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HomeMy WebLinkAbout3-COL-49DsaLINDA MARIE DOMEY Linda Marie Domey 69 of Sebastian FL, passed away peacefully Sunday, August 5, 2012 at Sebastian River Medical Center. She was born in Paterson NJ on April 21, 1943. Linda had been a resident of Sebastian for the past 6 years coming from New York. She was of Catholic faith. Survivors; Parents Frank Waligora and Frances Addea; sons: Kenneth Domey, Jr of New York, Christopher Domey of Sebastian, FL, Jeffrey Domey of Elmira, NY, Jason Domey of Phoenix, AZ; sister Nancy Greenwald of Sebastian, FL; seven grandchildren and one great- grandchild; and friend Deborah Hetsler of Sebastian, FL. She was predeceased by her brother Frank Waligora. Name A_ Unit Block Go 4 Lot Date of Date of Burial '� Time ©© Name of Funeral Home r/-) Authorized by CITY OF SEBASTIAN CITY CLERK'S OFFICE 4874 RECEIPT Name o " "D> ❑ Cash Date ❑'Check# No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot(Niche , Block , Unit 001501 343805 Cemetery Fees C S 3 t VUs Total Paid 5b Initials White — Dept. of Origin • Yellow — Finance a Pink • Applicant MYOF HOME OF PELICAN ISLAND Certificate No. 2401 JTY/ OF SEB SSTIA Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Deborah Ann Hetsler 255 Englar Drive Sebastian, FL 32958 In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 49dsa of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 31St day of December, 2013. CITY OF SEBASTIAN, FLORIDA ATTEST: Joseph F. Griffin Sally . Maio, MMC Interim City Manager City Clerk u(.Cf Total Paid J, W 0 61 Initials White- Dept. of Origin • Yellow -Finance a Pink - Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT /, p 4 U 19 eb o ra 63 14 &.5 1 e r Name [< Cash 12- - 3 ( " 1-3 Date ❑ Check # No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 341930 Election Qualifying Fees 61C 601010 343800 Cemetery Lots Lot/Niche 4q(i)• {.Block Ci) Unit _3 001501 343805 Cemetery Fees u(.Cf Total Paid J, W 0 61 Initials White- Dept. of Origin • Yellow -Finance a Pink - Applicant (M OF SIERAST HOME OF PELICAN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. 1)e2borah lleri Mzfs (e_r Name(s) Z 5,� En a l a r br i ve Se bis tics h FL 32?5E Address Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: 0.V jW Dollars ($ oZ6 on this. 515T day of [)eQ 2.M r-_, 20L3__ for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit 3 Block W , Lot(s) Niche(s) 4q d-.5 a 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) Vase and Ring for Niches (cost) Temporary Marker Preparation & Installation Opening & Closing Interment /W O H Circle One Disinterment TOTAL $ r& of Sebastian The following documents were provided as Proof of Residency: 1:1WW-DATAWIs-Cemeter;lRECEIPT.doc j and