HomeMy WebLinkAbout4-08-01aCertificate No. 2312
CITY OF SEBASSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Lyudmyla Saks
919 Gardenia Street
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 lot.:
Unit 4, Block 8, Lot is
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 6t" day of December, 2011.
CITY OF SEBASTIAN, FLORIDA ATTEST:
` Al Minner
City Manager
Sally . Maio, MMC
City Clerk
Name
Unit
Block
Lot
Date of Mark -out
/� Time
Date of Burial a7
Name of Funeral Home _
Authorized by
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
U11P
HOME 0 PELICAN mA D
For information contact:
iGp Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8294
Fax. (772) 589 -5570
FUNERAL HOME: STRUNK FUNERAL HOME & CREMATORY
1023 No. Cent, at Ave.
ADDRESS: SEBASTIAN FL 32958
PHONE #: _ _'__ -- __
Z (Ch k Ones V
OPEN BURIAL LOT Lot I Block > Cam" Unit ,
OPEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
N S E W
BURIAL DATE AND SERVICE TIME:
FOR DECEASED: J� C)r
Name '
MGL(av i GhV-Q
NAME AND SIGNATURE OF LOT OWNER OR REP E ATIVE:
((Must provide proper documentation of ownershi
akbnn p
Name Sigfrature 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 openin of same.
NAME AND SIGNATURE OF LICENSED FUNS L O
9l win StyL -nV-- I -M= Lo 120 1
Name gnatu a 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 that all fees have been paid:
Cemetery Sexton
Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
CM of
ST"
c, Slz y
ROME Of PELICAN ISLAND
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.
llUUI
1 L � __ � l l � r• � lT�
Area Code & Phone Number
Name & Residence Address of
ded Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
1 i
Indian River County, Florida Property Appraiser - Property Data
Data For Parcel 31381400002161000004.0
Base Data
Parcel: 31381400002161000004.0
Owner: SAKS, MARK P & LYUDMYLA
Site 919 GARDENIA ST, SEBASTIAN, FL 32958
Address:
[+ -1 Map this property.
Mailing Address Property Information
Address: 919 GARDENIA ST Tax Code: 2
Property Use: 0100 - SINGLE FAMILY -
City State Zip: SEBASTIAN, FL 32958 IMPROVED
Neighborhood: 140019.00 - SEB HLS /N 512/W
ROSE ROAD
Real Appraiser & GC - GEORGE CLARKE -
Date: 4/21/2006
Legal Description -- click here for full legal Secondary Owners
description
No additional owners found.
SEBASTIAN HIGHLANDS SUB UNIT 05
BLK 161 LOT 4
PBI 5 -102
Photos
[ F ] Click to enlarge.
Notes
Notes: Click here to view oblique imagery through Bing Maps.
Report Discrepancy
G15 parcel shapefi /e last updated 12161201112-116.110 AM.
CAMA database last updated 121612011 1218.-47AM.
Page 1 of 1
http:// www .ircpa.org /Data.aspx ?ParcelID= 31381400002161000004.0 12/6/2011
CITY CLERK'S OFFICE 4336
RECEIPT
Name &4 [I Cash
Date
Check# I l35
No. Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies[Bid Specs.
001501 341910
LDCICode of Ordinances
001501341930
Election Qualifying Fees
<j
601010 343800
Cemetery Lots
Lot(Niche _ , Block
�6 >�5n
i
Unit
001501 343805
Cemetery Fees
Total Paid
Ini ials
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