HomeMy WebLinkAbout4-02-10/ VI T,
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Name ��Lc �7 / IO G�r/1��/l�s
Unit
Block
Lot
Date of Mark -out ?' .
Date of Burial Q / 3v �� i� Time
Name of Funeral Home s l u
Authorized by
PAUL C. HEIDT
December 30, 1942 —July 9, 2014
Mr. Paul C. Heidt, 71, died peacefully with his family at his side after a
courageous fight with cancer, July 9, 2014 at Sebastian River Medical Center in
Sebastian.
He was born in Flushing, New York and lived in Sebastian since 1987 coming
from Calverton, NY.
Paul was a US Army veteran and served during the Viet Nam era.
He retired from the US Postal Service in January.
He was a member of St. Sebastian Catholic Church, Sebastian, FL.
Survivors include wife Nancy E. Heidt of Sebastian, sons Christopher Heidt of
Cary, North Carolina and Paul Daniel Heidt of San Antonio, Texas, brother Daniel
Heidt of Las Vegas, Nevada, granddaughter Jennifer Heidt of Cary, North Carolina
and many nieces and nephews.
He was preceded in death by his parents William and Ethel Heidt and brother,
William Heidt.
CITY OF
HOME OF PELICAN ISLAND
Certificate No. 2425
CITY OF S B ST - Nf
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Nancy E. Heidt
302 Citrus Avenue
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 2, Lot 10
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 17th' day of July, 2014.
CITY OF SEBASTIAN, FLORIDA
r`
Jos F. Gri In
City Manager
ATTEST:
r
Sally A. lo, MMC
City Clerk
08/28 /2014 10:.29
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 889.2545
City Clerk's Office
City Hall, 3225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME: Strunk Funeral Horne and Crematory
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE #: 772- 589 -1000
LCh @ck One)
X OPEN BURIAL_ LOT
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
:3553 P.001/001
Lot 10 Block 2 Unit 4
Lot Block Unit
Niche- Block�Unit
BURIAL DATE AND SERVICE TIME: _` -� f I I_ 10, WF
FOR DECEASED: Paul C. Heidt
Name
NAME AND SIGNATURE OF LOT GINNER OR REPRESENTATIVE.
(Must provide proper documentation of ownership)
da-0 (,,
Name
M A,,,k
�7 �-
Si nature Date
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.
NAME AND SIGNATURE OF L[CF -NSED FUNERAL DIRECTOR:
Tim Marvin
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 that all fees hav been paid:
Cem ery s on Da #e
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
n
p ,I
1
����� Total Paid �5` 6_
Initials
White — Dept. of Origin • Yellow — Finance • Pink - Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
J. 1
4 I
fit C f
Cash
Name
❑
70q
Hate !� �
-- ! ` I q
kCheck# — Cq *i
No-
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501341910
LDCJCode of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots
'
41
LotlNiche 1 .Block
. Unit
Fees
Z50-0c
001501 343805
Cemetery
t %
i!
n
p ,I
1
����� Total Paid �5` 6_
Initials
White — Dept. of Origin • Yellow — Finance • Pink - Applicant
My Of
Jj
HOME OF PELICAN ISLAND \,j
City of Sebastian Municipal Cemetery Purchase Receipt
p
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.
a (u L,
Name(s) '
36 j,
Address
7
.3w-311
Area Code & Phone Numbei
J,
Name & Residence Address of Intended Occupant if Other Than Purchaser
Receipt is acknowledged in the sum of:
�R
WIN
M
OFFICE USE ONLY
_J
on this 1 7 day of 4Ck 20_Ly
Cemetery Lot(s) and /or Ni che(s).
Dollars ($ /0001 o o
for the purchase of the following described
Unit Block , Lot(s) / Niches)
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) Opening & Closing
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
t "Pu Signature teaser
1:1W W- DATAIMs -Cem et"\RE C E I PT.doc
Interment
rw -0H
Circle One
Disinterment
TOTAL $ /000,00
ty of Sebastian
The following documents were provided as Proof of
Residency:
and
Total Paid Q(J
Ira ' Is
White - Dept. of Origin • Yellow - Finance 9 Pink • Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
/4
Cii d- f
l+�
Name
i
❑ Cash
/ r
-7 ` 14
Date
FI Check#
No.
Amount Paid
001001 208001
Sales Tax
001501322900
Garage Sales
001501341920
Copies/Bid Specs,
001501 341910
LDC /Code of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots
LoMiche I () Block 2—
. Unit
001501 343805
Cemetery Fees
Total Paid Q(J
Ira ' Is
White - Dept. of Origin • Yellow - Finance 9 Pink • Applicant