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SEBASTIAN
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HOME OF PELICAN ISLAND
Certificate No. 2650
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:
Luther & Gloria Taylor
5470 Barbados Square
Vero Beach, FL 32967
In and for consideration of the sum of $4000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 73, Lots 5 & 6
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 20th day of August, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
Pau
Paul Carlisle
City Manager
Zk&J(A)
9anette Williams, MMC_- _
Clerk =
CITYLf
SE--BASTu�N
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
(772) 589-5570 Fax
August 27, 2019
Mr. Luther Taylor
5470 Barbados Square
Vero Beach, FL 32967
RE: Interment Rights to Unit 3, Block 73, Lots 5 & 6 in the Sebastian Municipal
Cemetery.
Dear Mr. Taylor:
Enclosed is City of Sebastian Certificate 2650 entitling you to full interment rights in
Unit 3, Block 73, Lots 5 & 6 in the name Luther & Gloria Taylor.
If you have any questions, please contact our office at 388-8209.
Sincerely,
r
Cathy T to
Records Clerk
Enclosure
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City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase. /`
(_yl`1 e,z ;- Lo2,fl —TIA�/Lok
Name(s) 1/
05`1.70 a,4RgR-?ns SQaA- V,et-72o-IlActl, f7j-. 3, 967
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of
�cc 2� FkouSa 'b �M\ib Colico Dollars ($ `� coo. 0 )
on this 4(yf" day of f tL6 U�Jr 201q for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block ! 3 , Lot(s) 6+6 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) Interment
Temporary Marker lPreparation & Installation
Cr�cl�d-ELr���y
Signature of PurchaseJr
I:%WW-DATAWs-C metery%RECEIPT.doc
IW O H
Circle One
Disinterment
TOTA $ � ow co
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City of Sebzoan
The following documents were provided as Proof of
Residency.
and
CITY OF SEBASTIAN 11717
ADMINISTRATIVE SERVICES RECEIPT
Name Luthss Taylor OCash
Date 8/21/19 V Check H 9003
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010369900 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 Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
601010 343800 03, B73, Lots 5 & 6 4,000.00
J" Total Paid 4,000.00
ntials
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