HomeMy WebLinkAbout4-08-40a� �
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Certificate No. 2291
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Lucy Whiteman 120 Bryant Court, Sebastian, FL 32958
(name) (address)
In and for consideration of the sum of $500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 8, Lot 40A
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 i ith day of April, 2011.
CITY OF,SEBASTIAN, FLORIDA
` AI Minner
City Manager
ATTEST:
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Sall A. Maio, MMC
' City Clerk
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Unit
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Date of Mark-out �/� �� �
y/� /� - a ,� �
Date of Burial Time
Name of Funeral Home � � ^
Authorized by
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Sebastian, Florida
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735 Fleming Street • Sebastian, Florida 32958
www.seawindsfh.com
(772) 589-1933
We hereby certity that these are the remains of __________ .�' (�Q20B _
JOSEPH B. WHITEMAN , The remains were received
from SEAWINDS FUNERAL HOME
Cremation Permit No. 10-41682-209 Issued at INDIAN RIVER COUNTY
Date of Death 11 / 30 / 2010
Date of Cremation �?� /D By _�C1�vt f vv� �� �-
Cremator
In Memory of
� Joseph B. Whiteman
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April 18, 1929 - November 30, 2010
Joseph B. Whiteman, 81, of Sebastian, passed away peacefully on Tuesday,
November 30, 2010 at the VNA Hospice House in Vero Beach.
He was born April 18, 1929 in Lincoln, IL and was resident of Sebastian for 10
years coming from Vero Beach, FL.
Mr. Whiteman was a veteran who served in the US Army. He worked for R. L.
Polk Publishing Company and Blue Cross - Blue Shield as a Sales Manager.
Survivors include his wife of 28 years, Lucy Whiteman of Sebastian; sons Paul
Whiteman of Atlanta, GA and Michael Whiteman of Hawaii; daughter Joanne
Maloney of Atlanta, GA; brother Robert Whiteman of Middletown, IL; sister Peggy
Dobey of Middletown, IL; and two grandchildren.
He was predeceased by his sister Gloria Mae Whiteman.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURtAL OPENiNG IN SE�BASTIAN MUNICIPAL CEMETERY
��Al�l
na+ta rFtKwKw+D
For informat'ron cvntact:
Kip Ke/so - Cemetery Sexton
Sebastian Mun;eipal Cemetery
(772} 589-2545
FUNERAL HOME:
ADORESS:
PHONE #:
City Clerk's Ol(ice
City Hall, 1225 Main Stfeet
Sebastian, �FL 32958
Olfice (772J 388-8j2t5 or 388-8214
Fax: (772)'S89-5570
(Check One)
_.�JPEN BURIAL LOT Lot Block Unit
�,�PEN CREMAINS lOT Lot �Biock �_Unit �7`�
—APEN COLUMBARIUM NICHE Niche Biock Ui�it
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BURIAL DATE AND SERVICE TIME: �� � o
FOR DECEASED: �s,E��, �,�%jl /�,"��,,� ,
ivame
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentatior� of ownership)
///� -
Nam� Signature Date
t certify that I have determined the ownership of the above described site that all site iees and
administrative fees have been paid and authorize opening of same
NAAA� AND SlGNATURE OF UCENSED FUNERAL DIREC7GR.
�/� •
►vame Signature Date
---------------------------------------------------------------------------------------------------------------------------• --
Cemetery Sexton Certificaiion:
I certify thal I have checked the ownership inlormation by viewing the owner's deed and contirming
with Clerk's office :and that att fees have been pa�d
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Ce ete ex on Oate
This fonT� lo be provided to Clerk's OfFice by Sexton for permanent record upnn complet�on.
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