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CRYOF HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772)589-5330 Phone (772)589-5570 Fax July 7, 2016 Steven Lulich 1069 Main Street Sebastian, FL 32958 RF: Interment Rights to Unit 3, Block 76, Lots 3, 4, 5, Sebastian Municipal Cemetery Dear Mr. Lulich, Enclosed is City of Sebastian Certificate 2509 entitling you to full interment rights in Unit 3, Block 76, Lots 3, 41 5, in the name of Steven Lulich. If you have any questions, please contact our office at 388-8209. Sincerely, Cathy Te Records Clerk Enclosure Certificate No. 2509 CPT)(SEBASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Steven Lulich 1069 Main Street Sebastian, FL 32958 In and for consideration of the sum of $6,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 3, Block 76, 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 6th day of July, 2016. CITY OF SEBASTIAN, FLORIDA Joseph F. Griffin City Manager ATTEST: anette Wi lianps, �Wl City Clerk • .moi i i E 9 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. Name(s) ,S ou L %.k Address 9 Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: l S,4-r�1� C o�1 Dollars( $ 6)10 00 } on this 6 "-� day of , 20 for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit 3 , Block r76 , Lot(s)3-4-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 Signature of Purchaser I :1W W-DATAWs-Cem eterylRECE I PT.doc Interment /W O H Circle One Disinterment TOTAL $ City of Sebastian The following documents were provided as Proof of Residency: and CITY OF SEBASTIAN 10102 ADMINISTRATIVE SERVICES RECEIPT Name L—.l' " D Cash Date 7 KCheck #� 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 (4 a 1 © I(_) s- 343 Soo aov . °O Uarr AtX Ns LM - 4_0*0 (eo 00. d� Qq Total Paid 160 Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. - Pink - Applicant