HomeMy WebLinkAbout4-36-09•
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Certificate No. 2358
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Susannah K. Becker
315 Pinto Lane
Palm Bay, FL 32909
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 36, Lot 9
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 8th day of ]anuary, 2013.
CITY OF SEBASTIAN, FLORIDA
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" AI Minner
City Manager
ATTEST:
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Sally . Maio, MMC
City Clerk
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City ofi Sebasiian iVfur►icipal Cernete�y Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
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Area Code & Phone Number ,�
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Intended Occupant if Other Tha
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Name & Residence Address
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OFFICE USE ONLY
Receipt is acknowledged in the sum of:
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.,1-Px.i) ,ili!"��,f�,:�Ci,l f%1'C
on this. ��� day of ��n c���-
Cemetery Lot(s) and/or Niche(s).
aser
Dollars ($ �OC)0. �'. �' )
20 l3 for the purchase of the following described
Unit " �� , Block :��0 , Lot(s) � Niche(s
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribeci
therefore by the City of Sebastian.
Additional Fees paid at time of purchase:
Corner Markers (set of 4 = $20)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
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Signature of Purchaser
Opening & Closing
Interment
/W O H
Circle One
Disinterme
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i of Sebastian
The following documents were provided as Proof of
Residency:
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE • /, � �] �
RECEIPT �� �
Name � f.�i. � i�.rl �'1 Q.►" ) 1� .�� ��--K-�-11 ❑ Cash
Date � " d ' %�3 4CCheck#
No.
001001208001
001501322900
001501 341920
001501 341910
001501 341930
601010 343800
001501343805
Sales Tax
Garage Sales
Copies/Bid Specs.
LDCICode of Ordinances
Election Qualifying Fees
Cemetery Lots
Amount Paid
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Cemetery Fees _
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Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
CERTIFICATE # 2036 Date conveyed: August 23rd, 2005
Unit 4, Block 36, Lot 9
Original Purchaser: Janet L. Kendrick Address: 6600 Floridana Avenue
Melbourne Beach, FL 32951
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Surrender of Burial Rights
THE UNDERSIGNED holder of burial rights in the City Cemetery for the following lot:
Lot 9, Block 36, Unit 4 of the Sebastian Municipal �emetery,
as maintained on file in the records of the City Clerk
having misplaced the ariginal certificate granting said rights but desiring to sell back to the City
all of the burial rights in exchange for a refund of the ariginal payment amaunt of $1,125.00 do
hereby surrender all such burial rights with full acknowledgement of the cancellation af the
original certificate/deed to said lot_
IN WITNESS WHEREOF, fhe said first party has signed and sealed these presents the day
and year set forth below.
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Signature
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Printed Name of Janet Kendrick's Power of Attorney
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The foregoing instrument was acknowledged before me this � day of //� �� 2012 by
3: er�c� � C" �eS�, who has produced � Dc��� �,• � �,._�,� as identification or
is personally known to me.
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Signature of Not ublic
State of Florida
Ms-Cemetery\Surrender of burial rights.doc •;iPY .�;'••,,, KRISTA J. BETZ
:� �:__ MY COMMISSION � DD 930514
�;., ,: EXPIRES: October 6, 2013
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��;pr ty�` Bonded Thru Notary Public Under�iters
Hi Ben,
I received your message that you cannot locate Certificate No. 2036. Would you or Brenda
please sign and have your signature notarized on this form?
Thank you,
Jeanette
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CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
To Be Compieted By Department
Due Date 3/30/2012 Single Check Y/ N Y Vendor Number
Document Organization Object Project
LN TC Reference Code Code Code Amount
601011 534959 $1,125.00
Amount $1,125.00
Description Through an executed Power of Attorney, Janet Kendrick's children
are selling their mother's cemetery lot back to the City.
