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Agenda 03-14-13 CEMETERY REPORT FEBRUARY 2013 SCANN BOYNTON BEACH MEMORIAL FUND OCT 1® (CEMETERY TRUST FUND) �� fI13 SALES THIS CURRENT FROM CU U iCe MONTH MONTH $ 10/01/2012 YEAR TO DATE SALES OF LOTS BBM PARK 12 $7,675.001 421 $23,400.00 SARA SIMMS 0 $0.001 0.00 CONTRACT SALES 0 $0.00 0 $0.00 MAUSOLEUM Crypts & Niches 1 2 $2,500.001 7 $25,900.00 Contract Sales 0 $0.00 0 $0.00 Mausoleum Open and Close 6 $0.00 23 $0.00 Refunds - Cemetery 0 $0.00 1 - $600.00 Refunds - Mausoleum 4 - $9,659.30 GENERALFUND Cemetery 0 en and Close 20 $7,500.001 71 $26,500.00 Use of Equipment 10 $1,000.001 46 $4,600.00 Transfer of Deeds 0 $0.00 1 $75.00 Disinterments 0 $0.00 2 $1,700.00 Setting of Markers 7 $0.00 35 $0 Mausoleum Vases 7 $975.00 Mausoleum Emblems /addl. Engraving 0 $0.00 2 $400.00 Urn Vaults 1 $125.00 4 $500.00 $18,800.00 $73,790.70 TYPE OF SALES Resident iRegular 1 81 29 Resident Cremains 0 2 Non - Resident Regular 3 4 Non - Resident Cremains 0 0 Infant Lots Infant 1 1 S \CC \WP \CEMETERY \C E M E T E R Y MONTHLY REPORT\2013 \CEMETERY REPORT 02 -13 xls AVAILABILITY BOYNTON BEACH MEMORIAL PARK AS OF FEBRUARY 2013 BLOCK # FOR SALE SOLD AVAILABLE B 219 219 0 C 219 219 0 D 219 219 0 E 219 219 0 F 219 219 0 G 208 208 0 H 44 44 0 I 132 132 0 82 82 0 K 87 87 0 M 336 335 1 N 1,357 1,357 0 0 1,346 1,346 0 R 848 848 0 S 1,002 1,002 0 W 380 380 0 Y 416 416 0 TOTALS 7 333 7 332 1 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT REGULAR 220 220 0 CREMAINS 220 187 33 TOTALS 440 407 33 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT 2 REGULAR 278 278 0 CREMAINS 62 5 57 TOTALS 340 1 283 57 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT 3 REGULAR 360 171 189 DOUBLE DEPTH 40 2 38 TOTALS 400 1 173 227 INFANT LOTS FOR SALE SOLD AVAILABLE BLOCK L 304 304 0 REPLAT L 79 23 56 TOTALS 383 327 56 GRAND TOTALS 8 8,522 374 SARA SIMMS MEMORIAL GARDENS ADULT LOTS 9'X4' 659 212 1 447 INFANT LOTS 6'X4' 150 56 1 94 S \CC \WP \CEMETERY \C E M E T E R Y MONTHLY REPORT\2013 \CEMETERY REPORT 02 -13 As MAUSOLEUM AVAILABILITY AS OF FEBRUARY 2013 BUILDING FOR SALE CRYPT NICHE SOLD AVAILABLE Benediction 3 2 1 0 3 Chapel 0 0 0 0 0 Devotion 5 5 0 0 5 Serenity 10 10 0 0 10 Sunrise 2 0 2 0 2 Sunset 12 11 1 0 12 TOTALS 32 28 4 0 32 S \CC \WP \CEMETERY \C E M E T E R Y MONTHLY REPORT\2013\CEMETERY REPORT 02 -13 As CEMETERY REPORT 3ANUARY 2013 BOYNTON BEACH MEMORIAL FUND (CEMETERY TRUST FUND) SALES THIS CURRENT FROM CUMULATIVE $ MONTH MONTH $ 10/01/2012 YEAR TO DATE SALES OF LOTS BBM PARK 5 $1,775.00 30 $15,725.00 SARA SIMMS 0 $0.00 01 0.00 CONTRACT SALES 1 0 $0.00 0 $0.00 MAUSOLEUM Crypts & Niches 1 3 $15,050.001 5 $23,400.00 Contract Sales 0 $0.00 0 $0.00 Mausoleum Open and Close 6 $0.00 17 $0.00 Refunds - Cemetery 0 $0.00 1 - $600.00 Refunds - Mausoleum 2 - $4,566.80 4 - $9,659.30 GENERAL FUND Cemetery 0 en and Close 11 $3,950.001 51 $19,000.00 Use of Equipment 10 $1,000.00 36 $3,600.00 Transfer of Deeds 0 $0.00 1 $75.00 Disinterments 0 $0.00 2 $1,700.00 Setting of Markers 9 $0.00 28 $0 Mausoleum Vases 2 $250.00 7 $975.00 Mausoleum Emblems /addl. Engraving 0 $0.00 2 $400.00 Urn Vaults 1 $125.00 3 $375.00 $17,583.20 $54,990.70 TYPE OF SALES Resident Re ular 3 21 Resident lCremains 1 01 2 Non - Resident Regular I ol 1 Non - Resident Cremains 0 0 Infant Lots Infant 21 0 S \CC\WP \CEMETERY \C E M E T E R Y MONTHLY REPORT\2013\CEMETERY REPORT 01 -13 As p ter-► fi sc-kt— AVAILABILITY BOYNTON BEACH MEMORIAL PARK AS OF JANUARY 2013 BLOCK # FOR SALE SOLD AVAILABLE B 219 219 0 C 219 219 0 D 219 219 0 E 219 219 0 F 219 219 0 G 208 208 0 H 44 44 0 I 132 132 0 J 82 82 0 K 87 87 0 M 336 336 0 N 1,357 1,357 0 0 1,346 1,346 0 R 848 848 0 S 1,002 1,002 0 W 380 380 0 Y 416 416 0 TOTALS 7 7 333 0 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT REGULAR 220 220 0 CREMAINS 220 184 36 TOTALS 440 404 36 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT 2 REGULAR 278 278 0 CREMAINS 62 4 58 TOTALS 340 282 58 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT 3 REGULAR 360 161 199 DOUBLE DEPTH 40 2 38 TOTALS 400 1 163 1 237 INFANT LOTS FOR SALE SOLD AVAILABLE BLOCK L 304 304 0 REPLAT L 79 22 57 TOTALS 383 326 57 GRAND TOTALS 8 896 8 388 SARA SIMMS MEMORIAL GARDENS ADULT LOTS 9'X4' 659 212 447 INFANT LOTS 6'X4' 150 56 94 S \CC \WP \CEMETERY \C E METE R Y MONTHLY REPORT\2013 \CEMETERY REPORT 01 -13 As MAUSOLEUM AVAILABILITY AS OF JANUARY 2013 BUILDING FOR SALE CRYPT NICHE SOLD AVAILABLE Benediction 3 2 1 0 3 Chapel 0 0 0 0 0 Devotion 5 5 0 0 5 Serenity 10 10 0 0 10 Sunrise 2 0 2 0 2 Sunset 12 11 1 0 12 TOTALS 32 28 4 0 32 S \CC \WP \CEMETERY\C E M E T E R Y MONTHLY REPORT\2013 \CEMETERY REPORT 01 -13 As CEMETERY REPORT DECEMBER 2012 BOYNTON BEACH MEMORIAL FUND (CEMETERY TRUST FUND) SALES THIS CURRENT FROM CUMULATIVE MONTH MONTH $ 10/01/2012 YEAR TO DATE SALES OF LOTS BBM PARK 17 $9,150.001 25 $13,950.00 SARA SIMMS 0 $0.00 01 0.00 CONTRACT SALES 0 $0.00 0 $0.00 MAUSOLEUM Crypts & Niches 1 $7,650.001 2 $8,350.00 Contract Sales 0 $0.00 0 $0.00 Mausoleum Open and Close 1 $0.00 11 $0.00 Refunds - Cemetery 1 - $600.00 1 - $600.00 Refunds - Mausoleum 1 2 - $5,092.50 2 - $5,092.50 GENERAL FUND Cemetery 0 en and Close 1 19 $8,450.001 40 $15,050.00 Use of Equipment 15 $1,500.00F 26 $2,600.00 Transfer of Deeds 1 $75.00 1 $75.00 Disinterments 0 $0.00 2 $1,700.00 Setting of Markers 9 $0.00 19 $0 Mausoleum Vases 4 $600.001 5 $725.00 Mausoleum Emblems /addl. Engraving 1 $200.00 2 $400.00 Urn Vaults 1 $125.00 2 $250.00 $22,057.50 $37,407.50 TYPE OF SALES Resident lRegular 141 7 Resident lCremains 1 21 0 Non - Resident Regular 11 1 Non - Resident Cremains 01 0 Infant Lots Infant 01 0 S \CC \WP \CEMETERY \C E M E T E R Y MONTHLY REPORT\2012 \CEMETERY REPORT 12 -12 As mt 0 AVAILABILITY BOYNTON BEACH MEMORIAL PARK AS OF DECEMBER 2012 BLOCK # FOR SALE SOLD AVAILABLE B 219 219 0 C 219 219 0 D 219 219 0 E 219 219 0 F 219 219 0 G 208 208 0 H 44 44 0 I 132 132 0 J 82 82 0 K 87 87 0 M 336 336 0 N 1,357 1,357 0 0 1,346 1,346 0 R 848 848 0 S 1,002 1,002 0 W 380 380 0 Y 416 416 0 TOTALS 7 333 7 333 1 0 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT REGULAR 220 220 0 CREMAINS 220 184 36 TOTALS 1 440 404 36 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT 2 REGULAR 278 278 0 CREMAINS 62 4 58 TOTALS 340 282 58 ADULT LOTS FOR SALE SOLD AVAILABLE REPLAT 3 REGULAR 360 158 202 DOUBLE DEPTH 40 2 38 TOTALS 400 160 240 INFANT LOTS FOR SALE SOLD AVAILABLE BLOCK L 304 304 0 REPLAT L 79 20 59 TOTALS 383 324 59 GRAND TOTALS 8 896 8,503 393 SARA SIMMS MEMORIAL GARDENS ADULT LOTS 9'X4' 659 212 447 INFANT LOTS 6'X4' 150 56 94 S \CC \WP \CEMETERY \C E M E T E R Y MONTHLY REPORT\2012 \CEMETERY REPORT 12 -12 As MAUSOLEUM AVAILABILITY AS OF DECEMBER 2012 BUILDING FOR SALE CRYPT NICHE SOLD AVAILABLE Benediction 4 2 2 0 4 Chapel 0 0 0 0 0 Devotion 5 5 0 0 5 Serenity 10 10 0 0 10 Sunrise 3 0 3 0 3 Sunset 12 11 1 0 12 TOTALS 34 28 6 0 34 S \CC \WP \CEMETERY\C E M E T E R Y MONTHLY REPORT\2012 \CEMETERY REPORT 12 -12 As The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 e -mail: prainitoj@bbfl.us www.boynton- beach.org TRANSFER OF MAUSOLEUM CERTIFICATE OF OWNERSHIP CEMETERY BOARD CITY CLERK'S OFFICE CITY OF BOYNTON BEACH BOYNTON BEACH, FLORIDA 33435 I /We, the undersigned, do hereby submit the original Certificate of Ownership and a copy of the Mausoleum Agreement to the Mausoleum Crypt /Niche more particularly described as: Building_ Sunset , Section _D , Crypt/ Niche Boynton Beach Mausoleum We respectfully request approval to transfer ownership of above described crypt/niche to: Name(s) Maredith Fazio Paduano Address 4315 Pierce Street City & State Hollywood, FL 33021 Telephone 954 - 559 -0282 The transfer fee is to accompany this request. *The transfer fee does not include charges to engrave the crypt /niche front. Additional charges will apply, Signature Print Name V1 T-O o Signature Print Name Telephone �L State of Neu Y 0 YIt County of I The foreggoing instrument was acknowledged before me this �h6 day of Fe- byy')V 7 , by V ,�o Dchho who is personally known to me or who has produced N� JDY ,vey S C � L f h X as identification and who did (did not) take an oath. - - - — .:�� (No ANTHONY bHEPERIS Notary Public Signature lVo or lic - State of New York N0. OISH6265143 ACS �n� Qualified in Kings County Print Name o S oCYI My