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SEELASTIAN
HOME OF PELICAN ISLAND
Certificate No. 2485
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:
Alfred Levy, Jr. & Carol Levy
2060 Benjamin Road
Malabar, FL 32950
In and for consideration of the sum of $6,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 68, Lots 1, 2, 3
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 23rd day of December, 2015.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Gn ffin
City Manager
ATTEST:
Sally A.io, MMC
City Cle k
CITY OF SEBASTIAN
FINANCE DEPARTMENT RECEIPT 9963
Name M r-5 CAro I Le,U V p Cash
Date 12--Z3 — 15 Check#11 -70
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit -
001501 362100 Taxable Rent -
001501 362150 Non -Taxable Rent -
450010 369900 Airport Badge
001501 329500 Alarm Permits
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 369900 Miscellaneous Revenue
001501 359000 Other Fines/Forfeitures
001501 351140 Parking Citation
001501 342100 Police Security Services
6(21 34 ao M3 Allo p 10,060.60
Lo f:5 1, 2,3
Total Paid ea �0
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CT! OF
J r 1-jj
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
A►PW Cyr) and CtroI C-eVy
'7z5-
& Phone Number
76-5677
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
A.,, —t/' n, .1 6,. . F'1oi
($ 6660.611,
on this 2-3 day of Q ece M r- he , 20 /S for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block 6 p , Lot(s) F Z, 3 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:\W W-DATA\Ms-Cemetery\RECE I PT. d oc
Interment
/W O H
Circle One
Disinterment
TOTAL $—LLqQv_ 00
�� /V11 � —
ty of Sebastian
The following documents were provided as Proof of
Residency:
City of Sebastian
Sebastian Cemetery
Ph. # 1(772) 589 - 2545
Fax # 1(772) 228 - 9927
Note : This Is for inrormational purposes reguarding Monuments at Sebastian Cemetery .
Note : / rvX
// h
Please rel urn to :
Sebastian Cemetery
1921 North Central Ave.
32958
Attention Cemetery Sexton
Size standard grey granite flat grass marker
Names & Dates : His
Her:
D.O.B. D.O.B.
D.O.D. D.O.D.
Legal Description:
Unit
Blk.:
Lot:
Approved By: K . G . K .
Checked By: K . G . K .
Date :
By: everlasting stone works
—
Example
0-/o
�,2-c
oundatian rrnured
y eve ng jamie
date :
stone installed
by : everlasting / jamie
date
l- V
Attention: V—l
From:
He regarded others as more important
than himself. Phil 2:3
bran �C V�.Sc
Alfred Keith Levy Sr,
Aug 18th 1925 - Feb 16th 2016
Approved: �/J O �7� ' e/4- l✓t6��1 Date: /G
(cemetery)
www.Affordable-Markers.com
230 Commerce Ave
Atwater, CA 95301
866-957-0399
Fax 209-812-4044
Notes:
Marker
Length; )-V" Width; 164
Material: Granite Color: C
Llthochrome: 21 _ _ I -
Height: 16 of
All Maden ara engraved to a
minimum of La" depth before
Illhoehremc Is applled.
Finish:Volifjhe�
ROGk P�k�h �� A- —fop
Monument
Die Length: Width: Height:
Base Length:'" Width: lw" Height: d al
Material: Granite Calor: & Q✓
Lithochrome:
Finish: 345-e A
I'Zpck. Pi" sides
Please review the above marker information and, if acceptable at
sign and return by fax or email. If marker does not meet your
please note the reason and what changes are needed. If you have
is, feel free to contact me. Thank you.