HomeMy WebLinkAbout4-08-25aName 4:1
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Certificate No. 2412
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Lisa Diggs
4270 55th Street
Vero Beach, FL 32967
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 lots:
Unit 4, Block 8, Lots 25 a & b
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 27th day of February, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
Interim City Manager
ATTEST:
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Sally A.,fieaio, MMC
City Clerk
otrunk
NNEPAL HOMER & C12EMATOPY
916 17TH ST. • VERO BEACH, FLORIDA 32960
1623 N. CENTRAL AVE. • SEBASTIAN, FL 32958
City of Sebastian
DEED T0: Lisa Diggs
4270 55th Street
Vero Beach, FL 32967
Unit 4 Block 8 Lot 25 A & B
v
e� X
CITY OF SEBASTIAN pp
CITY CLERK'S OFFICE 4851
RECEIPT
Name S`1ru.n k I D r qt ❑ Cash 63147
Date �° Y Check# c{
No.
001001208001
001501322900
001501 341920
001501 341910
001501341930
601010 343800
001501 343805
Amount Paid
Sales Tax
Garage Sales
Copies /Bid Specs.
LDCICode of Ordinances
Election Qualifying Fees
Cemetery Lots Z���
Lot/Niche,- J5a 'Block .�jj Unit
Cemetery Fees
cat
�.MQ Total Paid 2 ,50 ®C
Initials
White - Dept. of Origin . Yellow - Finance • Pink - Applicant
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) 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: Strunk Funeral Home and Crematory
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE #: 772- 589 -1000
(Check One)
OPEN BURIAL LOT
X
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TIME
Lot Block Unit
Lot25A Block 8 Unit 4
Niche Block Unit
N S E W
Saturday, March 8, 2014 - 11:00 AM CHAPEL
FOR DECEASED: Harlan Alexander Diggs
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Name
S' ature 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.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
Tim Marvin
I -2- 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 that all fees h e been paid:
C m ery ext n Date
This form to be provided to Jerk's Office by Sexton for permanent record upon completion.
Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Reach, Florida- 32960
We hereby certify that these are the cremated human remains of.
Harlan Alexander Diggs
February 25, 2014
(Date of Death)
Strunk
Funeral Home & Crematory
(Funeral Home in Charge)
03477
(Cremation ID Number)
March 6, 2014
(Date of Cremation)
Sebastian, Florida
(City and State)
By
&Z _
(Cremator Signature)
09/03/2014 12:58
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Example
STRUNK FUNERAL HOME & CREMATORY
1623 No. GentralAve.
SEBASTIAN, F. 32958
T - (772) 589 -1000