Commission Expires - 7 -R -4-e I b My Commission Expires: - I — i - -c I L February 22, 2013 CEMETERY BOARD CITY CLERK'S OFFICE CITY OF BOYNTON BEACH Please find the enclosed to Transfer of Ownership application, the original deed, and the application check to process. To person who will be owner, also on the application, is: Maredith Fazio Paduano 4315 Pierce Street Hollywood, FL 33021 954- 559 -0282 Please let me know if anything more is needed. Thank you for the help and for processing as soon as possible. Sincerely, Vito Donno 46214 th Street Brooklyn, NY 11215 718 757 2058 CITY OF BOYNTON BEACH (561) 742 -6063 INVOICE 31610 TO: VITO DONNO 462 14TH STREET INVOICE DATE 3/05/13 BROOKLYN, NY 11215 DUE DATE 4/04/13 CUSTOMER /TYPE # 6837/6837 QUANTITY DESCRIPTION PRICE TOTAL 1.00 TRANSFERS 75.00 75.00 Sunset, Sec. D, E -10 TOTAL DUE: $75 00 PLEASE DETACH THIS PORTION AND RETURN WITH YOUR PAYMENT REMIT TO CUSTOMER NAME CITY OF BOYNTON BEACH DONNO, VITO ATTN: CITY CLERK PO BOX 310 BOYNTON BEACH FL 33425 CUSTOMER /TYPE NUMBER INVOICE DATE INVOICE NUMBER MOUNT DUE 6837/6837 3/05/13 31610 te: 3,1 05/1'$715•Qepel iuray�yment a 7593 '� 75.0Ej 'CH A. r Q 0 W 2 3 Q a co t' ca — so N a k U _ 4t O O m O cc c Q) O Q Q n Q O c .o 2 U (0 -2 O U W N m 5 U 4 = �� rod O Z Q = I 0 c� r LL cc o v W - U m W �� y 3Cl Z n c m �� 4 Z 3 �_ 3v� �' ° o W Q o� a ca ai u Q � C'3 � y `�� C) WU in V p �� rc ~ m� QU i 0 � cc cc 0 O V _ :3 z a�i c ° c i °�' ro � o U rH � � v, o ro r � W �a o.o ct m o ff Q o d i q W =tf O W O O Om C. .6 U z -Q W c u: ()A o � � � L a p rE - U ca E 2 c Cu � � U W r cc z Oto O o W? = W o OA cts pomp; p Q lU. Q O N Z W` o UO > o --o 0 � LL �, a, O c Z — u �O CU o`� o 2 W Z 2 at r� E o cu .c U .g DEATH TRANSCRIPT:�'i n, , V DATE FILED THE CITY OF NEW YORK — DEPARTMENT OF HEALTH AND MENTAL HYGIENE fd CERTIFICATE OF DEATH Certificate No 156 -10- 049661 NEW YORK CITY `? DEPARTMENT OF HEALTH AND MEN rAL HYGIENE DECEMBER I7, 20t0 09 26 PM 1 DECEDENT'S OSVALDINA DONNO LEGAL NAME (First Middle, Last) 2a New York City 2c Type of Place 4 J Nursing Horne/Long Term Care Facility 2d Any Hospice care 2P Name of hospital or other facility (d not facility street address) Q PO' a 2b Borough 1 f0 Hospital Inpatient 5 J Hospice Facility m last 1 30 days « O Yes W e 2 J Emergency Dept iouipabent 5 J Decedent s Residerce 2 J No o m Death Brooklyn 3 J Dead on Arrival 7 J Other Specify 3 Jd Unknown Calvary Hospital - The Brooklyn Campus i' LL H ' t Date and Time 3a (Month) (Day) (Year yyyy) 3b Time U AM 4 Sex 5 Date last attended by a Physician FW- Q. of Death mm I dd yyyy " at December 16 2010 07.30 XPM Female 12 16 2010 �- LL ° 6 Caddie, I certify that death occurred at the time, date and place indicated and tnal to the best of my knowledge traumatic injury or poisoning DID NOT play any part in causing death, ( m and that death did not occur in any unusual manner and was due entirely to NATURAL CAUSES See Instructions on ` reverse of certificate W ° V`( L U= $r Ja Xueshu Zhan MD Si nature MID C � Name of Physician 9 g � of{ o y (Type or Print) Signature Electronically Authenticated r ^� « Address 150 55th Street, Brooklyn, New York 11220 License No 218320 Date DEC -16 -2010 7a Usual Residence State 7b County 7i qty or Town 7d Street and Number Apt No ZIP Code 7e Inside City _, I- New' Kings Brooklyn 462 14 Street 11215 Yes 2 J Ng y - 8 Date of Birth (Month) (Day) (Year -yyyy) 9 Age at last birthday Under Y ear Under 1 Day 10 Soaal Security No {� r (years) Months Days Hr,Urs Mt ^utes j�. March 14 1919 1 91 2 4 5 0 -9910 e y 11a Usual Occupation (Type of work done during most of working hie 1 t b Kind of business or rtdustry 12 Alia5e3 or AKAs m r i aker Own Home 13 Birthplace (City & State or Foreign Country) 14 Education (Check the box that best describes the highest degree or level of school completed at the time of death) O 1 8th grade or less, none 4 U Sema college credn, but no degree 7 J Master's degree (e g MA, MS, MEng, MEd, MSW MBA) Brazil 2 U 9th - 12th grade no diploma 5 U Associate degree (e g AA AS) 8 O Doctorate (e g, PhD EdD) or N 3'1CHigh school graduate or GED 6 J Bachelors degree (c a NA AB BS) Professional degree (e g MD DDS, DVM LLB, 30) IX 1 3 Q 15 Ever m U 5 6 MantallPartnership Status at time of death 17 Sumo ng Spouse s. Partner s Name (if wife, name pnor to first marnage)(Frst Middle Last) ` i ° Armed ForceSn 1 U Marnetl 2 O DomeetiC Partnership 3 J Divorced e l 01 4) an Manned but separated 5 J Never Married etl 6 Widowed F u i ❑Yes 2 xNO •.. r. cc c 7 -1 Other, Specdy 8 J Unknown o� 0 78 Father's Name (First, Middle, Last) 19 Mother s MaMei Name (Poor to first marriage) (First Middle Last) ..e Ja F z d Anibal Nery Da Silva Mercedes Pereira Lopes 20a Informants Name 20b Relationship to Decedent 20c Address (Street and Number Apt No City &State ZIP Code) W t• a� Vito Donno Son 462 14 Street, Brooklyn, New York 11215 i I'� p 21a Method of Disposition 21b Place of Disposition (Name of cemetery crematory, other place) v t )t Burial 2 U Cremation 3 J Entombment 4 _J Cny Cemetery a 5 J other 8pecny St Charles Cemetery to 21 c Location of Disposmon (City & State or Foreign Country) 21 d Date of mm did yyyy Disposmon rr Farmingdale, New York 12 18 2010 22a Funeral Establishment 22b Address (Street and Number City 8 State ZIP Code) Joseph G Du Funeral Home 255 9th Street Brooklyn, p nY Y i New York 11215 yy� vn I5 (Rev 01,09) i y l " III n i fi ", nl! JPARJA L ZXlitrwf Zvi AA( Y f I ! —I y I, � n T` , '� prr' , IL �, ",l ','I �I - Srsvcr P SchiNonz Ph D Cd4eclst U ra• `.� `� � 11 , til Rib n i, d�, a'�. ..-.- / {j , mr ,i rlv, , I „i „i p, li ,, ,i, h�� `�� •X� �� - i , ,f •h 1, ,,, ,t t S- ; ^.h�i'It Ipi�, a, .�, ^, ,i„ �� {��1 �) � � � Y�[I �,, l� utu December 17, 2010 Order No. 20101204130 W 0 0 6 6 2 0 3 7 `` * '* � -yam �,� ,r yp� , -�, � ^ ,: .:'LJri "i�1 4v '^��-, r / 1.ti .. -Z•_ � 1 � �- �.x... .,. ' �F _ gg,, THE OSVALDINA DONNO LIVING TRUST DECLARATION AND INSTRUMENT OF TRUST I. TRUST NAME THIS TRUST SHALL BE KNOWN AS THE OSVALDINA DONNO LIVING TRUST THE TRUST IDENTIFICATION NUMBER IS 051 -40 -9911 II. TRUST AGREEMENT THIS TRUST AGREEMENT IS ENTERED INTO ON > 199_/ BETWEEN OSVALDINA DONNO OF BOYNTON BEACH, PALM BEACH COUNTY, STATE OF FLORIDA, HEREINAFTER REFERRED TO AS THE SETTLOR AND OSVALDINA DONNO, OF BOYNTON BEACH, PALM BEACH COUNTY, STATE OF FLORIDA, HEREINAFTER REFERRED TO AS THE TRUSTEE REFERENCE TO THE TRUSTEE SHALL ALSO INCLUDE THE SUCCESSOR TRUSTEES OF OSVALDINA DONNO WHEN THEY ARE ACTING IN THE FIDUCIARY CAPACITY DESCRIBED IN THIS TRUST AGREEMENT THE SETTLOR DESIRES TO CREATE A REVOCABLE TRUSTAND HEREBY TRANSFERS AND DELIVERS TO THE TRUSTEE ALL OF THE PROPERTY DESCRIBED IN SCHEDULE A ATTACHED TO AND MADE PART OF THIS INSTRUMENT AGREEMENT THE RECEIPT OF WHICH PROPERTY IS ACKNOWLEDGED BY THE TRUSTEE SUCH PROPERTY, TOGETHER WITH ANY OTHER PROPERTY THAT MAY LATER BECOME SUBJECT TO THIS TRUST SHALT_ CONSTITUTE THE TRUST ESTATE THE TRUST PROPERTY SHALL BE USED FOR THE BENEFIT OF THE TRUST BENEFICIARIES AND SHALL BE ADMINISTERED AND DISTRIBUTED BY THE TRUSTEE IN ACCORDANCE WITH THIS TRUST INSTRUMENT III. TRUST PROPERTY THE TRUST PROPERTY LISTED IN SCHEDULE A SHALL BE DESIGNATED AS PROPERTY HELD BY OSVALDINA DONNO AS LONG AS OSVALDINA DONNO SHALL LIVE, SHE MAY REVOKE THE TRUST IN WRITING, AT ANY TIME, WITHOUT NOTIFYING ANY BENEFICIARY AS LONG AS OSVALDINA DONNO SHALL LIVE, THE OSVALDINA DONNO LIVING TRUST MAY BE ALTERED, AMENDED OR MODIFIED IN WRITING IV. SUCCESSOR TRUSTEES UPON THE DEATH OR INCAPACITY OF OSVALDINA DONNO, THE SUCCESSOR TRUSTEE SHALL BE VITO O. DONNO AND IN HIS ABSENCE, CHIARA D. TORRES -AYALA TRUSTEE SHALL HAVE THE RIGHT TO APPOINT, IN A WRITING WHICH SHALL ESE: NOTARIZED, ADDITIONAL SUCCESSOR TRUSTEES TO SERVE, IN THE ORDER NOMINATED, AS TRUSTEE, IF ALL THE SUCCESSOR TRUSTEES NAMED IN THIS TRUST INSTRUMENT" CEASE TO EXIST OR ARE UNABLE TO SERVE NO TRUSTEE SHALL RECEIVE COMPENSATION NO BOND SHALL BE REQUIRED OF ANY TRUSTEE V. BENEFICIARIES UNTIL HER DEATH, THE SETTLOR RETAINS ALL RIGHTS TO INCOME, PROFITS ANC) CONTROL OF THE PROPERTY OF THE OSVALDINA DONNO LIVING TRUST UPON THE DEATH OF OSVALDINA DONNO, IF THE PROPERTY IS STILL PART OF THE TRUST ESTATE, HER PROPERTY SHALL BE DISTRIBUTED AS FOLLOWS a My entire estate, rest and residue included, shall go to my two children, VITO O DONNO and CHIARA D TORRES- AYALA, in equal shares b In the event either of my children should predecease me, his or her share shall pass to his or her surviving issue, and if no surviving issue, to my surviving child c In the event any of my grandchildren should take under the provisions of this Trust Agreement, the Successor Trustee named herein shall act as guardian of the property until said grandchild attains the age of legal majority VI. INCAPACITY IF OSVALDINA DONNO BECOMES PHYSICALLY OR MENTALLY INCAPACITATED AS CERTIFIED IN WRITING BY TWO LICENSED PHYSICIANS, THE SUCCESSOR TRUSTEE(S) SHALL MANAGE THE TRUST AND SHALL APPLY FOR THE BENEFIT OF THE SETTLOR ANY AMOUNT OF TRUST INCOME OR TRUST PRINCIPAL NECESSARY IN THE SUCCESSOR TRUSTEE(S)' DISCRETION, FOR THE PROPER HEALTH CARE, SUPPORT, MAINTENANCE, COMFORT AND WELFARE OF THE SETTLOR, IN ACCORDANCE WITH HER ACCUSTOMED STANDARD OF LIVING, UNTIL A LICENSED PHYSICIAN CERTIFIES THAT THE SETTLOR IS AGAIN ABLE TO MANAGE HER OWN AFFAIRS OR UNTIL HER DEATH ANY INCOME IN EXCESS OF AMOUNTS APPLIED FOR THE BENEFIT OF THE SETTLOR SHALL BE ACCUMULATED AND ADDED TO THE TRUST PROPERTY VII. POWERS OF THE TRUSTEE A. GENERAL POWERS THE TRUSTEE SHALL HAVE THE POWER TO CARRY OUT THE PROVISIONS OF THI;> INSTRUMENT AND TO MANAGE THE TRUST PROPERTY THE TRUSTEE SHALL HAVE THE: AUTHORITY AND POWER ALLOWED OR CONFERRED UNDER FLORIDA LAW AND SUBJECT TO THE TRUSTEES' FIDUCIARY DUTY TO THE SETTLOR AND THE BENEFICIARIES ANY DEBTS OR DEATH TAXES OF OSVALDINA DONNO SHALL BE PAID BY THE TRUSTEE= FROM THE RESIDUARY ESTATE IF THE RESIDUARY ESTATE IS INSUFFICIENT TO PAY THE DEBTS AND DEATH TAXES, THE TRUSTEE SHALL DETERMINE HOW SUCH DEBTS AND DEATH TAXES SHALL BE PAID 2 STATE OF FLORIDA COUNTY OF PALM BEACH ff WE, OSVALDINA DONNO, � 1 I Id 11 C tl �J_AND , r : o { . , THE ETTLOR AND WITNESSES, RESPECTIVELY, WHOSE NAMES ARE SIGNED TO THE ATTACHED INSTRUMENT, HAVING BEEN SWORN, DECLARED TO THE UNDERSIGNED OFFICER, THAT THE SETTLOR, IN THE PRESENCE OF WITNESSES, SIGNED THE INSTRUMENT AS HER AGREEMENT, THAT SHE SIGNED AND THAT EACH OF THE WITNESSES, IN THE PRESENCE OF THE SETTLOR, AND IN THE PRESENCE OF EACH OTHER, SIGNED THE TRUST AGREEMENT AS A WITNESS OS7ALDINA DONNO 1 r' 1 1 f ' WITNESS' WITNESS SUBSCRIBED AND SWORM TO BEFORE MF,THIS DAY OF. OSVALDINA DONNO, AND r ! t I ' . AND r 1 , . , : _ . ' , I THE SETTLOR AND THE WITNESSES, W('10 ARE PERSONALLY KNOWN TO ME OR WHO HAVE: PRODUCED A AS IDENTIFICATION*AND WHO D,{D TAKE AN OATH ,y NAME �+,,• NOTARY PUBLIC-STATE OF FLORIDA Stacey 6 Stahl ��« COMMISSION NO * *M'�missionCC819642 MY COMMISSION EXPIRES- �q »M1 il r ExPir6s March 21.2003 THIS DOCUMENT WAS PREPARED BY LAW OFFICE OF SHERILYNNE MARKS, P.A 1325 S CONGRESS AVE SUITE 224 BOYNTON BEACH, FL 33426 561- 732 -8323 C IWPCOCSISTRF PMF 12 CITY OF BOYNTON BEACH, FLORIDA STATEMENT OF REVENUES & EXPENDITURES - COMPARATIVE BUDGET TO ACTUAL For the Month Ended February 28, 2013 FISCAL YEAR 2013 TO DATE Current YTD Revenues - 631 (Memorial Park) Feb -13 BUDGET REVENUE PERCENT CHARGES FOR SERVICES Cemetery Interments $ 6,750 $ 30,000 $ 29,550 99% Cemetery/Equipment Rental 1,100 8,000 5,300 66% Cemetery/Sale of Lots 6,025 30,000 38,575 0% TOTAL CHARGES 13,875 68,000 73,425 108% MISCELLANEOUS REVENUE Interest Income 87 5,000 1,706 34% Miscellaneous Income 375 3,000 2,675 89% Fund Balance Appropriated 0 186,575 0 0% TOTAL MISCELLANEOUS REVENUE 462 194,575 4,381 2% Total Revenues $ 14,337 $ 262,575 $ 77,806 30% FISCAL YEAR 2013 TO DATE Current YTD Revenues - 632 (Mausoleum) Feb -13 BUDGET REVENUE PERCENT CHARGES FOR SERVICES Mausoleum /Sale of Crypts 1,500 0 11,550 0% TOTAL CHARGES 1,500 0 11,550 0% MISCELLANEOUS REVENUE Interest Income 79 5,000 1,551 31% Miscellaneous Income 0 3,000 1,725 58% Fund Balance Appropriated 0 64,300 0 0% TOTAL MISCELLANEOUS REVENUE 79 72,300 3,276 5% Total Revenues $ 1,579 $ 72,300 $ 14,826 21% Grand Total Revenues $ 15,916 $ 334,875 $ 92,632 28% FISCAL YEAR 2013 TO DATE Current YTD Expenditures - 631 (Memorial P ark) Feb -13 BUDGET EXPENSES PERCENT PERSONNEL Regular Salaries $ 8,494 $ 124,084 $ 42,687 34% Holiday Pay 0 250 0 0% Overtime 135 3,000 865 29% Cell Phone Allowance 