HomeMy WebLinkAbout3-COL-33DnBCITY OF SEBASTIAN 16669
FINANCE DEPARTMENT RECEIPT
O Cash
Date 10 - ACa `4 heck # � 9s
S-V/cam [O ?D•ol OCredit
,:5ZFM Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001 208001 Sales Tax
450010 369900 Airport Badge
450010 362521 AP Shade Hangar Rent
450001 208045 Airport Sales Tax
001501 347557 Community Center Revenue
001501 341920 General Fund Copies
001501 354100 Code Enforcement Fines
001001 220030 PD Shop with a Cop
001001 220033 PD COPE
001001 220032 PD Cadets
010043 535270 PD Uniforms
601010 343800 Cemetery Lot Sales
001501 343805 Cemetery Fees I M
480010 341920 Bldg Dept Copies
f —OT- 5 CDL f&1e 33 �
_ Total Pa`idP�C'0 �
Initials
White - DeDt. of Origin • Yellow - Finance Dot. • Pink - ADDlicant
p MY OF
S��■LAN
HOME OF PELICAN ISLAND
Certificate No. 2961
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:
Richard Chandler
9380 106'h Avenue
Vero Beach, Florida 32958
In and for consideration of the sum of $4,800.00 is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niche 33DnB
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 7th day of October, 2024.
CITY OF SEBASTIAN, FLORIDA
Brian Benton
City Manager
ATTEST:
anette Williams, MMC
City Clerk
ancf
SEBAST�
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
October 7. 2024
Mr. Richard Chandler
9380 106th Avenue
Vero Beach, FL 32958
RE: Interment Rights to Unit 3, Columbarium, Niche 33 Dn8 in the Sebastian Municipal
Cemetery
Dear Mr. Chandler,
Enclosed is City of Sebastian Certificate 2961 entitling you to full interment rights in
Unit 3, Columbarium, Niche 33 DnB.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy T st
Records Specialist
Enclosure
CITY OF SEBASTIAN 16260
FINANCE DEPARTMENT RECEIPT
Name l`tLLD �h�i2-pCash_
Date iiJ I L ❑ Check #
Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001 208001 Sales Tax
450010 369900 Airport Badge
450010 362521 AP Shade Hangar Rent
450001 208045 Airport Sales Tax
001501 347557 Community Center Revenue
001501 341920 General Fund Copies
001501 354100 Code Enforcement Fines
001001 220030 PD Shop with a Cop
001001220033 PD COPE
001001 220032 PD Cadets
010043 535270 PD Uniforms
601010 343800 Cemetery Lot Sales
001501 343805 Cemetery Fees
480010 341920 Bldg Dept Copies
6�Ji L 3 ('et, U e1 33D
- II
�� Total Paidk
Initials '
White - Dept. of Origin • Yellow - Finance Dpt. • Pink - Applicant
0 M
J'a HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958 772-388-8209
City of Sebastian Municipal Cemetery Purchase Order
+
Name(s) q320 �4C`k��t�'� 1���G Ij�c��(1 FL
Address
I 7A --,q i & 634-5
Area Code & Phone Number
) h e r- r i, l-cj r1 n Glut ct c� I�
Name & Residence Add'rress of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
q C(AF "671cS A-1\fD GI (-, t4-T I L14(j-2Gti! /! cc' —Dollars ($ �T; Won. o� )
on this _day of C-)CJ-,e,[aet-
Cemetery Lot(s) and/or Niche(s).
Unit - 1 Block CC't-
, 20-4 for the purchase of the following described
Lot(s)
Niche(s) 3 3a n
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:
Opening & Closing fee for ceremony after hours or on holiday. $
Disinterment Fee $
TOTAL $ `f, ?00."
Signature of Purchaser
omuj_
City of Sebastian/
SEBAS
HOME OF PELICAN ISLAND
SEBASTIAN MUNICIPAL CEMETERY
Mailing Address: City of Sebastian 1225 Main Street Sebastian, FL 32958
(772) 589-2545 • Fax (772) 228-9927
DOUBLE PLAQUE FORM (PLEASE PRINT)
Name of Deceased: �
First Middle / Last
Year of Birth: 1 9 5S6
Year of Death:
Name: JJ LXrti1i✓
lsn �h tr. V'v/v LitC���
First Middle Last
Year of Birth: / 9-� q
Year of Death: 90 -� Y
Signature: LA
G�
Print Name:
Date:
FOR OFFICE USE
NICHE: 3 ( Lo L- 3 3 -Dn _"
Unit Block Niche
Vase & Ring (CIRCLE) YES NO