HomeMy WebLinkAbout4-03-12aName
Unit_
Block_
Lot
Date of Mark -out -
Date of Burial ! / L 6 ��� Time v v 'ME
Name of Funeral Home
Authorized
CITY �X
SEBAST
HOME OF PELICAN ISLAND
Certificate No. 2467
CITY'OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Darla Quinn
410 Easy Street
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 3, Lot 12a
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 14th day of July, 2015.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
Sally A.'m4io, MMC
City Clerk
SEAWINDS CREMATORY
Sebastian, Florida
735 Fleming Street • Sebastian, Florida 32958
www.seawindsfh.com
(772) 589-1933
We hereby certify that these are the remains of MICHAEL E. VOLPICELLI
4t -6 , The remains were received
from SEAWINDS FUNERAL HOME & CREMATORY
Cremation Permit No. 15-73380-5165 Issued at BREVARD COUNTY
Date of Death JUN�Er 277,, 2015
Date of Cremation ` — / 5 By oo� rL7�
C-femator
My OF
c.
HOME Of PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Name(s)
y(0
Address
IW(0'1) 110 1)7
Area Code & Phone Number
MIC-hao, VojatCe(l/
Name & Residence Address of Intended Occupant If Other Than Purc
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
6W JA'ii{,[JW W � ollars ($ 0 0 )
on this )41 dayof JLktV 20_L5 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit_ / , Block 3 , Lot(s) / Za Niche(s)
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 - $20) Opening & Closing 0 • D 0 _/W O H
%-16-1,j burtq(CircleOne
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
Signature of Purchaser
I:\W W-DATA\M s-Cemetery\RE CE I PT.doc
pTpOTAL$_[ 050,00
�.c,EX-�Gc-yt1,0
ty of Sebastian
The following documents were provided as Proof of
Residency:
CITY OF SEBASTIAN
FINANCE DEPARTMENT RECEIPT 0/914
Name 00-0 "f n n t,t Cash _
Date 7-114-13 ❑ Check #
❑ Credit
Amount Paid
001001 208001
001001 220000
Sales Tax
Security Deposit -
001501 362100 Taxable Rent -
001501 362150 Non -Taxable Rent -
450010 369900 Airport Badge
001501 329500 Alarm Permits
001001 218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 369900 Miscellaneous Revenue
001501 359000 Other Fines/Forfeitures
001501 351140 Parking Citation
001501 342100 Police Security Services
401010 3y39-0 t7 /J-111A.-Qo
U 4 B 3 L 12q
cs o tfo � 3Y 3805 50.00
K --5m Total Paid
Initials
White - Dept. of Origin - Yellow - Finance • Pink - Applicant