15 180 75 42% Employer FICA 634 9,520 3,201 34% General Employees Pension 0 31,632 31,632 100% Life Insurance 0 42 0 0% Disability Insurance 0 561 0 0% Health Insurance 1,652 19,825 8,260 42% Dental Insurance 79 963 397 41% Vision Insurance 10 127 48 38% TOTAL PERSONNEL 11,019 190,184 87,165 46% OPERATING Audit Fees $ - $ 1,980 $ 600 30% Cellular Phone /Beeper 242 280 242 86% Electric Service 48 1,500 293 20% Water /Sewer Service 51 600 199 33% Building Repairs 0 500 0 0% Vehicle Maint- Garage 3,344 10,723 5,136 48% irrigation Maintenance 0 2,000 34 2% Self Insurance Chgs (W /C) 207 2,483 1,035 42% Warehouse Service Chg 88 1,058 441 42% Other Contractual Svcs 79 21,000 7,189 34% Office Supplies 0 0 74 0% Operating Equip < $750 0 900 0 0% Chemicals 226 1,500 451 30% Uniforms 0 500 0 0% Safety Clothing /Equip 0 590 226 38% Gardening Supplies 326 3,500 326 9% Equipment Parts /Supplies 0 2,500 862 34% TOTAL OPERATING 4,611 51,614 17,108 33% NON - OPERATING Transfer to General Fund $ 1,000 $ 12,000 $ 5,000 42% Transfer to Vehicle Svc Fund 523 6,277 2,615 42% Refund on Cemetery Lots 0 2,500 5,167 207% TOTAL NON - OPERATING 1,523 20,777 12,782 62% Expenditures - 632 (Mausoleum) OPERATING Litigation Fees & Costs $ - $ 15,000 $ - D% Electric Service 140 1,700 908 53% Water /Sewer Service 505 5,700 1,395 24% Building Repairs 0 2,000 0 0% Other Contractual Services 0 11,600 5,908 51% Supplies 0 5,500 399 7% Equipment Parts /Supplies 0 0 0 0% Refund -Sale of Crypts 0 30,800 4,532 15% TOTAL OPERATING 645 72,300 13,142 18% Tot,-.1 Expenditures $ 17,798 $ 334,875 $ 130,197 39% Net Income Increase(Decrease) $ (1,882) $ - $ (37,565) CITY OF BOYNTON BEACH, FLORIDA STATEMENT OF REVENUES & EXPENDITURES - COMPARATIVE BUDGET TO ACTUAL For the Month Ended January 31, 2013 FISCAL YEAR 2013 TO DATE Current YTD Revenues - 631 (Memorial Park) Jan -13 BUDGET REVENUE PERCENT CHARGES FOR SERVICES Cemetery Interments $ 6,600 $ 30,000 $ 22,800 76% Cemetery/Equipment Rental 1,200 8,000 4,200 53% Cemetery/Sale of Lots 5,975 30,000 32,550 0% TOTAL CHARGES 13,775 68,000 59,550 88% MISCELLANEOUS REVENUE Interest Income 997 5,000 1,619 32% Miscellaneous Income 125 3,000 2,300 77% Fund Balance Appropriated 0 186,575 0 0% TOTAL MISCELLANEOUS REVENUE 1,122 194,575 3,919 2% Total Revenues $ 14,897 $ 262,575 $ 63,469 24% FISCAL YEAR 2013 TO DATE Current YTD Revenues - 632 (Mausoleum) Jan -13 BUDGET REVENUE PERCENT CHARGES FOR SERVICES Mausoleum /Sale of Crypts 1,700 0 10,050 0% TOTAL CHARGES 1,700 0 10,050 0% MISCELLANEOUS REVENUE Interest Income 906 5,000 1,472 29% Miscellaneous Income 275 3,000 1,725 58% Fund Balance Appropriated 0 64,300 0 0% TOTAL MISCELLANEOUS REVENUE 1,181 72,300 3,197 4% Total Revenues $ 2,881 $ 72,300 $ 13,247 18% Grand Total Revenues $ 17,778 $ 334,675 $ 76,716 23% FISCAL YEAR 2013 TO DATE Current YTD Exeenditures - 631 (Memorial P ark) Jan -13 BUDGET EXPENSES PERCENT PERSONNEL Regular Salaries $ 8,554 $ 124,084 $ 34,193 28% Holiday Pay 0 250 0 0% Overtime 0 3,000 730 24% Cell Phone Allowance 15 180 60 33% Employer FICA 628 9,520 2,567 27% General Employees Pension 0 31,632 31,632 100% Life Insurance 0 42 0 0% Disability Insurance 0 561 0 0% Health Insurance 1,652 19,825 6,608 33% Dental Insurance 79 963 317 33% Vision Insurance 10 127 38 30% TOTAL PERSONNEL 10,938 190,184 76,145 40% OPERATING Audit Fees $ 600 $ 1,980 $ 600 30% Cellular Phone /Beeper 0 280 0 0% Electric Service 110 1,500 245 16% Water /Sewer Service 51 600 148 25% Building Repairs 0 500 0 0% Vehicle Maint - Garage 0 10,723 1,792 17% irrigation Maintenance 0 2,000 34 2% Self Insurance Chgs (W /C) 207 2,483 828 33% Warehouse Service Chg 88 1,058 353 33% Other Contractual Svcs 3,275 21,000 7,110 34% Office Supplies 0 0 74 0% Operating Equip < $750 0 900 0 0% Chemicals 0 1,500 226 15% Uniforms 0 500 0 0% Safety Clothing /Equip 58 590 226 38% Gardening Supplies 0 3,500 0 0% Equipment Parts /Supplies 569 2,500 862 34% TOTAL OPERATING 4,958 51,614 12,498 24% NON - OPERATING Transfer to General Fund $ 1,000 $ 12,000 $ 4,000 33% Transfer to Vehicle Svc Fund 523 6,277 2,092 33% Refund on Cemetery Lots 4,567 2,500 5,167 207% TOTAL NON - OPERATING 6,090 20,777 11,259 