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Home My WebLink About4-44-05CITY OF SEBASTIAN 15783 ADMINISTRATIVE SERVICES RECEIPT Namev Aj,-A - PIGkr-orl ❑Cash Date Dec . 30, Z4 Check # 131 ❑ Credit Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001 208001 Sales Tax 450010 369900 Airport Badge 450010 362521 AP Shade Hangar Rent 450001 208045 Airport Sales Tax 001501 347557 Community Center Revenue 001501 341920 General Fund Copies 001501 354100 Code Enforcement Fines 001001 220030 PD Shop with a Cop 001001 220033 PD COPE 001001 220032 PD Explorer 010043 535270 PD Uniforms 601010 343800 Cemetery Lot Sales 001501 343805 Cemetery Fees , AO 480010 341920 Bldg Dept Copies Sa-vice Fpr- 1paxer � y&f-r,S Total Paid 50- RO Initials White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Lma HOME OF PELICAN ISLAND Burial rights in the Sebastian Municipal Cemetery Name Alfred and Wanda Pickron Address Unit 4, Block 44, Lot 5 & 6 (Unit/Block/Lot) intended for interment of the following individuals: Please print name(s): Lot 5: Parker Eugene Yates Lot 6: Sheila Yates I have read and understand the terms of this agreement. Alfred Pickron Date STATE OF FLORIDA COUNTY OF 21! lI&A The foregoing instrumerd was acknowledged before me by means ( physical presence of( ) online notarization this day of r Ccm be r, A2-Li , by ALFP-FA o-77- Y, c le-'Kr%w who is personally k wn to me, or has produ d rjP we.(s Lr cease. y as identification. NotaryPublic, fate aYFlorida fi.'•" iw. CATHERINEE.TESTA rs ', yAy► Commission#HH054261 -5- p Expires February 16, 2025 �%� /� �/ '/ ^•°.'.^.••' 9ardedTlwTroyFainNwwnoeB0038S7pfa Wanda Pickron Date The foreXpy instrument was acknowledged before me Fly eans of (� physi I presence or ( ) online notarization this �3 day of lJeec Yl�zr , d F , by W Mdd V+7�5 MC K RO& who is personally known tome, or has produced JCW) v e7s¢a r as identification. J,,� �f Pa6s-97%-SAS-fin-o ry Public, Sta)e'of Fla t�^•. ERINEE.TESTA Commission # HH 064261 •+a'e" Expires February 16, 2025 aadad Tla Troy Fain Nwranw e00J85.701e arvcf SWAM% HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 589-5330 Phone (772) 589-5570 Fax December 30, 2024 Mr. and Ms. Alfred Pickron 13625 103'd Street Fellsmere, FL 32948 RE: Burial rights in the Sebastian Municipal Cemetery Unit 4, Block 44, Lot 5 and 6 Dear Mr. and Mrs. Pickron: Enclosed is a copy of the signed and notarized document outlining your wishes regarding interment for Unit 4, Block 44, Lot 5 and 6. If you have any questions, you may reach me at (772) 388-8216. Sincerely, �;C4'1i1� I �vlsl�vvnd Ann Thomas Administrative Assistant City Clerk's Office Enclosure S350.00 ~, Blk. 44, Un. 4 st Price $..: ............... M~,m~m No. Burial Spaces ..... : ......... NetPmd$ ..k4.0.O.,O.O ..... Mo,~mcntmnmtred ................... Alfred & Wanda Pickr~ 13625 103rd St. Fellsmere, FI. 32948 (Dafa above this line fo~ C. lt~ lhecord only) · of ebas an eme ery Dee NO. 1222 ~.5.~h THIS INDENTURg ~AD~ ~ ..... .......... daf of .......... ............................ between the City of Seb~fla~ a municfp~ ~ration ~lat~g ~der the laws of the Sta~ of Finrid~ as Gran~r ........................ A~f~.~..~.....~0.~..~..~,..~.~ .................................................... ~3625 103rd S~.~ Fellsmere, Florida 32948 ,he ~t~ o~ ..... ~4.$~..~V ................... ,~-~ st.t, of ...~.?.V!~. ....................................... G~antee, WITNESSE~ s 1400.00 T~t t~ Grater for ~d ~ ~n~dc~fion of ~e s~ of $ .......................... m it ~ ~d pa~ ~e ~ipt whereof ~owkdged, does by t~ ~nt ~t, b~, ~ ~e~, ~nvey ~d ~nC~ ~to t~ Gr~t~ .~. ~ks, 1~1 re~e~ntafiv~ ~d as~s fo~ow~ prope~y ~t~ted ~ Seba~, I~ ~ver Co.W, ~orida, t~it: 3,4,5,6 ~ of Lot(s) ........ Blo~, .. ~.~ .... UN~ ...~ .......... of Scba~ m~d~l ~me~ry as per Pht Number 1 ~f Book 2. at ~tc 65 of ~e pub~c re~r~ ~ ~e o~ of t~ C~rk of t~ C~t Cou~ of SL Lu~ Co~ty of F~; ~ ~ now l~S ~ being bi ln~ Riv~ County, Flofid~ To Have and to Hold the same forever; prey/tied that saki property ~hall be.used/olely and exclusively for the intern~nt of the human ~ and shall be used, kept and maintained at all times in accordance with the rules and icgulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The canditions, restrictions and requirements contained City Clerk Signed, Sealed and Delivered in the ]~*e~nce of: .... .............. ........... CITY OF SEBASTIAN, FLOltIDA Mayor STATE OF FLORIDA