HomeMy WebLinkAbout4-08-26bCITY OF
SEBASTITS�
HOME OF PELICAN ISLAND
Certificate No. 2653
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:
George & Laura Draper
1342 Bevan Drive
Sebastian, FL 32958
In and for consideration of the sum of $1000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 26a & 26b
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 25th day of September, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
i
Paul E: Carlisle
City Manager
1,.QPuxl,
anette Williams,ia MMC = -
��_'- _
ity Clerk
Cm«
SES"
HOME OF PELICAN ISLAND
1225 Main Sb eet
Sebastian, FL 32958
(772)589-5330 Phone
(772)589-5570 Fax
September 26, 2019
Mr. George Draper
1342 Bevan Drive
Sebastian, FL 32958
RE: Interment Rights to Unit 4, Block 8, Lots 26a & 26b in the Sebastian Municipal
Cemetery.
Dear Mr. Draper.
Enclosed is City of Sebastian Certificate 2653 entitling you to full interment rights in
Unit 4, Block 8, Lots 26a & 26b in the name George & Laura Draper.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te
Records Clerk
Enclosure
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Scat:r of 'e0XArt U -In
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase. II
�ED2faG— -+ L�Lucrc� �RA�'�Tz..
Name(s)
1342 �66-vA tJ 7j ZW e -FL 3x i576
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of
�il.3l,`1'haLt,S-�cr A�`O� oc'I roe - Dollars($ )iocb.cL`) 1
on this at day of , -P-tM�F(L, 20 l9for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit /-i , Block 9_, Lot(s) Q(c A 4,XA 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 - $20) Opening & Closing 'I C f w O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
-J1
gnature of P rchaser /'
1:\W W-0ATAWs-C=eterARECEIPT.dae
a ITOTAL r$ 5Z-00
City of SebastMu
The following documents were provided as Proof of
Residency:
721MN0nte- and /�
L.Q.!-pkd 60
CITY OF SEBASTIAN 11887
ADMINISTRATIVE SERVICES RECEIPT
Name �l�{r^'I Gr �- ❑Cash
Date 9 -� s- r 9 yCheck #.23 O
3 r q
O Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001 208001 Sales Tax
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
001501220030 PDSHOP
001501366602 PD SAFE
001501 366603 PD COPE
lQofoto 343gw Leis \ lcoo.00
6o16b i 34320.5- 01C, 14 150.06
u4, 4 61k- A' LOTS aGA-I-B
Total PL,=15-O
Initials
White - Dept. of Origin • Yilkw- Admin. Svcs. - Pink -Applicant