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HOME OF PELICAN ISLAND
Certificate No. 2637
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:
Loree Titone
640 Brush Foot Drive
Sebastian, FL 32958
In and for consideration of the sum of $1,200.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Blk COL, Niche 44Sn
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 24th day of June, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
Paul E. Carlisle
City Manager
J anette Williams, MMC__
City Clerk = --_-
LM If
SEBASTIAN
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
(772)589-5570 Fax
June 28, 2019
Ms. Loree Titone
640 Brush Foot Drive
Sebastian, FL 32958
RE: Interment Rights to Unit 3, COL, Niche 44Sn in the Sebastian Municipal Cemetery.
Dear Ms.Titone:
Enclosed is City of Sebastian Certificate 2637 entitling you to full interment rights in
Unit 3, COL, Niche 44Sn in the name Loree Titone.
If you have any questions, please contact our office at 388-8209.
Sierely, /
Cathy Tea
Records(Clerk
Enclosure
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City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
2t� r rvnJ6
Name(s) 22 \
(o�IO tJRtCSIf �00T U2. �PiHST/EMl, FZ �ai958
Address
Y73 -aay -5354
Areb Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of
/too— Dollars($ 00,°D )
on this A4� day of , 1 t in c– 20 t I�/ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 Black e01_ , Lot(s) 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 & Closing
Vase and Ring for Niches (cost) `0 Interment
Temporary Marker Preparation & Installation
gnature of Purchaser
I:\W W-DATAWs-CemeterylRECEIPT.dm
IW O H
Circle One
Disinterment
Clty of baCg7/
Saba
The following documents were provided as Proof of
Residency:
\
IYW22S LC- AS2and
CITY OF SEBASTIAN 11695
ADMINISTRATIVE SERVICES RECEIPT
Name
7 tTc^rz�
Date
(c-,Iq-19
❑Cash /IAA��
�Gheck #
❑ Credit
Amount Paid
001001208001 Sales Tax
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
001501 351140
Parking Citation
001501 342100
Police Security Services
001501 329200
Site Plan Review
001501 329300
Subdivision)Plat Review
001501 329100
Zoning Fees
Mico--
(Gerota 34-32W
'M 806,00
r^ots01 34,39el!5- N)4SrtR,NU k
trT 3 14VL Nlcoe 44s.
.p9 Total Paid I all 5_0'
Initials
White -Dept. of Origin - Yellow -Admin. Svcs. - Pink -Applicant