HomeMy WebLinkAbout4-08-15aCertificate No. 2298
CITY Of E
BSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Murray &/or Lois Hicks
177 Pelican Island Place
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 15a & 15b
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 25th day of May, 2011.
CITY OF SEBASTIAN, FLORIDA
"'AI Minner
City Manager
ATTEST:
Sally"aio, MMC
itv Clerk
Name
Unit_
Block GOP
Lot A ,
Date of Mark -out
Date of Burial
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Name of Funeral Home s X ZeN
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MURRAY L. HICKS
April 8, 1934 - June 4, 2012
Murray L. Hicks ( Rev. Dr. ) departed his earthly life on June 4th
at 78 years of age.
He left the employ of I B M in Toronto and began seminary
studies at what is now Tyndale Seminary. He pastored churches
in Canada and the United States and served as a Bible
Conference speaker in many countries of our world.
A service of Celebration of Life will be held at Kings Baptist
Church 3235 58th Ave. on June 23rd 11:00 A.M. Memorial gifts
may be directed to the Mortgage Fund of Kings Baptist or to
the Gideon's International, Box 2161 Vero Beach, F1.32961
He leaves a devoted family, his wife Lois of 56 years, four sons,
Stephen, Bradley, Timothy, and Jeffrey, five grandchildren and
two siblings in Toronto, Juanita Richards and Lloyd Hicks.
Vel 4bwh
2830 Vertu' Aran e
Vmfeach, FkwW& 32960
we hemby cert* dootftw am At o~ed hum m remains of
11111 "Hicks
Ju* (Wo 2M2,
awte of OwN
Opel
Ftut" Honw & OwwWry
ANN- ftwAmolow
June 13,,2012
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FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
►aw aF rd,r�r� Isom
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
Offrce (772) 388-8215 or 388-8214
Fax. (772) 589-5570
STRUNK FUNERAL HOME & CREMATORY
FUNERAL HOME: 1623 No. Central Ave.
ADDRESS: SEBASTIAN, FL 32958
1f7"7 -b%.
PHONE #:
(Check One)
OPEN BURIAL LOT
PEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TIME:
FOR DECEASED: mLc�raj�
Name
Lot Block Unit
Lot Block Unit
Niche Block Unit
IGCS
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
LOIS �h G<5
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 SIATURE OF LICENSED FUNERAL DI CTOR:
Ulf 1`i ain
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 th t all fees have been paid:
cemofery 9ext6n Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
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HOME OF PELICAN ISLAM?
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.
Name(s)
VVlurrQU �-Lois H i cKS
O'VIA V (C -c
Address
C -77Z_ 0,331
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
-fjon 32q5
a..^.d l ft Dollars ($ /, 666, oo )
on this ,2 5/� day of 20,, [ _ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s)
MME
Unit � , Block Lot(s) Niche(s) (5 0,4
b
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)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Sign e of urcha er
I:\W W-DATA\Ms-Cemetery\RECEI PT.doc
Opening & Closing
Interment
/W O H
Circle One
Disinterment
TOTAL $ v D
W -
y of Sebastian
The following documents were provided as Proof of
Residency:
and
Total Paid
000 po
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CRY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
0
Name
Mrs F'( f les —
iI Cash
0-
(Check#
Date
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
CopiestBid Specs.
001501341910
LDC/Code of Ordinances
001501341930
Election Qualifying Fees
Uad`yo
601010 343800
Cemetery Lots
a+b
LoUNiche I Block
, Unit
001501 343805
Cemetery Fees
Total Paid
000 po
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
Aug 31 12 08:08a Everlasting Stoneworks 17725899312 p.1
City of Sebastian
Sebastian Cemetery
Ph. # 1(772) 589 - 2545
Fax # 1(772) 228 - 9927
!Vote PJ<Is is for Informational purposes reguarding Monuments . at Selhast12b Cemetery .
Note .
Please rel urn to
Attention
size: v r v L
Narnes & Dates : His
D.O.B.
13-
rf-APORed 0-06— OFS Pile
�b i
Sebastian Cemetery
1921 north Cealral Ave.
32958
Cemetery sexton
flat grass marker
C, ISS Her: i S �\ r✓.� S
D.O.B. 3a
...
.egal Description : J/
Unit: "7
B,k.: 67, 4,d-7 w
Lot:
Approved BY: K. G. K.
Checked By: K. G. K.
Date
Example
deep
everlasting stone works
Dry Mix G 16 7
Foundation soured
by : everlasting I jam ie
date .
stonee installed
by : everfast'ng I'amie��L,t/
date : �
„ Aug 31 12 08:08a Everlasting Stoneworks 17725899312 p.2
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