HomeMy WebLinkAbout4-08-27a AvailableaFYOF
SEBASTINN
HOME OF PELICAN ISLAND
Certificate No. 2633
CITY OF SEBASTUN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Thomas & Grace Lassandro
6232 N. Mirror Lake Dr. #642
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 27A & 27B
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 16th day of May, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
Paul E. Carlisle q�ea=Williams, MMC -
City Manager City Clerk -_-
OTYOF
SEB sASI
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
May 20, 2019
Mr. & Mrs. Thomas Lassandro
6232 N. Mirror Lake Dr. #642
Sebastian, FL 32958
RE: Interment Rights to Unit 4, Block 8, Lots 27A & 27B in the Sebastian Municipal
Cemetery.
Dear Mr. & Mrs. Lassandro:
Enclosed is City of Sebastian Certificate 2633 entitling you to full interment rights in
Unit 4, Block 8, Lots 27A & 27B in the name Thomas & Grace Lassandro
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy T
Records Clerk
Enclosure
on OF
SIESASTIAN
'Q�33
road of Pr. WAW 151MI)
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
A6myq'S' 4 CRffc� �AS���lc�Rb
Name(s)
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
`Tt�* SRw'D - - Dollars($ eq,00c.00
)
on this day of 20157 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit, Block 9 , Lot(s) 0�'ZA-i- 7[3 Niches)
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 & Closina
Vase and Ring for Niches (cost) Interment
Temporary Marker Preparation & Installation
�/C //�-2 CL �2�-,nMiLu�
Signature of Purchaser
/W O H
Circle One
Disinterment
City of Sebas (i
The following documents were provided as Proof of
Residency:
I:1WW-DATA1MsCerneteryXRECEIPT.doc I and
CITY OF SEBASTIAN 11687
ADMINISTRATIVE SERVICES RECEIPT
Name Ln SSf1/N).iC'0 OCash �� (j
Date '+1 hL l��l yCheck #aL
O 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
2261 C / C2 3�i3g0D L&rs *eEi
�,Iy�kR Lvrs ala+��,
.Fy19 Total= -
Initials
White - Dept. of Origin • Yellow -Admin. Svcs. • Pink - Applicant