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Certificate No. 2304
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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:
Krysta Svelling White
562 Drawdy Way
Sebastian, FL 32958
In and for consideration of the sum of $500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 4, Block 7, Niche 4a
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 August, 2011.
CITY OF SEBASTIAN, FLORIDA ATTEST:
� `1�1 Minner
City Manager
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Sally�Maio, MMC
ity Clerk
PATRICK HARMON WHITE
January 12, 1978 - August 01, 2011
Patrick Harmon White, 33, of Sebastian, passed away on Monday, August 1,
2011, while at work. He was born January 12, 1978, in Melbourne, FL and lived
his whole life in Sebastian. Patrick worked at Henry Fischer and Sons as a CDL
Driver and Equipment Operator. He belonged to the Sebastian River Baptist
Church. Survivors include his wife, Krysta Svelling White of Sebastian, daughter
Harmony White and step daughter Justice Shaffer, both of Sebastian, mother
Theda Furtado, step father James Furtado and step mother Tiney White, all of
Sebastian, grandmother Mary Freeman of Alabama, three sisters Kimberly
Waltermire of Sebastian, Allison Johnson of Georgia, and Tonya Wright of TN,
and two brothers Tony White of Vero Beach, FL and Christopher Wright of
Tennessee. Patrick is predeceased by his father Patrick Harmon White, Sr.
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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.
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Name(s)' J
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Address �
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Area Code & Phone Number
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Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
- _� � ' i../"� t � � ' ' � � . . �, / � � • ,
on this %U� day of � u:S �_, 20 /� for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit �, Block _�, Lot(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)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
. �1�t�
ignature of Purchaser
Opening & Closing
Interment
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Circle One
Disinterment
T�T ;L $ �D D . D D
ty of Sebastian
The following documents were provided as Proof of
Residency:
and
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