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Certificate No. 2332
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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:
Philip �. &/or Deborah A. Bova
449 Lloyd 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 lots:
Unit 4, Block 33, Lots 39 & 40
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 April, 2012.
CITY OF SEBASTIAN, FLORIDA ATTEST:
�` AI Minner
City Manager
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SaII�r,A.°Maio, MMC
City Clerk
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Certificate No. 2332
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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:
Philip .7. &/or Deborah A. Bova
449 Lloyd Street
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to fult interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 33, Lots 39 & 40
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 27t" day of April, 201Z.
CITY OF SEBASTIAN, FLORIDA
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AI Minner
City Manager
ATTES
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Sally A. Maio, MMC
. City Clerk
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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, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
��1� � i � �. GLnd�Dr �L�or�.h � . �3ov�
Name(s)
�-1 �� -� L� o y d S-I�re, �.t� �S�h «.s t� c�.� � � 3 Z� 5�
Address _ r
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Area Code & Phone Number
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Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
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�� (} ���1,9-C,c/� GU� . �.a �o-o �'--J D o I l a rs ( $ �.Cj D 0 . o D ) -
on this. ���� day of C , 20 � oZ, for the purchase of the following described
Cemetery Lot(s) and/or Niche(s .
Unit -� , Block ,3 3 , Lot(s) 3� �� 0 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)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
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Signat r Purchaser
Opening & Closing
Interment
/W O H
Circle One
Disinterment
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of Sebastian
The following documents were provided as Proof of
Residency:
!:\WVV-DATA\Ms-Gemetery\RECFIpT.doc I
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CITY OF SEBASTIAN 4 4 6 2
CITY CLERK'S OFFICE .
RECEIPT
Name ! ���- U d v�
�,.e �—L7— �L
No.
001001208001
001501 322900
001501 341920
001501 341910
001501 341930
601010 343800
001501343805
❑ Cash
�Check� 3 �f 55
Amount Paid
Sales Tax
Garage Sales
CopieslBid Specs.
LDCICode of Ordinances
Election Qualiying Fees
Cemetery Lots
as�c�—
LoUNiche sL.L. ►=, B��k 33 , Unit "�'
Cemetery Fees
� ' Total Paid �«'�. ��
Inkials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant