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SEBASTIAN MUMCIPAL CEMETERY
1921 N. Central Avenue, Sebastian, FL 32958 • (772) 388-8215 • iwilliamscitvofsebastian.org
COURTESY NOTICE
City of Sebastian Cemetery Appearance
February 10, 2017
Mr. Jose Andrade
127 N. Oleander Street
Fellsmere FL 32948
Dear Mr. Andrade,
The City of Sebastian strives to provide a serene and contemplative environment for the benefit
of all of our guests and visitors.
We are sending you this Courtesy Notice to let you know that there is non -permitted material on
the property for which you are responsible. These issues are important because they impact
the City's ability to maintain the Cemetery. On behalf of our guests and visitors we would
appreciate your prompt attention to removing this material and bringing the property into
compliance with the City code:
Sebastian City Code Section 34-19 Artificial and fresh flowers, blankets.
No more than two bouquets of artificial or fresh flowers will be allowed at any
gravesite. Artificial flower arrangements will be permitted to remain until they
become faded or unsightly. Fresh flowers will remain until unsightly. No glass
or ceramic flower containers or ornaments shall be allowed, however, a plastic
flower container no more than 6" deep, 6" wide and 24" long may remain in
place unless broken or in decrepit condition. No wires shall be allowed to hold
flower arrangements permanently in place at the interment site. Blankets are
allowed to be placed prior to any holiday but must be removed within ten days
following the holiday.
Sebastian City Code Section 34-22 Enclosures and mounds prohibited.
Enclosures of any nature such as fences, copings, hedges, ditches, etc., shall
not be allowed around any in -ground interment sites. Earth mounds will not be
permitted.
We would appreciate the removal of these non -complying materials within 30 days. If special
circumstances require an extension, or if you have any questions please call me at 388-8215.
Repectfully,
te�L�%tJ e't w+Yl/J
vette Williams, MMC
City Clerk
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Certificate No. 2354
���� ��� ������� 1
ertificate of Interment Rights
IN ACCORDANCE wit� provisions of the Code of Ordinances of the City of
Sebastian, it is hereb certified that:
]ose ndres &/or Anna Maria Andrade
127 N. Oleander Street
Fellsmere, FL 32948
In and for considerat�on of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 11, Lot 9
of he Sebastian Municipal Cemetery,
as maintai ed on file in the records of the City Clerk
for use in accordanc�with the conditions, ordinances, resolutions, rules and
regulations prescribe therefore by the City of Sebastian.
CONVEYED THIS 2
CITY OF SEBASTIAN,
� AI Minner
City Manager
day of November, 2012.
FLORIDA ATTEST:
�'
�
Sally . Maio, MMC
City Clerk
JUAN ANDRADE
Juan Andrade 76, Fellsmere, FL passed away November 22, 2012 at
Indian River Medical Center, Vero Beach, FL. He was born August
10, 1936 in Penjamo Guanajuato Gto., Mexico.
He was a resident of Fellsmere for 12 years coming from Mexico and
was employed in the Agricultural industry. He is survived by his wife
of 56 years, Elena Amaro Andrade, Fellsmere, FL, son, Jose
Andrade, Fellsmere, FL, daughter, Teresa Mendez, Fellsmere, FL,
daughter, Ma De Jesus Andrade, Guadalajara, Mexico, 12
grandchildren, and 18 great grandchildren.
s -.�
FW�L'D�DII'A&[pi�7�nF' ,% State of Florida, Department of Health, Bureau of Vital Statistics
HEAI�T BURIAL TRANSIT PERMIT
DATE PRINTED: November 27, 2012 TRACKING NUMBER: 2012163139
1. DECEDENT INFORMATION
Name of Deceased DaM of Death
JUAN REA ANDRADE November 22, 2012
Place of Death - County City, Town or LocaUon Name of facility, or street address if not a facility
INDIAN RIVER VERO BEACH INDIAN RIVER MEDICAL CENTER
Name and Address of Funeral Home/Direct Disposal Establlshment Fla. Lic. No./Reg. No. Phone Number
SEAWINDS FUNERAL HOME & CREMATORY F041682 F041682 (772) 589-1933
735 SOUTH FLEMING STREET
SEBASTIAN, FLORIDA, 32958
Funeral DirectorlDirect Disposer Fla. Lic. No./Reg. No.
