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HOME OF PELICAN ISLAND
Certificate No. 2647
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 $2000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 67, Lots 7 & 8
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 6th day of August, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
/!ul
Paul E. Carlisle
City Manager
anette Williams, M_MG =
City Clerk
CROF
S�T�N
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 569-5330 Phone
(772) 589-5570 Fax
August 9, 2019
Mrs. Marilyn E. Bogan
574 Acacia Avenue
Sebastian, FL 32958
RE., Interment Rights to Unit 3, Block 67, Lots 7 & 8 in the Sebastian Municipal
Cemetery.
Dear Mrs. Bogan:
Enclosed is City of Sebastian Certificate 2647 entitling you to full interment rights in
Unit 3, Block 67, Lots 7 & 8 in the name Marilyn E. Bogan.
If you have any questions, please contact our office at 388-8209.
R
Records Clerk
Enclosure
aroSERAs_
zona: OF MKM memo
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
`�A,421WN C
Name(s) :5-17*�n* AC,44CA AV8iJ(tr= & S&:SP W. F2L. 3,9,579
Address
-7a-ag9-31.3.
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
J.ujo�lp�e u-1 T) A -,-j 'I rC�n Dollars ($ aid. CO )
on this (oath day of 4 Le USI- 20_1_�__ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block 67 , Lot(s) -7 -t i? 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:
Comer Markers (set of 4 - $20) Opening & Closina
Vase and Ring for Niches (cost) Interment
Temporary Marker Preparation & Installation
Signature of Pur6haser u
1AW W-DATAWs-CemeterARECEIPT.dcc
Iw O H
Circle One
Disinterment
City of Seba
The following documents were provided as Proof of
Residency:
1 21ugZS L ecsr and
CITY OF SEBASTIAN 11878
ADMINISTRATIVE SERVICES RECEIPT
Name '2 C)( -ti ❑Cash
Date 2/f.119 VCheck # 6_3
❑ Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001208001 Sales Tax
450010369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501342100 Police Security Services
001501 220030 PD SHOP
001501366602 PD SAFE
001501366603 PD COPE
X61 a U �31i3gCb %rs � aCCri. �
Total Psd M11-0
Initials
White -Dept. of Origin - Vallow-Admin.Svcs. - Pink -Applicant