HomeMy WebLinkAbout4-08-28bName
Unit
Block
Lot
Date of Mark-out—
Date
ark-out Date of Burial Zj,3 Time 3,c,a
Name of Funeral Home
Authorized by
Certificate No. 2384
CITY OF S�'B, STIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Annette Zullo
440 Briarcliff Circle
Sebastian, FL 32958
In and for consideration of the sum of $500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 8, Lot 28b
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 June, 2013.
CITY OF SEBASTIAN, FLORIDA
I� Al Minner
City Manager
ATTEST:
r
Sally A./Maio, MMC
City Clerk
DAVID A. ZULLO
Mr. David A. Zullo, 62, died June 16, 2013 at Glenville Pines
Assisted Living Facility in Palm Bay. He was born December 12,
1950 in Waltham, Massachusetts and lived in Sebastian many
years coming from Long Island, New York. He was a Social
Worker for Private Charities. He was a member of St. Sebastian
Catholic Church, Sebastian, FL.
Survivors include wife of 30 years, Annette Zullo of Sebastian;
son, Matthew Zullo of Sebastian; daughters, Christie Zullo of
Sebastian and Nicole Chmela of Port Jefferson, New York;
granddaughters, Alyssa Chmela and Kirra Zullo; grandson,
Anthony Chmela; brothers Mark Zullo, Kenneth Zullo, James
Zullo and Paul Zullo.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
SE13� �N
"Z( ':i
CELIC AN MAND
For information contact:
Kip Kc/so - Cemetery Sexton
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 #: ' ] I
(Check One)
_O_PIEN BURIAL LOT Lot Block Unit
OPEN CREMAINS LOT Lot _,Block Unit
_OPEN COLUMBARIUM NICHE Niche_ Block - Unit
_ W
BURIAL DATE AND SERVICE TIME:
FOR DECEASED:
INarile
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership
PAAt t�- 2y(� O �
Name Signature 0 Date
I certify that I have detemnined the ownership of the above described site that all site fees and
administrative fees have been paid and authorize opening of same
NA1\,1E AND SING/NATURE OF LICENSED FUNERAL DIRECTOR.
I/ �'
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 and th, t all fees have been pard p
Ce etery to ext n Date
This forill to be provided Clerk's Office by Sexton for permanent record upon completion.
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4399
RECEIPT
Name IA6Lr k Zckllc ❑ Cash
Date (o-21- !J Check#/ 6 75
No. Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501 341920 Copies/Bid Specs.
001501 341910 LDC/Code of Ordinances
001501 341930 Election Qualifying Fees
601010343800 Cemetery Lots
GG'' Q VX5X .oa
Lot/Niche 2, Block U Unit LL -
001501343805
001501343805 Cemetery Fees
aoo
Total Paid D.vo
Initials
White - Dept. of Origin 9 Yellow - Finance • Pink . Applicant
A -M
bTATEMENT
DATE // / -:5
I
TERMS
1
TO
i
ADDRESS
IN ACCOUNT WITH
s
w
G
Zen 7
o - 4
cc
00
CTaD
.dam DC5812
a
08/12/2013 15:18
Rug 24 2011 10:33RP1 HP LRSERJET FAX
mit y of sebastrrrm
1rhasilgo, CroWtT►•
PM. N {t)71J :+t♦'+ 1545
1'1% 1 117721112.4917
'Jute : TkIsIv for lttfufn►stlonal purFmk rrCavOn[ hlunuawaij ua ticlimitan t'rmrtcr► .
y,�r� : 1'1►tl
is hir 4tnxle 11■rkuru ender 2 1t. & Aver 2 f1.(h:wmd-wtlnn {
Dry Mix
vouyduthlrt 11+1urvil r
By Or
•.l��n�� iu�l,�itcd • y
t1ut� : Q
ME" MIMI lu City of Svbaiflan
."'bruin Coni ttry
1411 North Crwral �►��.
IVO SA
J►11en11pn ��'� ('ea7lrlcry SrYlan
srra . X i' D x 0-4
HIS r"'_" Ids P'' 7 -UL -L-0 HER.,
Alamos, pa(p .
.. _. 0.0,15. 124-11 A60 0.0.01
�.t�.n. 01911110 12 -DI -3 1 map.
Logal08sarlplffon :
Unit
Square PC
Apprioved By
Ch�rkeKtBy
DA'Z'E .
.vy
lExomplo ;
12440 P.001/003
P.e
- p,-- M�D� L -D 1
�
STRUNK FUNERAL NOME & CREMATORY
---_._ . ... .. S6E7No. MCen� 179 8. .
(772) 589.1000