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SE�T�A1V
HOME OF PELICAN ISLAND
Certificate No. 2643
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:
Marilyn E. Bogan
574 Acacia Avenue
Sebastian, Fl- 32958
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights In the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 67, Lots 1,2,3,4
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 11th day of July, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
Pauf E. Carlisle anette Williams, MMC_-„
City Manager Ity Clerk
an x
SESAST�
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
July 15, 2019
Mrs. Marilyn Bogan
574 Acacia Avenue
Sebastian, FL 32958
RE., Interment Rights to Unit 3, Block 67, Lots 1, 2, 3, 4 in the Sebastian Municipal
Cemetery.
Dear Mrs. Bogan:
Enclosed is City of Sebastian Certificate 2643 entitling you to full interment rights in
Unit 3, Block 67, Lots 1, 2, 3, 4 in the name Marilyn E. Bogan.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te a
Records Clerk
Enclosure
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SJOASTPAN
Raw OF PMKM
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
MafZt��„r E. +3aG�P�r
Name(s) 15-14
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of: /
Y-Duf\- fA- _SA-Nts I Dollars ($
on this i �day of JLt- )t l 20 (`/_ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s). o
Unit 3 , Block 61 Lot(s) 1, 213, `'f" 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 Preparation & Installation
Signature of Purchaser °
11W W.DATAWs-CemeterfRECEIPT.dac
/W O H
Circle One
Disinterment
�TOTAI, $
City of Seba %
The following
at were provided as Proof of
Residency:I
I 1JPLS l-lC-r+ti2-end
CITY OF SEBASTIAN 11712
ADMINISTRATIVE SERVICES RECEIPT
Name 12(nn-;Tia ❑Cash C
Date—a4—,L/Whack# 53Na
❑ Credit
Amount Paid
001001206001 Sales Tau
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
OD1501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
feel ctc -94, Mo
- Total Pant
Initials
White - Dept. of Origin - Yellow -Admin. Svcs. - Pink - Applicant