HomeMy WebLinkAbout4-08-36bCITY OF
SEBASTIAN
HOME OF PELICAN ISLAND
Certificate No. 2542
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:
James A. & JoEllen D'Alessandro
801 SW Cody Avenue
Sebastian, FL 32958
In and for consideration of the sum of $1,500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 36B, 37B & 38B
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 23 n day of June, 2017.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
J6bnette Williams, -MMC
City Clerk
arc of
SEBASTIAN a��a
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
b�j! raj -}-• �Q,n1.�S �. � ,
Name(s)
Address
`77A - 5-g5-(o2i
Area Code & Phone Number
LES54A )taRO
'7-i A7\j FL &247� g
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of-
rs($ iZ•b0
on this ` 3Q -b day of Z-itirLC 20 iI' / for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit, Block Lots) 3��3�$�8 Niche(
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)
Temporary Marker Preparation & Installation
Si n ture of Purchaser
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL
City
M
The following documents were provided as Proof of
Residency:
CITY OF
SE
S
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
June 27, 2017
James A. & JoEllen D'Alessandro
801 SW Cody Avenue
Sebastian, FL 32958
RE: Interment Rights to Unit 4, Block 8, Lots 36B, 37B & 38B, Sebastian Municipal
Cemetery
Dear Mr. & Mrs. D'Allesandro
Enclosed is City of Sebastian Certificate 2542 entitling you to full interment rights in
Unit 4, Block 8, Lots 36B, 37B & 38B, in the name of James A. & JoEllen D'Alessandro.
If you have any questions, please contact our office at 388-8209.
Nc
ely, f
S4 -
Cathy T st
Records Clerk
Enclosure
CITY OF SEBASTIAN 10727
ADMINISTRATIVE SERVICES RECEIPT
Name bpi l C SSh- bpzo ❑ Cash
Date I a. 3 l 17 Check # �� 1
❑ Credit
Amount Paid
001001 208001 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
(9n I�O1�0 - 3 �g�b i�yb cb
�V sm Total Paid I�� 00
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant