HomeMy WebLinkAbout3-76-14CITY Of
SEBASTL
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
June 21, 2017
Robert and Judith Burgarella
110 Thunderbird Drive
Sebastian. FL 32958
RE: Interment Rights to Unit 3, Block 76, Lots 14 & 15, Sebastian Municipal Cemetery
Dear Mr. & Mrs. Burgarella
Enclosed is City of Sebastian Certificate 2540 entitling you to full interment rights in
Unit 3, Block 76, Lots 14 & 15, in the name of Robert & Judith Burgarella.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy TE
Records
Enclosure
ary OF
DME OF PELICAN ISLAND
Certificate No. 2540
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:
Robert and Judith Burgarella
110 Thunderbird Drive
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 76, Lots 14 & 15
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 21St day of June, 2017.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
] nette Williams, -MMC:
City Clerk
CM OF
SERASTL
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at timepurchase.
P
UC
IDEP—T 't �l tD� I t% Bit R ,42+zL- .
Name(s)
IID
Address \ FL �a
�fi�?r ii -Nr
Area Code & Phone Number
7-)a-sg►-8ag�
Name & Residence Address of Intended Occupant if Other Than Purchaser
USE ONLY
Receipt is acknowledged in the sum of:
SPm1t� Dollars ($ ?CCO, oo )
on this coA I day ofurt 20 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block r1(c , Lot(s) 14 + I S 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 - $20) Opening & Closing
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
'Sig'n�lure- i_
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Interment
IW O H
Circle One
Disinterment
TOTAL,$ aCCC ,
The following documents were provided as Proof of
Residency:
and
CITY OF SEBASTIAN 10725
ADMINISTRATIVE SERVICES RECEIPT
Name ❑ Cash
Date �� I 1.-7 YCheck # i t5g z
O 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
Foo 1616 3413960 L07 Ecco.
(Nrr.3 Fig -76 Lar'144/s
Gp- Total Pal
&Ials
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant