HomeMy WebLinkAbout3-COL-78SnmX
EBASTIAj J
HOME OF PELICAN ISLAND
Certificate No. 2617
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:
Marisol Quevedo
7643 SE Heritage Blvd.
Hobe Sound, FL 33455
In and for consideration of the sum of $2,400.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Blk COL, Niche 78Sn
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 6`" day of March, 2019.
CITY OF SEBASTIAN, FLORIDA
Paul E. Carlisle
City Manager
ATTEST:
Ianette Williams, MMC
Clerk -
SES
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
March 8, 2019
Ms. Marisol Quevedo
7643 SE Heritage Blvd
Hobe Sound, FL 33455
RE: Interment Rights to Unit 3, Block COL, Niche 78Sn, Sebastian Municipal
Cemetery.
Dear Ms. Quevedo,
Enclosed is City of Sebastian Certificate 2617 entitling you to full interment rights in
Unit 3, Block COL, Niche 78Sn the name of Marisol Quevedo.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te
Records C erk
Enclosure
�OF
ss Aw
HOME Ol"?:61N ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Name(s) FL 3
B1Vd I- vb&ssu'� 3'%x'
'7164-3 �� c2t7�E
Address
Area Code & Phone Number
-31q- 4oi7&
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
�ftJ' (I ry ro4eundL�i Dollars ($ < 400 -ed )
on this G4h day of MOA -CJ's 20 1 q for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit J , Block COL , LOS) Niche(s) 7 Si &
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
�1
Signa urchaser
/W O H
Circle One
Disinterment
TOTAL $ la400, Fid
City o e —asti�
The following documents were provided as Proof of
Residency:
I.N W-DATA\Ms-CemelerylRECEIPT.doc and
CITY OF SEBASTIAN 11595
/ ADMINISTRATIVE SERVICES RECEIPT
Nam/ 1. OCash
Date 3�$�i9 It -heck#
7❑ Credit
Amount Paid
001001
208001
Sales Tax
001001
220000
Security Deposit
001501
362100
Taxable Rent
001501
362150
Non -Taxable Rent
450010
369900
Airport Badge
001001
216010
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 Pian Review
001501
329300
Subdivision/Plat Review
001501
6'bloio
329100
Zoning Fees
3�I-3� /U74fER
4%F,
L1�r� 3 00L_75_FSA_
�Q-0 Total Palo -1tuL-�1
C0• C8
Initials
While -Dept. of Origin - Yellow -Admin. Svcs. - Pink -Applicant