2617 -120 Issued at INDIAN RIVER COUNTY Date of Death JUNE 17, 2008 Date of Cremation JUNE 21, 2008 _ By SAM COBURN Cremator `-"' � Total Paid 00 Initials White - Dept. of Origin 9 Yellow - Finance a Pink - Applicant CITY CLERK'S OFFICE RECEIPT /, i O 4 I Name I l t+ ❑ Cash Date y —v )(Check # u V No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501341910 LDC /Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots ;'W0,00 Lot/Niche 9 �� , Block , Unit 001501343805 Cemetery Fees 1g0.00 `-"' � Total Paid 00 Initials White - Dept. of Origin 9 Yellow - Finance a Pink - Applicant `o M c M N 0 Z OR N 0 = W S LL U. yo rL W H W co 0 U. OV� V V a a c 0 VC ac a w V L a � Y J� o T • I E FI 12 3 a .6 g 6 • e e e a 0 I J 0 s 3 A co rn rn co N M z c z 8 8 8 8 8 8 S I E FI 12 3 a .6 g 6 • e e e a 0 I J 0 s 3 A N N N E i5 LL YU O