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HomeMy WebLinkAbout3-COL-34DnBCtfY OF � � HOME QE PELICAN ISLAND Certificate No. 2308 ���� ��� ��������� Certificate of Interment Rights IN ACCORDANCE with provisions of the �"�1e of O � � ,. Sebastian, it is hereby certified that;,,, �,, Harry Pinkman (name) In and for consideration � rights in the Sebast�: M U as mai he 1374 Da � s of the City of n, FL 32958 �he sum of'���OOO.��is entitled to full interment r�,ipal Cemete�y,for thi� following niche: x �. , C � � bariur����Viche 34dnb `� i �"� astian� � �� g� ' ��rr�cipal Cemetery, ,�;afile in the records of the City Clerk for use in accordance with t���onditions, ordinances, resolutions, rules and regulations prescribed therefore by the City �f Sebastian. CONVEYED THIS lOth day of October, Z011. CITY OF SEBASTIAN, FLORIDA ATTEST: AI Minner City Manager i , , Sall�. Maio, MMC City Clerk N am e �{Q�T�ZL Unit c� Block �ic��, - �/ � Lot L1( M1 � I /✓ / }'iF Date of Mark-out J>15 /,rT2K�rGk� 2 Date of Br�iert o2 f E,� �� ) Time ���'� � Name of Funeral Home Authorized by � �� , �� �, A � � � � `�', �, \ � �y � ` `� " � `.' ~� � 5 ' ;l+,`� �, � � �� I!� �. �/ �� . � . � ..• .� . c � � � � , �,,, . 1, �yl � ,_ hYe. � r � � �. � � t1\�, �� r �` c�� � � � � � �� � � r � � . ,�C``',� �,, � �, � � � �� � . � 1 � 1 ��F � � �i` � `� p � � � a. � �. �� � � J �' G �1 {?�� 1" �, r r'�� � �, 1 �f �� � o' � � � � � � � � � ���� � �� � 4� h� ,� � � C. �t �; � �� �; � � � � � u � �,� ,��, \ �� � a �, '; � �. . �� . a c d € � � 1� � W ��'� °Cs� �� s�Qq 4pQ CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only Input Date Fiscal Period Document # Entered Sy Document Amount # of Lines Total HC Hash To Be Completed By Department Due Date 2/1/13 Single Check Y/ N Y Vendor Number Organization Object Pro�ect LN TC Reference Code Code Code Amount 601010 343800 $1,850.00 Number of Lines Description Refund of cemetery niche minus disinterment fee minus 5% administration fee Unit 3, Col, Niche 34dnb 2000 -50 -100 ISSUE CHECK TO NAME Harry Pinkman ADDRESS 3400 SE Aster Lane, Apt 367 Amount $1,850.00 C17y Stuart STATE FL ZIPCODE 3/�994 DRAW CHECK FROM SEE BELOW APPKOVED BY � .� �`(Q ,� C�(, � :�i { � DATE 1/30/13 BUDGET APP 0 M1XTL ATTACHED DOCUMENATION (Except for remit slips, requesting deparhnent should attach a copy of documentation along with the originap �� OTHERINSTRUCTIONS Please �ive check to Jeanette r i�y _ ! .L =, _ 1 I. ;,'�,'; �t�°�` �� ;�������`:t��e ,; ����,���� ci-��cK r�o Q � �+ V O S i225 fVi�11N STREET - �a�r�c���aLrsnnx 84688 : � sEansrinN, F�oRicn aa9sa ;'�.f� ,_.,_.,,a j SEBA,STIAfu, FL_ 32958 "',-�--__ ._ _ ;';:,-�---"'° ix�F�EE�hL ACGC)k.B�'S` HG�v1E CF PELICAfd 1S�F.ND �VENCOR CHECK DATE CHECK AMOUf�T j 62� 02/Ol/201� $1,850.00 ******1,850 DOLLARS AND NO CENTS .� TO THE ORDER Mr. Harry Pinkman 3400 SE Aster Lane Apt 367 Stuart FL 34994 L D IFRlOT PAID WITHlPf 9Q DAY� ii /� I� ��_ __ - I ____. . _�1:-1 .._...._ ___ �...__._.. � 6�e° ....... .. .........._ _.�.._.,_.,.._.,____...._...._._...._._ _._._....... .._.._.._.. ..___.._. TWO SIGNATURES REQUIRED 84688 (f��� �� ������B�u� SEBASTIAN, FL 32958 °2°12°13 084688 1NVOICE DATE INVOICE NUMBER 1M10!CE DESCRIP710N NET INVOICE AMOUNT PO fVO. VOU HEF Ol/30/13 Unit 3 Niche Refund cemetery niche 1,850.00 94596 626 Mr. Harry Pinkman LAPC 1,850.00 84688 Harry ,j. Pinkman 3400 SE Aster Lane Apt.367 Stuart, FL 34994 To: City of Sebastian C/O Sebastian City Hall 32958 Attn: Jeanette Williams/Cem. Dear Ms. Williams: It is my intention to surrender the niche in Sebastian Cemetery under certificate No. 2308 for unit 3, columbarium, niche 34 dnb of the Sebastian Municipal Cemetery as maintained on file in the records of the City Clerk of Sebastian. Thanking You in Advance �� �� F Harry J. Pinkman ���'�� t�RY °�' � , !n ,,,w *.