HomeMy WebLinkAbout3-77-03aTY OF
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
(772)589-5570 Fax
July 12, 2016
William V. Massi, Jr.
428 Bywood Ave
Sebastian, FL 32958
RE. Interment Rights to Unit 3, Block 77, Lots 3, 4, 5, Sebastian Municipal Cemetery
Dear Mr. Massi, Jr.,
Enclosed is City of Sebastian Certificate 2508 entitling you to full interment rights in Unit
3, Block 77, Lots 3, 4, 5, in the name of William V. Massi, Jr.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te
Records
Enclosure
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Certificate No. 2508
CUTY 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:
William V. Massi, Jr.
428 Bywood Avenue
Sebastian, FL 32958
In and for consideration of the sum of $3,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 77, Lots 3, 4, 5
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 29th day of June, 2016.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
Anette Williaaq§�eft. =�=
City Clerk
M i—��
CITY OF
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HOME OF ASO'
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. d�5 CA) > (I txvr.VA (1,2
�
Name(s)
Address
5-S
Area Code & Phone Number
7 -?A 3RI OVO
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
(
40
on this day of 20for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block , Lot(s) 3A,5' 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
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Signature of Purchaser
Interment
/W O H
Circle One
Disinterment
TOTAL $
City of Sebastian
300'(D. °z
The following documents were provided as Proof of
Residency:
I:IWW-DATA\Ms-Cemetery\RECEIPT.doc I and
CITY OF SEBASTIAN 10100
ADMINISTRATIVE SERVICES RECEIPT
Nameliwom 4,5 5'l �-
aCash
Date �°Z heck #
0 Credit
Amount Paid
001001 208001
Sales Tax
001001 220000
Security Deposit
001501 362100
Taxable Rent
001501 362150
Non -Taxable Rent
450010 369900
Airport Badge
001001218010
CobraServe
001501 354100
Code Enforcement Fines
001501 347557
Community Center Revenue
001501341920
Copies
001501 351140
Parking Citation
001501 342100
Police Security Services
001501 329200
Site Plan Review
001501 329300
Subdivision/Plat Review
001501 329100 Zoning Fees
t(37-S43000.D"b
d 01 -
i 3
I IL r7? 1,07- 3. �. r
Total PaIV-0-0)
—.0
I 'tials
Security Dep Held
- Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant