HomeMy WebLinkAbout3-COL-34DnBCtfY OF
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HOME QE PELICAN ISLAND
Certificate No. 2308
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the �"�1e of O
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Sebastian, it is hereby certified that;,,, �,,
Harry Pinkman
(name)
In and for consideration �
rights in the Sebast�: M
U
as mai
he
1374 Da
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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
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�"� 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
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Sall�. Maio, MMC
City Clerk
N am e �{Q�T�ZL
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Date of Mark-out
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Name of Funeral Home
Authorized by
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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�
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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
��
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Harry J. Pinkman
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t�RY °�'
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JUUETA J. LUCE
�, MY COMMl�SlON f DD �ZOg
ExriR�s: ��y �, 2�ti4
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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
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_.�?PEN BURIAI LOT Lot 8lock Unit
AI N L,ot �81oCk !r— Uttit
PEN COLUMBARIUM NIG Niche_,elfl�� �Unit �
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BURIAI DATE AND SERVICE TfME:
FOR Q�CEASED: i'�%I ��M �-�i�r�t. P�n�.�n
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NAAAE AND SIGNATURE OF L.07 pWNER OR REPFtES�NTAYIV�:
{Must provide proper cumentetion o1 ownership) , ���A-�-`-''" h�,�
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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
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� ter ex n ate
This form to be provided to CJerk's Otfice by Sextan for permanent tecord upon cemplation.
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