�. `",�a.y'�!�',o ���oti �� JUUETA J. LUCE �, MY COMMl�SlON f DD �ZOg ExriR�s: ��y �, 2�ti4 < ����n� / � � �--� CliY t7F �� � p��� i� H4ME O� PELICAN ISLAND Certificate No. 2308 (�I � � °�`� Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Harry Pinkman 1379 Damask Lane, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 34dnb 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 October, 2011. CITY OF SEBASTIAN, FLORIDA ATTEST: AI Minner City Manager , � Sall�. Maio, MMC City Clerk MARION CAROLINE PINKMAN Friday April 25th 1924 - Wednesday October 5th 2011 Marion Caroline Pinkman (Mehnert), 87, of Sebastian, passed away on Wednesday, October 5, 2011 at Sebastian River Medical Center. She was born April 25, 1924, in Secaucus, NJ, and moved to Sebastian 20 years ago from Casselbery, FL. Marion was an operator with New Jersey Bell, and a member of St. Sebastian Catholic Church in Sebastian. She is survived by her husband of 68 years, Harry Pinkman of Sebastian, three sons, harry Pinkman of Palm City, FL, Paul Pinkman of Secaucus, NJ, and Dennis Pinkman of Edgewater, FL, 4 grandchildren, and 7 great grandchildren. Sep 04 2009 2:13PM COS CEMETERY 7722Z89927 p•Z FUNERAL OIRECTOR'S REQUEST TO CITY OF SEBAS7IAN �QR 8UR1AL OPENING IN S�8^ASTIAN MUNICIPAI. CE�AETERY . s �tw ►rcKw+�s�wo Far inform�lion contact: • K!p Kslso - Cemetery Sexlon Sebestian Mantcipat Cemelery (?72} 689-2b45 FUNERAI NOMF: AODR�SB: PHONE #t: Ctry Glsrk'� Otfice City He�l, f 225 MtaM Strast SebBStlan, �t 32958 OlAee (TT?) 388-8?15 or 388•82t� F�x: (7T2) beB-5570 � � �cn� o�e, _.�?PEN BURIAI LOT Lot 8lock Unit AI N L,ot �81oCk !r— Uttit PEN COLUMBARIUM NIG Niche_,elfl�� �Unit � . . � � BURIAI DATE AND SERVICE TfME: FOR Q�CEASED: i'�%I ��M �-�i�r�t. P�n�.�n rv2m� c���- ��_^ ^_� � ZU� W ' 3�( D � NAAAE AND SIGNATURE OF L.07 pWNER OR REPFtES�NTAYIV�: {Must provide proper cumentetion o1 ownership) , ���A-�-`-''" h�,� `�. � � � ��� x Date e na u , � I certiiy that f have deterrn Ined lhe ownership oi the abov�desC d�ite th�l a�l site fees and administr�tive faes have been paid and autriorize �ening o1 s� e NAME AND SIGNATURE.OF LIC�NSED FUNERAL DIREC�'aR• �gnetune Date Nama__... -----.._.�..__...._. --------- ----�..�--- ---------- ._�..�.�. ------.._____......_..._..._ ..__ Cemetesy Sexton Cartificativn: I certify thet I hsve checked the ownership informat�on by viewing the owner's deeci snd confirming with Cierk's omce and tht�l eil fee� have been paid �� /b / � ter ex n ate This form to be provided to CJerk's Otfice by Sextan for permanent tecord upon cemplation. � �� ��� � �� ° : � °»� .� ,�,.���� �R; :rER .10ENSE CLAS� E � - :���r ' ?p•.�- ' ;�;� � `� '��, _- � �rv � �►r�. � � . ;k `379 DAMASFC LN '. SEBASTIAN, FL 32958-G139 .� �DoB:Q4-t7-792A SEx FA . ��10}.' � �. : '�` ; �ES` 9�+9T-24"� ; 3�ffi'�` r � �� . Sar� DRIVER pp:.�,.;:. _.. � • .3 ... _�:.• ::..;�:,i:, � .;nstxl#HS CtJRSCM t(> J�";Gk�nR�y :<e:t reGUVetl 6y Inx'. ��p ''�" � � � � �6 � 5 E cJ Name �1��� �OJt� ( " � ��� C '� Unit � Block v0/' ' ,, � �.� „ /. ,/ � Lot �� Date of Mark-out / y/ � � : f�'f� � • w \ �ate of Burial �O / l Time Name of Funeral Home j�%� w�"�S Authorized by � , , � � � � � : 1 �s ` �- �. � • 1 � f � � r m � � � � � � � � e� Y � � .. � a �O 0 g 0 � O (71 o $ g g o g o UJ �O O � � 0 � (,�,) (� 4.� � �a A A N O � �wO t0 �O CNO g 8 p O O O C) o � m � o y d � ,� � � � � � � � �� _ � � a d � � � �: � � y � � � . � � � � � �. � � __ � � � � r. c , 0 0 0 0 z 3 � � O �. G � � "ig+ ❑ � � � � a x � � O a_ C �A 7 -\' � d a �� �� � 1�1 T m��� fApp � O y r� mZ � � �o �