(request and copy attached)
ISSUE CHECK TO
NAME Janet L. Kendrick
ADDRESS 6502 Floridana Avenue
Melbourne Beach, FL 32951
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APPROVED BY �t..q�yti/�, DATE 3/21/2012
BUDGET APPR AL (534000 AND 535450 ONLY)
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CITY OF s;, �.� . , 6�-643
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�C�Co3Q� u ���� �t�v QF s�e�s�r��r� �
_ �rr;3� '� �225 MAIN STFiEET �� �������` $ O O 21 .
�'� , SEBASTIAN, FL 32958
�a..._,,,.,; ��'� G�NERAL ACCQUNT
'HOME-0� PELICAN-ISLAND'< � �
VENDOR CH CK D TE CHECK AMOUNT
62 03�30%20]. $1,125.0
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* * * * * * 1,;12 5 DOLLARS ,AND I�TO ` CENTS
�AY J�:net L. Kendriek +` 'NOT PAID WJTHIN 90 DAYS
65;02 'Floridana :Ave
Melbourne Beach" FL 32951
TO THE �
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ORDER ..
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TWO SIGNATURES REQUIRED
�i'0800 2 L��' �:06 7006�, 3 2�: 20000 2 7 3 16 296��■
�30021
ITY OF SEBASTBAN SEBASTIAN, FL 32958
033012 080021
INVOICE DATE INVOIGE NUMBER ' WVOIGE DESCRIPTION NET INVOICE AMOUNT PO NO. �
03/21/12 Sale Cemeter Kendrick 1,125.00 89196
621 Janet L. Kendrick 1,125.00 80021
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Certificate No.1�036
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Cert' ' erment ights
IN ACCORD CE w provisions the ode of Ordinances of the City of
Sebastian, it is hereby ce ified th •
,
Janet L. %ndrick \ 6600 Fl�{idana Ave., Melbourne Beach, Fl 32951
(name) �/ (address)
in
for � in
CITY
ideratio of the s of $1,125.00 has purchased and is entitled to full
; in the S bastian unicipal Cemetery for the following plot:
Un' 4 Block 36 Lot 9
o the Sebastian Municipal Cemetery,
as mai ained on file in the records of the City Clerk
•d e with the conditions, ordinances, resolutions, rules and regulations
e re by the City of Sebastian.
'HIS 23nd day of August, 2005.
F� STIAN, FLORIDA TTEST:
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Minner r Sally A. Maio, MMC
Manager City Clerk
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HOME OF PEI.IGN ISWVD
Certificate No. 2036
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Certificate of interment
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Janet L. %ndrick 6600 Floridana Av�, Melbourne Beach, Fl 32951
(name) (address)
in and for consideration of the sum of 1 125.00 has purchased and is entitled to
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 Block 36_ Lot 9_
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 23nd day of
TTEST:
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G' Ct e.rk
r Saliy A. Maio, MMC
City Clerk
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HOME Of PELiG+N IS4AND
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 — Fax (772) 589-5570
August 24, 2005
Mrs. Janet L. Kendrick
6600 Floridana Avenue
Melbourne Beach, Fl 32951
Dear Mrs. Kendrick:
Enclosed is City of Sebastian Certificate 2036 for the purchase of Cemetery Lot 9, Block 36,
Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the
Sebastian Municipal Cemetery.
If you have any questions, please contact our of�ice.
Sincerely,
L(J� - , ���
Sally A. Maio, MMC
City Clerk
SAM:ar
enclosure
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HOME OF PEUCAN ISIAND
City of Sebastian Municipal Cemetery
Purchase Receipt
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To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
�Q�me(s)
��
Address
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
O�ce Use Only
Receipt is acknowledged in the surn of:
on this day of �
described Cemetery Lot(s) an
� ���
;Dollars ($ . Da )
20�for the purchase of the following
Unit �, Bloc�C �6 , Lot(s) _Niche(s)
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 W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
TOTAL $�', /,�5� Q�
Signature of Purchaser C' y of Sebastian
Service fees are to be paid at time of need only
l:\W W-DATAUvIs-Cemetery�RECEI PT.doc
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' JANET L KENDRICK 3138 ;
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