HomeMy WebLinkAbout3-76-16GTYOF
SIE_BAST
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
April 28, 2017
Ms. Jean Howard -Rego
1560 Barber Street
Sebastian, FL 32958
RE., Interment Rights to Unit 3, Blk 76, Lot 16, Sebastian Municipal Cemetery.
Dear Ms. Howard -Rego:
Enclosed is City of Sebastian Certificate 2532 entitling you to full interment rights in
Unit 3, Blk 76, Lot 16, in the name of Jean Howard -Rego.
If you have any questions, please contact our office at 388-8209.
5Sincerely,
Cathy Te
Records Clerk
Enclosure
rnv OF
SETA
HOME OF PELICAN ISLAND
Certificate No. 2532
GUY OF SE-BASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Jean Howard -Rego
1560 Barber Street
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 3, Block 76, Lot 16
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 26th day of April, 2017.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
>7 anette Williams, MMC
City Clerk
cur Of
SRMT► IAN
HOME OF FELITAW LS[ M
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase. �1
�J Z44 4 FGEi t�E I r��2
Name(s)
I� ✓�� �a��E2 �-+-rte-� ��c����,�; CL
Address
-77-q - 3 29- I S5'7 me 7a-55%- 4-`71 , - QE�zL
Area Code & Phone Number 14
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE
Receipt is acknowledged in the sum of:
USE ONLY
P65i'vl r C LC-
C Y\J='4-k ut A-r,� n Dollars ($ 1 CCS ,cc )
on this �h day of R-tc —,20 17 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit .�3_, Block -7(� , Lot(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
Interment
/W O H
Circle One
Disinterment
TOTAL
Si ture of Purchaser City of Sebas 'a J
I:\W W-DATAWs-Cern etery\R E CE I PT.doc
L)CD ' GC'
The following documents were provided as Proof of
Residency:
CITY OF SEBASTIAN 10434
ADMINISTRATIVE SERVICES RECEIPT
Name Jrf" Qa- " HOWAR-u uCash
Date -*Check # 7C7 SL
Q 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
=4&L%r &Ot oro 3413 800 41(7100. 66
Utim 3 Bfg7✓d [ter IL -
t�,�/� 06
op -Total Pai
I iti s
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant