HomeMy WebLinkAbout4-05-23LIN Lf
SEBASTIAN
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HOME OF PELICAN ISLAND
Certificate No. 2636
MY 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:
Robin Devitis
1057 Seamist Lane
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 5, Lot 23
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 18th day of June, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
O'aul E. Carlisle
City Manager
J' anette Wllllams, MMC :.==
ity Clerk
Lin LX
SEE AST1AN
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
June 24, 2019
Ms. Robin Devitis
1057 Seamist Lane
Sebastian, FL 32958
RE: Interment Rights to Unit 4, Block 5, Lot 23, in the Sebastian Municipal Cemetery.
Dear Ms. Devitis:
Enclosed is City of Sebastian Certificate 2636 entitling you to full interment rights in
Unit 4, Block 5, Lot 23 in the name of Robin Devitis.
If you have any questions, please contact our office at 388-8209.
Siii
l
Lerk
Enclosure
enr Of
SEBASTIAN
HOW or PELICAN ISLAM
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of�rp�uurchase. 1
Ka(oinl &G )"k4IS.
Name(s)
10,3qSnAMtsr Line "�10aS i fL 3aR5g
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
OISt- r
r�Sk Jb �Ai ' ] i Dollars ($ h " C 1
on this (Bq`v\ day of 20 I 1 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit —4, Block 3 , Lot(s) a 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) Interment
Temporary Marker Preparation & Installation
/ \ IK Ai .vi " Ilio Vd
Signature of Purchaser
1:\WW-DATAWsCemetery\RECEIPT.dw
/W O H
Circle One
Disinterment
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City
$b� oa
I\ , of Seb�"n
The following documents were provided as Proof of
Residency:
W ¢CS LLC AC�end
CITY OF SEBASTIAN 11693
ADMINISTRATIVE SERVICES RECEIPT
Name L O Cash
Date � � 18 I ci Check 7l� 6
U Credit
Amount Paid
001001208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobmServe
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
3432&s Lor k),000.�
giecy- s Lor a3 ,1
-Go Total Pa�tl 17 Co0. C6
Initials
White - Dept. of Origin -Yellow-Admin. Svcs. • Pink -Applicant