HomeMy WebLinkAbout3-COL-09DnBName 'AS AOP('G2T3�'✓ (srP C.nNIIiS / Z��S
Unit
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Date of Mark -out
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HOME OF PELICAN ISLAND
/�7 ,C�e/rtificate No. 2649
lsl l L 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:
Lorene G. Robertson
1886 Red Oak Ter
Vero Beach, FL 32966
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Blk COL, Niche 9DnB
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 8th day of August 2019.
CITY OF SEBASTIAN, FLORIDA
Paul E. Carlisle
City Manager
ATTEST:
Jeanette Williams, MMC- -
City Clerk _ _
C,
SEBASTIAN
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
August 12, 2019
Lorene G. Robertson
1886 Red Oak Ter.
Vero Beach, FL 32966
RE., Interment Rights to Unit 3, Block COL, Niche 9DnB, Sebastian Municipal
Cemetery.
Dear Mrs. Robertson:
Enclosed is City of Sebastian Certificate 2649 entitling you to full interment rights in
Unit 3, Block COL, Niche 9DnB in the name of Lorene G. Robertson.
If you have any questions, please contact our office at 388-8209.
Si�nc/errely, J -
Cathy Te
Records 1 rk
Enclosure
W&
SE�SrL"N A0
HLkk;e. UY F'glSCtSI U�PS3h
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is Intended for interment must
be provided at time of purchase.
Loi2C PCkl72-1 -sor'l
Name(s) n� Q J� 7C 1%1-10 Fe- 3a16�.
Address
'7 Tai -713 // 43.
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
i;L(- `;Fkd-."^- -b 14-nb O°/wo —. Dollars($`+, do c." )
on this 24�' day of A&U- tt5T- 20 I R for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 Block OO L , Lot(s) Niche(s) DN B
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:
Comer Markers (set of 4 - $20) Opening & Closing
Vase and Ring for Niches (cost) Interment
Temporary Marker Preparation & Installation
Signature of Purchaser
I:IVM.DATAVAs-Ce eteryVRECEIPT.dac
/W O H
Circle One
Disinterment
NOTA $ 't; (7°G, co
�-S:A-
City of SebatW
Theidefo0ong documents were provided as Proorof
Res¢cy.wiI
111&zs L.ICCA/Se- and
CITY OF SEBASTIAN 11880
ADMINISTRATIVE SERVICES RECEIPT
Name /\O{J��Z7?LN ❑Cash
Date �'Q- ��j.Check#'2133
❑ Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001208001 Sales Tax
450010369900 Airport Badge
001001218010 CobraServe
001501 354100 Cade Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 220030 PD SHOP
001501366602 PO SAFE
001501 366603 PD COPE ^'
�GCf CIO .3438oC 1 1C4L, CCG,c�
(.N�09L PJLQX -Lbrxg
ILQ)� Total Ad'T"�• �
Initials
V fte-Dept of Origin • Yellow -Admin. Sm. • Pink -Applicant
CITY OF SEBASTIAN 11890
SERVICES
RECEIPT
/ADMINISTRATIVE
Name
❑Cash
Date is �l q
)(a /360
Check 91
❑ 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
001501342100 Police Security Services
001501 220030 PD SHOP
001501 366602 PD SAFE
001501 366603 PD COPE
(,3O )SOJ 34 320S de
C1 343 R55
t
-3(20L Meta 'f*tk,9 {4y
JQ`-- TotalPaid lel-7.5d
Initials
While - Dept. of Origin - Yellow -Admin. Svcs. - Pink -Applicant