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4-08-13a
Name,A ill- h� Unit_ Block �L Lot 4 Date of Mark -out 51, / ' C7 V s� Date of Burial__ ��,) Time 6d Name of Funeral Home Authorized by Certificate No. 2366 CITY OF SEB DTII N1 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: James E. &/or Lisa K. Rogers 165 Columbia Avenue Sebastian, FL 32958 In and for consideration of the sum of $1,500.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 4, Block 8, Lots 11a, 12a & 13a 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 1st day of April, 2013. CITY OF SEBASTIAN, FLORIDA ATTEST: �P V llllll�JJJJJJ �-=_ r f Minner Sally A. aio, MMC ity Manager City Clerk I - ---- - � - --- - - -J -.v iv X U4111. 1 ur,,%, I VI I Richard John Rogers RICHARD JOHN ROGERS Aug. 127 1925 - Oct. 2, 2006 Richard John Rogers. 80, of Sebastian. FL, died October 2, 2006 at fndian River Memorial Hospital, Vero Beach, FL. He was born August 127 1925 in Nonvichtown, CT and retired to Sebastian FL From Clinton. CT Mr. Richard J. Rogers was a steam -fitter and welder, as well as an avid fisherman and golfer. He was a member of the United Association of Plumbers and Pipefitters, Local #777. Meriden, CT. Mr. Richard J. Rogers (Dad) was veteran of Worldl.Nar V proudly and honorably serving in the U.S. Navy. He was a life time member of the V -7,,,V Post, Clinton, CT. He was a member of the Summit Golf Club, Grant, FL. Mr. Rogers was the son of John Henry Rogers and Marion Elizabeth Hunter' Surviving are his wife of more than 58 years, Marjorie Cook Rogers of Sebastian, FL; predeceased by his daughter, icanne Rogers Bailey surviving sons, Steven A. Rogers and %liaddie Rogers of Johnston, R!, Kenneth J. Rogers and Connie Rogers ot Ve, ona. PA: James E. Rogers and Lisa K Rogers of Mloodus. CT, sister, Lucille M. Kukucka of Andover. CT: grandchildren- greet - grandchildren, nieces. and nephews, A Memorial Service will be held 2 p,m-. October,-). 2006 at the Str--,!i-ik Funeral Home. Sebastian- FL with Rev. Robbie Neiman, Pastor of the First Baptist Church, Little Hollywood, FL officiating. Memorials may be made to the Indian River County Volunteer Ambulance Squad, P.O. Box 2240, Vero Beach, FL, in memory of Richard John Rovers. , Published in the TO Palm on October 4. 2006 http://Www.legacy.comlobituariesltcpahWobihmry-print.aspx?n=richard-john-rogers&... 5/29/2013 CITY OF SEBASTIAN CITY CLERK'S OFFICE 4386 RECEIPT Name V[,f1rG �LJS�/��D� ❑ Cash Date 11 ZY�3 eck4 No. 001001 208001 001501 322900 001501 341920 001501341910 001501 341930 601010 343800 Sales Tax Garage Sales Copies/Bid Specs. LDC/Code of Ordinances Election Qualifying Fees Cemetery Lots Lot/Niche . Block , Unit 001501343805 Cemetery Fees aWd I1c; Amount Paid 11" FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY ItOMf vi fEEIc AN ISLAND For information contact: Kip Kelso - Cemetery Sextorl Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall. 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 589-5570 FUNERAL HOME: ADDRESS: PHONE #: (Check One) OPEN BURIAL LOT Lot Block Unit PEN CREMAINS LOT Lot ck Unit PEN COLUMBARIUM NICHE Nich Block Unit -- W BURIAL DATE AND SERVICE TIME: /"t:;.=��` o A. FOR DECEASED: ;PC-W,44Jr) ,e�,�Sa,e Name f2ogr�,t2rj 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 NA1\4E AND SIGNATURE OF LICENSED FUNERAL DIRECTOR. Name 'Signature Date ------------------------------------------------------------------------------------------ Cemetery Sexton Certification: I certify that I have checked the ownership inforn,iation by viewing the owner's deed and confirming with Clerk's office ;end 7tht all fees have been paid Z -A 42 Ce etery exton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Z -d ZglL£SZSOL � I 0(U)� ©nom u l KQ � v 0 C� 0 o 0E'a® EQ 91 sues juewnuoW f4pnb BLOW Cl ZO LeW �w kto 0E'a® EQ F o 91 sues juewnuoW f4pnb BLOW Cl ZO LeW 103613 .. b TAT EM E N T DATE 7TERMS TO ,G' S 1 ADDRESS IN ACCOUNT WITH 7-11 �1✓G Lam. ' S ' .-en ICE e 0 ai,ede DC5812 T— Z W U. Q O ~ coma CO) ]t: 02 V LA. LLJ W C V a. Y VV Q �I O m c Q' O a`3 p -A t°' CO Q ? ' d Z H N C «_ 4? V ayi fO n U E E to (7 0 -1 W U � U Tvrr � p! iY CD 0 0 oS c CD co rn N rn a)rn V JL co m �h- Q �I O m c Q' O a`3 p -A t°' CO Q ? ' d Z H N C «_ 4? 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