HomeMy WebLinkAbout3-COL-16DnBLX
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
July 3, 2017
Mr. & Mrs. Nelson Vose
197 Joy Haven Drive
Sebastian, FL 32958
RE: Interment Rights to Unit 3, Block COL, Niche 16DnB, Sebastian Municipal
Cemetery
Dear Mr. & Mrs. Vose,
Enclosed is City of Sebastian Certificate 2543 entitling you to full interment rights in
Unit 3, Block COL, Niche 16DnB, in the name of Nelson & Barbara Vose.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy T
Enclosure
Cay OF
Now
SE
HOME OF PELICAN ISLAND
Certificate No. 2543
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:
Nelson & Barbara Vose
197 Joy Haven Drive
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Bilk COL, Niche 16DnB
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 29th day of June, 2017.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
6�
eanette Williams_,14KC
City Clerk
r- -
arc OF
SEBASTaN
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HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of ,purchase. /�
/VX45Gn1 I 8A-2bA-2A VOsE
Names)
lTI jo-q �AUt=� "'hQt\/L Se��S�ri I.J, FL 3,;�9S8
Address
�7A .. 5 91 --t 7`-/5-
Code
is
Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
f 'b S4 , 5A7-j6W� 00//offl�ollars($
on this �9 day of �l t hIC 20 / 7 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit .5 , Block OOH , Lot(s) Niche(s) 16 bn !�
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)
\'qo. co
Interment
Temporary Marker Preparation & Installation
Z�� c
Sig ature of Purchaser
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
/W O H
Circle One
Disinterment
TOTAL oio90.0"
City of Seba
I he following documents were provided as Proof of
Residency:
CITY OF SEBASTIAN 10730
ADMINISTRATIVE SERVICES RECEIPT
Name /as E ❑ Cash
Date ag- 17 'heck# L
UAfl7 3 Sit eoL. NVIF
OCredit
- Iio�8 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! (n�
oOI5o1 3'k3�05:1%sE+tK,aC4 eft 0,oa
Gniyb 3��1f3'SQ'� ' 0616 ' `cc am—Q
40' %/ Total PAI-RAd'
llirifials
Security Dep Held - Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. • Pink - Applicant