54% Expenditures - 632 (Mausoleum) OPERATING Litigation Fees & Costs $ - $ 15,000 $ - 0% Electric Service 261 1,700 768 45% Water /Sewer Service 434 5,700 889 16% Building Repairs 0 2,000 0 0% Other Contractual Services 2,344 11,600 5,908 51% Supplies 399 5,500 399 7% Equipment Parts /Supplies (399) 0 0 0% Refund -Sale of Crypts 0 30,800 4,533 15% TOTAL OPERATING 3,039 72,300 12,497 17% Total Expenditures $ 25,025 $ 334,875 $ 112,399 34% Net Income Increase(Decrease) $ (7,862) $ - $ (35,683) CITY OF BOYNTON BEACH, FLORIDA STATEMENT OF REVENUES & EXPENDITURES - COMPARATIVE BUDGET TO ACTUAL For the Month Ended December 31, 2012 FISCAL YEAR 2013 TO DATE Current YTD Revenues - 631 (Memorial Park) Dec-12 BUDGET REVENUE PERCENT CHARGES FOR SERVICES Cemetery Interments $ 6,050 $ 30,000 $ 16,200 54% Cemetery/Equipment Rental 1,200 8,000 3,000 38% Cemetery/Sale of Lots 20,200 30,000 26,575 0% TOTAL CHARGES 27,450 68,000 45,775 67% MISCELLANEOUS REVENUE Interest Income 0 5,000 622 12% Miscellaneous Income 775 3,000 2,175 73% Fund Balance Appropriated 0 186,575 0 0% TOTAL MISCELLANEOUS REVENUE 775 194,575 2,797 1% Total Revenues $ 28,225 $ 262,575 $ 48,572 18% FISCAL YEAR 2013 TO DATE Current YTD Revenues - 632 (Mausoleum) Dec-12 BUDGET REVENUE PERCENT CHARGES FOR SERVICES Mausoleum /Sale of Crypts 7,650 0 8,350 0% TOTAL CHARGES 7,650 0 8,350 0% MISCELLANEOUS REVENUE Interest Income 0 5,000 566 11% Miscellaneous Income 600 3,000 1,450 48% Fund Balance Appropriated 0 64,300 0 0% TOTAL MISCELLANEOUS REVENUE 600 72,300 2,016 3% Total Revenues $ 8,250 $ 72,300 $ 10,366 14% Grand Total Revenues $ 36,475 $ 334,875 $ 58,938 18% FISCAL YEAR 2013 TO DATE Current YTD Expenditures - 631 (Memorial P ark) Dec -12 BUDGET EXPENSES PERCENT PERSONNEL Regular Salaries $ 8,638 $ 124,084 $ 25,639 21% Holiday Pay 0 250 0 0% Overtime 162 3,000 730 24% Cell Phone Allowance 15 180 45 25% Employer FICA 647 9,520 1,939 20% General Employees Pension 0 31,632 31,632 100% Life Insurance 0 42 0 0% Disability Insurance 0 561 0 0% Health Insurance 1,652 19,825 4,956 25% Dental Insurance 79 963 238 25% Vision Insurance 10 127 29 23% TOTAL PERSONNEL 11,203 190,184 65,208 34% OPERATING Audit Fees $ - $ 1,980 $ - 0% Cellular Phone /Beeper 0 280 0 0% Electric Service 0 1,500 135 9% Water /Sewer Service 51 600 98 16% Building Repairs 0 500 0 0% Vehicle Maint - Garage 975 10,723 1,792 17% Irrigation Maintenance 33 2,000 33 2% Self Insurance Chgs (W /C) 207 2,483 621 25% Warehouse Service Chg 88 1,058 264 25% Other Contractual Svcs 1,387 21,000 3,835 18% Office Supplies 74 0 74 0% Operating Equip < $750 0 900 0 0% Chemicals 0 1,500 226 15% Uniforms 0 500 0 0% Safety Clothing /Equip 0 590 168 28% Gardening Supplies 0 3,500 0 0% Equipment Parts /Supplies 173 2,500 293 12% TOTAL OPERATING 2,988 51,614 7,539 15% NON - OPERATING Transfer to General Fund $ 1,000 $ 12,000 $ 3,000 25% Transfer to Vehicle Svc Fund 523 6,277 1,569 25% Refund on Cemetery Lots 600 2,500 600 24% TOTAL NON - OPERATING 2,123 20,777 5,169 25% Expenditures - 632 (Mausoleum) OPERATING Litigation Fees & Costs $ - $ 15,000 $ - 0% Electric Service 0 1,700 508 30% Water /Sewer Service 276 5,700 455 8% Building Repairs 0 2,000 0 0% Other Contractual Services 52 11,600 3,564 31% Supplies 0 5,500 0 0% Equipment Parts /Supplies 0 0 399 0% Refund -Sale of Crypts 5,093 30,800 4,532 15% TOTAL OPERATING 5,421 72,300 9,458 13% Total Expenditures $ 21,735 $ 334,875 $ 87,374 26% Net Income Increase(Decrease) $ 14,740 $ - $ (28,436) BOYNTON BEACH MEMORIAL PARK BURIAL AND ENTOMBMENT REPORT To: Janet Prainito, City Clerk From: Tom Balfe, Parks Manager i IR XC: Christine Roberts, Assistant Public Works Director Dwight Saulter, Crew Supervisor File Date: March 14, 2013 SUBJECT: End of the Quarter Report- December 2012, January & February 2013 ------------------------------------------------------------------------------------------------- Attached is a listing for all burials, entombments and inurnments for the City's cemeteries for the months of December 2012, January & February 2013. All names in red are weekend funerals. Mausoleum Entombments -------- - - - -11 Mausoleum Inurnment ------------- - - - - -2 Ground Full Body Burials ---------- - - - -38 Ground Cremains ----------------- - - - - -- 8 Total Funerals— --- ------------- _______59 Disentombment/Disinterment -- - - - - -- 0 Disinurnment------------------- - - - - -- 1 Please let me know if you need additional information. o � z x y m o ro x d z o O r� 0 v, o z 00 rl O M r a M y r CA ,mo r 110 x r y C rn y -1 C m a x a W rTl a m RI D n c m rn m r m rrn m m m m m rn � -0 110 p b ~d b b b -d �c It 3 n a s> a a a a a a a a a a a > rTl z � D � r a v, � oo v � ,-• oo cn w v, � -- o w .p b p CJi C) --j ILA �] O 00 '�. 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Mausoleum Crypts or Niches - Prior to inurnment /entombment, an owner may transfer or resell the mausoleum crypt or niche provided the owner first obtains the written consent of the City of Boynton Beach. Such consent shall be given automatically provided that the new purchaser's name, address and phone number are on file with the City Clerk and an administrative fee equal to the cost of relettering the mausoleum, crypt, or niche is paid in full to the City of Boynton Beach. After inurnment /entombment, resale or transfer of ownership shall be allowed. The City of Boynton Beach may purchase the crypt or niche at a cost of 50% of the original purchase price paid for the crypt or niche and provided that disinurnment /disentombment has occurred and implemented by the proper authorities. No disinurnment /disentombment shall be allowed except by the consent of the Cemetery Board following written request by the owner or owners of the crypt /niche and in every case shall only be made by the proper authorities. (NOTE: Authorized disin urn ment /disentombment and shipment of body or remains may be made only by a licensed funeral director licensed in Florida to another licensed funeral director at terminal point.) When a crypt or niche was originally sold, the City of Boynton Beach received 15% of the original sales price. A transfer fee of 75 will be charged when a previously purchased crypt or niche is resold. The tinan5fer fee will be the d'ffereigee between tne ISIV-6 paid te the Gty at the time ef erigii9al sualle- The City will buy -back unused crypts or niches at 801D/o of the original contract price or 80% of the City's current selling price, whichever was less." 2 -M. The City reserves to itself the right to approve any erection, enclosure, monument, inscription, tree or shrub. 3 -M. All identification information including letters and emblems on crypts and niches shall be inscribed by engraving. The cost of new crypt or niche inscription fees shall be paid at time of interment. Existing bronze letters shall be replaced with inscription by the City. Replacement inscription shall be done at no cost to the owner of the crypt or niche, but shall be paid from the Perpetual Care Fund. If existing bronze emblems are damaged, replacement of an existing bronze emblem with a sandblasted emblem shall be done at the owner's expense." 4 -M. All flowers must be placed in an approved vase Approved vases include crypt -front vases or bronze vases previously approved by the City. Fresh flowers can remain for a maximum period of three (3) days. No artificial flowers, except silk flowers, are permitted in or around Mausoleum buildings. One (1) vase per crypt /niche will be allowed. Employees will, for maintenance purposes, move and replace these items with care, but the City does not accept responsibility for replacing broken items unless there is a clear negligence on the part of the City employees. After the third day, or in the case of silk flowers, when the Cemetery Sexton determines that the flowers have become unsightly, said flowers shall be removed and disposed of. "No potted plants containing soil, perlite, or other loose materials are permitted in chapels or walkways in the Mausoleum. (City employees may remove any item placed on a crypt /niche site that 4 5 \CC \WP \CEMETERY \CEMETERY RULES \RULES \2013 \CemeteryRules - Suggested Language Revision of Rule 1 -M regarding Transfer Fee doc rr cc .v " � 1 kF MET - n R tS } =E } C eter +�tt y - +rev S 6 �€ Rule P9 r2gard+ng su, $aCk -E y�fs & l E es SAE