ANTHONY GABBARD F044749
2. BURIAL - TRANSIT PERMIT
The Florida Department of Health, Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
Permit Number. 2012-FO41682-5130
• QG� ��T � Date Issued: November 26, 2012
J ,�
Meade Grigg, State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District Approval Number:
4. CEMETERY OR CREMATORY
Place of Disposition: SEBASTIAN CEMETERY
Method of Dispositio BuRIAL Date of Disposition: �l /
S�g a re o exto person-mc e(or by the funeral director/direct disposer when there is no se�cton)
DH 326E, 1/11
64V-1.011, Florida Administrative Code
FUNERAL DIRECTOR'5 REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEME7ERY
SE,���N
noM[ v� eEttC�H isunD
For information conlact:
Kip Keiso • Cemetery Sexton
SeUastian Municipal Cemetery
(772) 589-2545
Ciry Cterk's Office
City Hall, 1225 Main Street
Sebastian, Ft 32958
Office (772) 388-8215 or 388-82 � 4
Fax: (772) 589-5570
FUNERAL NOME: _ l � � ) r�V ��; F • �
ADDRESS:
PHONE #: jr� , r � g �' ���33 •
(Che ne)
OPEN BURIAL LOT Lot �Block �` _Ur+it �_
�PEN CREMAINS �OT Lot __ Block Unit
_OPEN COLUMBARIUM NIC�iE Nich� Block Unit
. _ W
BURIAL DATE AND SERVICE TIME: --J���� D•� ?� ,
G u�2c�7f�
FOR DECEASED: �
IV�3fTle
iJAME AND SIGNATURE OF LO7 OWNER OR REPRESENTATIVE'
(Must provide proper document�tior� of ownership)
, �� �� p��0 oZ.
Name ignature Date
I certify that I have determined the ownership of the above described site that ail site fees and
administrative iees have been paid and authorize openir�g af same
NA��1E AND S1GNA7URE QF LICENSED FUNERAL DIREG7 C�R.
!1 �t/�i`�atl �/•
tvame Signa[ure Date
Cemetery Sexton Certification:
I certify thal I have checked th� ownership infor�r�at�on by viewing
with Clerk's office ��nd that all fees have been pa�d
- /l � /
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Cem ery exton Date
the owner's deed and confirming
7his forrn Io be provided to Clerk's OFfice by Sexton for perrnanent record upvn compleUon.
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Unit T
Block�
Lot �
Date of Mark-out
't.J
Date of Burial_T/,//�1,T._ Q�/� . Time t� !ODIi •(�G�T U/�G )
Name of Funeral Ho�ie ��i I¢ <-c.i ���.5.
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.1.1CS �.
City of Sebastian
Sebastian Cemetery
Ph.if 1(772)589- 2545
Eaxk I(772)228-4927
Nute : This Is far Informational purposes reguarding Monuments at Sebastian('ettteter .
Note : This is for Single Markers under 2 ft.&over 2 ft.( os er 2 ft.is a poured foundation )
Dry Mix
Please return to . City Of sebastian
Sebastian Cemeter
1921 North Central Ase. Foundation poured
32958 by : jamie/
Attention : Cemetery Sexton date ' 9/10/15
stone installed
n`
Base: 3-1 x 1-1 x 0-6 Die : 1-6 x 0-6 x 2-0 datj ami e
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Size : 9/22/15
Name& Dates : ]Ji. . Juan Andrade Her :
D.O.B. 1936 D.O.B.
D.O.D. 2012 D.O.D.
_egal Descripition :
Unit: 4
Bk. : 11
Lot: 9
Square Ft. :
Approved By : K.G.K.
Checked By : K.G.K.
Date: 9/10/15
By : EverLasting Monument Co.
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