HomeMy WebLinkAbout3-COL-21DnBcnn�r
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HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
March 6, 2017
Kevin Kane & Keith Smith
1674 Coral Reef Street
Sebastian, FL 32958
RE: Interment Rights to Unit 3, COL, Niche 21 DnB, Sebastian Municipal Cemetery
Dear Mr. Kane and Mr. Smith,
Enclosed is City of Sebastian Certificate 2528 entitling you to full interment rights in
Unit 3, COL, Niche 21 DnB, in the name of Kevin Kane and Keith Smith.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy esta
Records Clerk
Enclosure
Cn OF
SEBAS-T�1
HOME OF PELICAN ISLAND
Certificate No. 2528
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:
Kevin Kane & Keith Smith
1674 Coral Reef Street
Sebastian, Fl. 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niches 21DnB
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 27th day of February, 2017.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
anette Willianns; MMC -
City Clerk -
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HOME OF FEUCkN 1SC4110 a
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Name(s) n
Address
`77A -213- 1
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:`Pk �K
—t' s�
W o `l (� k6LtS4?Vb �Q l t> lop Dollars ($ ACW' 0 )
on this o27`tA day of 20_!2__ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).�
Unit 3 Block Lot(s) Niche(s) I n a
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
Signature of Purchaser
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL
City
OC)
The following documents were provided as Proof of
Residency:
8
KEVIN J KANE� 1103
KEITH A SMITH
1674 CORAL REEF ST 554M12 NJ
SEBASTIAN FL 32968-6048 93108
Date
Bankof Americ01
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ACH R/f 021200809
Menlo 3_�.1a,/ L Nazi q'IIA
1:0212003391: 00308513F3I.16 •i1 3
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EUNE12AL 9OMU of CDEMATORY
916 17TH ST. • VERO BEACH, FLORIDA 32960
1623 N. CENTRAL AVE. • SEBASTIAN, FL 32958
I'� ej t n
CITY OF SEBASTIAN 10417
ADMINISTRATIVE SERVICES RECEIPT
Name I1%"\FtIV � i- cJrr r 14k ❑Cash
Date OR 17 Check# H8
❑ 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 {�
Q&;w (
OIL) lT UC LA& NDAB
Total Pa&00�.
I ials
Security Dep He d - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant