HomeMy WebLinkAbout3-COL-04DnBSOF
SEBAST�1V
HOME OF PELICAN ISLAND
Certificate No. 2534
Y 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:
Robert Grillo
6106 Graysen Square
Vero Beach, FL 32967
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Blk COL, Niche 4DnB
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 28th day of April, 2017.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
4a� Co�o.+_.C�-vnA-
eanette Williams, MMC
City Clerk - -
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SEELASTIAN
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
May 4, 2017
Mr. Robert Grillo
6106 Graysen Square
Vero Beach, FL 32967
RE: Interment Rights to Unit 3, Blk COL, Lot 4DnB , Sebastian Municipal Cemetery.
Dear Mr. Grillo:
Enclosed is City of Sebastian Certificate 2534 entitling you to full interment rights in
Unit 3, Blk COL, Lot 4DnB, in the name of Robert Grillo.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy T to
Records Clerk
Enclosure
mr or
SE&Asr%N
HOME OF'PEUCAN LSiLq;D
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided time of purchase.
OB82-T 6k(L-Lo
Name(s)
(o _&A f -
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
�-rlti6ln, S Awl
Dollars ($ 06 )
on this a J day of k I L , 20 17 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block CdL- , Lot(s) ,Niche(s) 4,NX i-3
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
Interment
/W O H
Circle One
Disinterment
TOTAL $
Signature o0>6rchaser City of Sebasti
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
CCG
The following documents were provided as Proof of
Residency:
CITY OF SEBASTIAN 10438
ADMINISTRATIVE SERVICES RECEIPT
Name G RI LLo .A Cash
Date 018 1% ❑ Check #
❑ 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
O 1610 343200 p� �
Uulr 3 31K CoL Nicw— 40AkI
ph<a(Total Paid
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant