HomeMy WebLinkAbout3-59-02MOF
SEBASTIAN
HOME OF PELICAN ISLAND
Certificate No. 2761
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:
William M. Hosford
325 7oyhaven Drive
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 59, Lots 1 & 2
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 25th day of June, 2021.
CITY OF SEBASTIAN, FLORIDA
P I E. Carlisle
City Manager
ATTEST:
w
nette Williams, MMC_
ity Clerk
anC4
SEBAST!N
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
June 28, 2021
Mr. William M. Hosford
325 Joyhaven Drive
Sebastian, FL 32958
RE: Interment Rights to Unit 3, Block 59, Lots f & 2 in the Sebastian Municipal
Cemetery.
Dear Mr. Hosford:
Enclosed is City of Sebastian Certificate 2761 entitling you to full interment rights in
Unit 3, Block 59, Lots 1 & 2 in the name of William M. Hosford.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te `
Records Clerk
Enclosure
In IF
ROME or PEUCAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser and person for whom lot is intended for interment
must be provided at time of purchase.
Willy PosFGrz�.
Name(s)
3as �oyl�ctJ bR. - 6A577AAI F(- 3z454
Address
-I-7a-a0a--7aa6 C-5)�,-754--9os7
Area Code & Phone Number1,���
abt�.-r . V
Name & Residence Address of Intended Occupant if Other Than Purc ha
OFFICE USE ONLY
Receipt is acknowledged in the sum of
�
o O// O U Dollars ($ �. (: CL1 • )
on this aS day of t] Un E 20ALfor the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block -59 , 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:
Corner Markers (set of 4 - $20) Opening & Closing / w O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
Signatugnatu�re o ut� rchase� r Q
r
19W W-DATAWssC.eterytRECEIPT.d.
TOTAL
��S�Q
City of Saba 1
The following documents were providedasas) Proof
of
Residency:
'tJQ/ L-1 5 �. ode and )
CITY OF SEBASTIAN 13298
ADMINISTRATIVE SERVICES RECEIPT
Name �asFceD /X.",/ ❑Cash
Date 6 a1q, l_ check# 7CO
❑/ Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001208001 Sales Tax
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001001220030 PD SHOP
001001 220033 PD COPE
001001 220032 PD EXPLORER
010043 535270 PD UNIFORMS
601010343800 CEMETERY LOT SALES
001501343805 CEMETERY FEES
E/ fi .,3 61K s7 Luis I+A INOaIs h
Total faida,
White - Dept. of Origin • Yellow-Admin. Svcs. - Pink -Applicant