HomeMy WebLinkAbout3-COL-49DnBCertificate No. 2352
,.rrY OF �E� S
MAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Marion Kutch
2064 E. Lakeview Drive
Sebastian, FL 32958
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 49dnb
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 6th day of November, 2012.
CITY OF SEBASTIAN, FLORIDA
f Al Minner
City Manager
ATTEST:
L
Sally Maio, MMC
City Clerk
Name°
Unit
Block c--,
Lot N
Date of Mark -out ' l�
Date of Burial
/Z .-Time %� '�� e��
Name of Funeral Home
Authorized by
FUNERAL H
ADDRESS:
PHONE #:
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
SEBAST�N
noMF ai v[uc" ISLAND
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, Ft_ 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
(Check One)
OPEN BURIAL LOT Lot Block Unit
_gEEN CREMAINS LOT Lot Block Unit
PEN COLUMBARIUM NICHE Niche Block 7 Unit —
W
BURIAL DATE AND SERVICE TIME
FOR DECEASED:
name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
9 a I? IO IV Pr— rI c- natu Date
Name S re
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
NAIAE AND SIGNATURE OF LICENSED FUNERAL DIRECTOR.
/A
Name Signature Date
------------------------------------------------------------------------------------------------------------ - - - - -- - - - --
Cemetery Sexton Certification:
I certify that I have checked the ownership inforrriation by viewing
with Clerk's office and that all fees have been paid
Z, , - z�La - // s- A z
CerWtery exton Date
the owner's deed and confirming
This fortTI to be provided to Clerk's Office by Sexton for permanent record upon completion.
JOHN KUTCH
John Edward Kutch, 86, died June 15, 2012, at Consulate Health Care of Vero
Beach. He was born in Pioche, Nev., and was a lifelong resident of Sebastian.
He served in the Army during World War 11. Before retirement, he worked for
Piper Aircraft for 25 years as a mechanic. He was a member of Fellowship
Christian Community. He organized the first Little League team in Sebastian,
where he became a mentor and pitching coach.
Survivors include his wife of 63 years, Marion Kutch, of Sebastian; daughters,
Sandra Groves, of Keystone Heights, and Jean Brooks and Linda Beatty, both of
Vero Beach, and Donna Tenniswood, of Okeechobee; son, William Kutch, of
Sebastian; sisters, Mary Lopez, of Burley, Idaho, and Linda Kutch, Sharon
Lopez, Myrna Cotton, all of Fort Hall, Idaho; brothers, Carl Kutch and Richard
John Kutch, both of Fort Hall; 10 grandchildren; and 14 great - grandchildren.
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