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HOME OF PELICAN ISLAND
Certificate No. 2634
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Michael & Kimberly Carrano
570 Agnes Street
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Bilk COL, Niche 21DsA
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 17`h day of May, 2019.
CITY OF SEBASTIAN, FLORIDA
'Paul E. Carlisle
City Manager
ATTEST:
Janette Williams, MMC
City Clerk
im of
SEAT"
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
(772)589-5570 Fax
May 20, 2019
Mr. & Mrs. Michael Carrano
570 Agnes Street
Sebastian, FL 32958
RE., Interment Rights to Unit 3, Block COL, Niche 21DsA in the Sebastian Municipal
Cemetery.
Dear Mr. & Mrs. Carrano:
Enclosed is City of Sebastian Certificate 2634 entitling you to full interment rights in
Unit 3, Block COL Niche 21 DsA in the name Michael & Kimberly Carrano.
If you have any questions, please contact our office at 388-8209.
Sinrely,
Cathy Te
Records rk
Enclosure
ma
W.WE of PEticm ISLAM
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
`--Mt(10&e- +
Name(s)
Address -7 7a a 3-7 -7 20s
Area Code & Phone Number
�mhor-ty0 d
S66Sn,'�11) FL 3A9�S8
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
on this / day of ITW/
Cemetery Lot(s) and/or Niche(s). r
Unit 3 Block C6L , Lot(s)
00// o f2-- Dollars ($ a000, 0 )
20for the purchase of the following described
Niche(s) a I D7�,4
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 & Closinc I w O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
elj� n l7— /) TOTAL � Com. 0 0
l
signature of Purchaser City of Sebasllta
The following documents were provided as Proof of
Residency:
I:\WW.DATAVAs-CamaterARECEIPT.doc
CITY OF SEBASTIAN 11688
ADMINISTRATIVE SERVICES RECEIPT
Name 04""`^' 0
Date S�i7�r9
O Cash ,�1Lvv--r��
*heck # �!
O Credit
Amount Paid
001001208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001 218010 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
fo01 t7lo 3 i3 �D mlel+e � B
11�t ec. nll�e. a �
Total P
Initials
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink -Applicant