HomeMy WebLinkAbout4-36-25
@)
@)
CIlYOf
SEBASr~
..~~~
HOME OF PELICAN ISlAND
rc (Q) IP'Jr
Certificate # 1963
CITY OFf SEBASJTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Everett & Norma Cave
(name)
6220 10yh Street, Sebastian, Fl32958
(address)
in and for consideration of the sum of $1.400.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit _ 4_ Block _36_, Niches_ 25 & 26_
of the Sebastian Municipal Cemetery, ,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED TIllS 7th day of June, 2004
CIT;'\~,F SEBAS;:,
, 'H
' .. t- ,""
! .'
, .
. .
; /./ .
T~ce ILMoore
City Manager
A'ITEST:
'. (",) t? / 1)'1;
, '~ '
',,- /
---- ~
S ly A. Maio, CMC
City Clerk
@)
@)
; I/~J
~~ ~~ o~/
0~~ /Z; :
~tt:/,4,e,r. 7/- "~O-<A')4
c?~O~
-
V:;C';LJ~ / 6 ."
~~~~K/7? a~~
a~U~
4,;'P}d .. /c:J?, ':f 5~
~$~J;7'.4t') rL.
'"
.f~ffp
~h'. ..2AJ~ .
ua4'"~~ ~ ~
Lh,/7 1( -&$ ..?~
~;; ~S-/t:2~
HOME Of PELICAN ISLAND
June 7, 2004
Mr. & Mrs. Everett Cave
6220 109th Street
Sebastian, Fl 32958
Dear Mr. & Mrs. Cave:
Enclosed is City of Sebastian Certificate Number 1963 for the purchase of Cemetery Lots 25 &
26, 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 office.
~lY' tf(J11--
Sall~O' CMC
City Clerk
.......
~
SAM:ar
enclosure
CIlYOf
SE_AST~
~~~
- ~ "', ,~ :"1
"~'"
51
HOME OF PELICAN ISlAND
-:f /1ftJ
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, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Et/~7/ )'C #d~;9 'Gt/~
Name(s)
~:l~() /t:J?P1< S~er--, .$E~~ rz ..!V?c;;9
Address
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
a., ~~-~ ~~-~~~ Lc-- DOllarS($t~'" 00 )
on this 7:t;t ;:Y of ~. ./ , 2~ for the purchase of the following
described Cemetery Lot(s) d/or Niche(s).
unit.l--, Block J~ , Lot(s) ~.sr-:2 C:, 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:
Corner Markers (set of 4 - $20)
Opening & Closing
w' 0 H
Circle One
Vase and Ring for Niches (cost)
Disinterment
$ / ~o.t!)o
"
Signature of Purchaser
Service fees are to be paid at time of need only
I:\WW-DA T A\Ms-Cemetery\RECEIPT.doc
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
N.me~F.d" ,",.1;:" e .s;~ /
Date ~ ~ ~a1J7
No.
001001 208001
001501 322900
001501341920
001501 341910
001501341930
601010343800
001501 343805
Sales Tax
Garage Sales
Copies/Bid Specs.
LOC/Code of Ordinances
Election Qualifying Fees
Cemetery Lots
LotlNiC~~" . BlocJ<4'6
Cemetery Fees
.
{J~
." ~~ (J)~c..:xI
.. ~ o~ mo;CO
::l. I.liIiii'- tn~ > () c: OJ
""I' -'. j, b~ ~~mm
! ~~"~ .,,~ ~~(") ~
"... ~ :,,~~ ~
;a ;->-0<
~a:. ~ ~~m~
comf"'" -0
~~~ ~
('
2865
- ~
. .
ru
[]'":l
-.:J
0
CJ
Z-
-
.0
.0
-
..
ru
ru
CJ
0
0
0
Amount Paid
1/
l ;4111.' t1tJ
df
,UnitL-
11'
Total Paid t. ~/. NJ
, ,
Initials
White - Dept. of Origin. Yellow - Finance · Pink. Applicant
Pd/<..' ~
Et/,e~el/~#tJ~4vJ1tJ(
.-'
"
, "'-,
.,~
",~ ~
.~.~
\~ r.
... 'f... V\
<1 \ ~\ ~
\ K '"',
I G r
;
i
I
I
i
I ~ d
~
I .
~
'10.
'''',
8
b
~
ED
~
o
<0
U)
'"
ale.>
5!'
z'f
n~
%!g
8~
~...
o
IIO~0
...
~;!~