HomeMy WebLinkAbout4-08-08bi
IN ACCORDANCE with provisions of the Code of Ordinances of the City of (j
Sebastian, it is hereby certified that:
II
Patrick Gilligan �I
757 Spire Avenue
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 8a & b
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 J
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 8t" day of May, 2012.
CITY OF SEBASTIAN, FLORIDA
` Al Minner
City Manager
i
ATTEST:
Sally,K. Maio, MMC
City Clerk
Name AM -4
Unit /
Block—
Lot
Date of Mark -out G ` a
Date of Burial Time s
Name of Funeral Fkme u
Authorized by
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FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
=0
HOME of f uem KIND
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589-2545
City Clerk's Office
City Hall, 9225 Main Street
Sebastian, FL 32958
Office (772) 388-8295 or 388-8294
Fax. (772) 589-5570
FUNERAL HOME: STRUNK FUNERAL HOMEA CREMATORY
1623 No. t
ADDRESS: SEBASTIAN, FL 32953
7�� 589-1000
PHONE #:
(Check One)
OPEN BURIAL LOT Lot Block Unit
PEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
BURIAL DATE
FOR DECEASE
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
ust providde/I prope documentation of rship) +-�GrVLtc-, ,
HZV[
Name
Signature Date
I certify that I have determine 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 FUNERAL DIRECTOR:
a -
Name Signature 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/Zanthat all fees have been paid:
Ce to Sexton ate
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
DEIRDRE P. GILLIGAN
Mrs. Deirdre P. Gilligan, 66, died April 8, 2012 at Royal Palm
Convalescent Center, Vero Beach.
She was born September 9, 1945, in Cork City, Ireland and lived in
Sebastian for 12 years coming from Middletown, NY.
She attended St. Angelas Private School in Cork City, Ireland. Mrs.
Gilligan immigrated into the United States in 1960 and was a graduate
of New Milford High School, New Milford, NJ.
She was a Certified Nursing Assistant with the Douglas Health Services
for 10 years before her retirement in 2011.
Mrs. Gilligan was a member of St. Sebastian Catholic Church,
Sebastian.
Survivors include her husband of 45 years, Patrick J. Gilligan; son,
Patrick B. Gilligan and his wife, Tara; daughter, Kelly Ann Kessler and
her husband, Sergeant Donald all of Sebastian; brother, William
Osborne and his wife, Nancy of Ringwood, NJ; grandchildren, Brittany
and Conor Gilligan, Fiona, Carly and Chase Kessler; nephews, Joseph
and Billy; niece, Maureen. She was preceded in death by her brother,
Jeremiah Osborne.
MY RF
SJUSAS
TIAN
HOME 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.
ek. i Ck. C7 i(l qQn
Names) -75-7 S t t'C `J VQ SE S�-I an %L. 32-95E
Address
C -7-7 588 989-0
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
rUo
6 AL i 6-o Dollars ($ /UDO. o o )
on this. fti day of M y , 20 %, for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit , Block , Lot(s) 0 Q 4-b Niches
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) Opening & Closing
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Signature offTca r
Interment
/W O H
Circle One
Disinterment
TOTAL $ �Q 00
of Sebastian
The following documents were provided as Proof of
Residency:
l:IWW-DATA\Ms-Cemeterv\RECEIPT.dor I and
C _ Total Paid .00
Initials
White — Dept. of Origin a Yellow — Finance a Pink - Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4467
RECEIPT
Patrick- G i l t! Qn
Name
q ❑ Cash
Date 5
121 � )(Check #
No.
Amount Paid
001001 208001
Sales Tax
001501322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC/Code of Ordinances
001501341930
Election Qualifying Fees
1000.00
601010 343800
Cemetery Lots
LoUNiche r&4 -b, Block_$ Unit
001501343805
Cemetery Fees
C _ Total Paid .00
Initials
White — Dept. of Origin a Yellow — Finance a Pink - Applicant
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STRUNK FUNERAL COME & CREMATORY
1623 No. C ntral Ave.
SEBASTIAN FL 32955
(772) 55 9-1000