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SEBASTV
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
(772) 589-5570 Fax
July 15, 2016
William R. & Charlotte J. Duerden
P.O. Box 999
Fellsmere, FL 32948
RE: Interment Rights to Unit 3, Columbarium, Niche 31 DnB, Sebastian Municipal
Cemetery
Dear Mr. & Mrs. Duerden,
Enclosed is City of Sebastian Certificate 2510 entitling you to full interment rights in Unit
3, Columbarium, Niche 31 DnB, in the name of William R. and Charlotte J. Duerden
If you have any questions, please contact our office at 388-8209.
Sincerely, I
Cathy Te t
Records Clerk
Enclosure
CITY OF
SE�T�A1V
HOME OF PELICAN ISLAND
Certificate No. 2510
CITU 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 R. & Charlotte J. Duerden
P.O. Box 999
Fellsmere, FL 32948
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niche 31DnB
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 15th day of July, 2016.
CITY OF SEBASTIAN, FLORIDA
t
Joseph F. Griffin
City Manager
ATTEST:
anette Williar,F, MMC
City Clerk — — -
CITY OF SEBASTIAN 10107
ADMINISTRATIVE SERVICES RECEIPT
Name b01.=22i& _ -1 Cash
Date —711 J% XCheck # l0eega
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001 218010 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 Pian Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
v /0 ►0 - 343 loo 44 inco -CO
U, j1r 3 1;LX COL /4 i B
Total Pard 006.Od
itials
Security Dep Held - Amount $ Check #
While - Dept. of Origin - Yellow - Admin. Svcs. • Pink - Applicant
ulY U
!!rn -I
'S
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.
I
Name(s)
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
Receipt is acknowledged in the sum of:
OFFICE USE ONLY
601,
rs ($ 4-000 , )
on this t54-" day of u L 20 Ib for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit, Block O -OL , Lot(s) Niche(s) -� l bNA
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
/ICT fe'� i :
Signature of Purchaser
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL $ 4, 000, 00
City of Sebastian
The following documents were provided as Proof of
Residency: