HomeMy WebLinkAbout4-08-04a03/12/2012 10:30 7722287079 COS AIR BLDG PAGE 01/01
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
N
HOW OPP ucnH Hwm
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589-2545
FUNERAL HOME:
City Clarks Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388-8215 or 388-8214
Fax: (772) 589.5570
Fiv�,eA/ //c�rE
ADDRESS: %Ss S, ELE/!r/SVG ST .SE6.OST/SYN F,C4e9,��
PHONE#: %72—reTJ9—/5slj
(Check One) 9 A
OPEN BURIAL LOT Lot3fy Block 8 Unit
-j,�DPEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
BURIAL DATE AND SERVICE TIME: Ay6US�—Zo/,y
FOR DECEASED: �J/ZEILq �` EaGC/�9�ZI� �i JLGgS
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
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 SIGNATURE OF LICENSED FUNE CTOR:
-a.oviD cu ul.oiigcr I. ?Y/G
Name gnature
Da
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:
$2 6.
O'e�tery eon Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion
CITY OF SEBASTIAN 10116
ADMINISTRATIVE SERVICES RECEIPT
NameVEA w /rrbs '84'114-S ' ❑ Cash
Date 1�5 1'� Check 441-575-
L)
4j5-❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees �p
00 t5 O t 343gos' C
tlnr 1T ,QIK $ 0girs 3,qt 4.4
Total Paikloo,
6nitia-Is
Security Dep Held - Amourit $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. • Pink - Applicant
from
SEAWINDS CREMATORY
Sebastian, Florida
735 Fleming Street • Sebastian, Florida 32958
www.seawindsfh.com
(772) 589-1933
We hereby certify that these are the remains of GIZELLA ZIMA BALLAS
g, . The remains were received
SEAWINDS FUNERAL HOME & CREMATORY
Cremation Permit No. 16-73380-5185
Issued at INDIAN RIVER COUNTY
Date of Death AUGUST 10.2016
Date of Cremation POO
Cremator
IN MEMORY OF
GIZELLA
BALIAS
Obituary for Gizella Ballas
Page 1 of 1
Gizella "Babe" Ballas passed away August 10, 2016 at Consulate Health Care in
Vero Beach, FL, after a prolonged illness.
Gizella was born in Cleveland, OH and was a resident of Indian River County for
41 years coming from Newbury, OH. Before her retirement she worked for
Keens Supermarket in Vero Beach, FL. She was of the Russian Orthodox faith.
She was preceded in death by her husband, Edward A. Ballas, Sr.; sister, Anne
Latuk; and brother, Nickolas Zima. Her survivors include sons, Michael Ballas of
Sebastian, FL, John Ballas of Crescent, PA, and Edward A. Ballas of Reno, NV;
and grandchildren, Melody Ballas, Bethany Ballas and Joshua Ballas all of Reno.
NV.
In lieu of flowers memorial contributions can be made to VNA Hospice House.
A Viewing is scheduled from 1:00 to 2:00 pm, Saturday, August 20, 2016 at
Seawinds Funeral Home, 735 S Fleming Street, Sebastian, FL with a Funeral
Service to follow at 2:00 pm in the chapel.
For directions and online guestbook please visit the funeral home website
www.seawindsfh.com. Seawinds Funeral Home is honored to serve the Ballas
family.
This obituary is protected by copyright by Sea%vinds Funeral Home & Crematory. Proudly
Serving the Communities of Brookside. Cummings. Fcllsmere, Florida Ridge. Giflbrd. Indian
River Shores, Nevins, North Beach, Orchid, Oslo, Riomar, Roseland, Royal Poinciana Park,
Sebastian, South Beach, Vero Beach, Vero Lake Estates, W'abasso. Wabasso Beach. Winter
Beach Micco, and Gran. Scawinds Funeral Home & Crematory is located in the state of Florida,
United States.
All rights reserved. This obituary is also archived at ObitsibrLife.com
Seawinds Funeral Home & Crematory
Print
http://www.seawindsfh.com/book-of-memories/2672707/Ballas-Gizella/obituary.php?Print... 8/24/2016
Name �/�-��r �.���5 rc'e Add Koff" /1I_c
Unit
Block S
Lot
Date of Mark -out
Date of Burial �+
Com • Time �' • xo4V gV to)
Name of Funeral Ho
Authorized by
CITY OF
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HONiE �OF PEUCAN ISLAND
Certificate No. 2327
��� �� � '��������
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Edward A. Ballas, �r.
1342 Starboard Street
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 3a & 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 20th day of March, 2012.
CITY OF SEBASTIAN, FLORIDA
' 7AI Minner
City Manager
ATTEST:
,r �t.
C�''-�.__
�
Sally . Maio, MMC
City Clerk
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Oct 12 16 04:24p Eaglemonuments 17724657949 p.2
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Now 'Mir is For 51
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Name ADO(* r His :
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Unit
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Approved By
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tixaunpto : NOTE
a'
City v/' Sebastian
som Ian Ccaxten
Pb. k It 5I{9 - 1545
(:at f 10721 228-992?
rmallenal purpalm rxyuxrdlap 1110410me015 rl Schartlan Cexicim .
le SIxti cm aadrt 2 ft. A awc 2 rt.( V" 2 h, iw a pained fnntalatlan )
City of Seh"rfau Dry MIX
Seb➢ltlaA (`OflKStYr
1921 Sarth i'enlral Ara- Faundalinp puurrrl
32v52 . By
Ctmiclerr Sexton dale;
t P,�P-�tv &
ILPZHER:
13, 19)2,1 o,o-e. 0x
nlatrrirt>L•tlltd
ira*1
a� : �n1�yy'f\
ddtc : 101-s ,2q
MARKER OVER 2 FT, L 4G REQUIRES A POURED CONCRETE FOUNDATION
INCLU DESA BASE.
MARKER SMALLER THAN 2 FT. LONG REQUIRES A DRY MfX
I INCLUDES A FLAT GRASS MARKER.
Oct 12 16 04:24p Eaglemonuments
17724657949 p.3
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