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Certificate # 1872
HOME OF PELICAN ISLAND
CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Ernest M. Sherwin
(name)
7609 133rd Square, Sebastian, Fl 32958
(address)
(name)
(address)
(name)
(address)
in and for consideration of the sum of $3,450.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 31e , Lot(s) 33, 34 & 64
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 17 th day of January
/dTY OF ~EBASTIAN, FLORIDA
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~;;~ . Moore ~/
City Manager
, 2003 .
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The Sebastian Cem.etery
City of Sebastian, Florida
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Receipt is acknowledged in the sum of:
~~j ~rJ fl-<'~/ ~L~d1~c1 <Jf' ~
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From: ,[JlIJ~Sr 11', ~5A ~~ LUt'N
.3 809 63
Dollars ($ ,
)
7609 /3.3,(0
F F
SG.IiJ/J67:~Aj .
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on this 17,4/ day of
described Cemetery Lot(s)
n S Q..I( A. tIZ !:
3' ~ 9s-8
, 2~- for":' thai. purchase of the follovving
the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)&iche(s) a3, 31<1- G,;j Block t3/ F
Unit f
Purchase Price: #dB 09', CJ 0
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Dollars ($ so~9, d ~
Terms and Condition of Sale:
This contract shall be binding upon both parties, the seller and the purchaser, when approved
by the owner of the property above described:
I, or we, agree to purchase the above described property on the terms and conditions stated in
the foregoing instrument: /;""l. . (
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Purchaser signature
Purchaser signature
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T.~~/C. i.ty of Seb~ees to sell the above mentioned property to the above named
p&chaser(s) on ~.e J and conditions stated in the above instrument.
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. City of Sebasti ., tness J
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
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001001 208001
001501 322900
001501 341920
001501 341910
001501 362100
001501 362100
001501 362150
001501343800
601010343800
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001501 369400
001501 369400
680800 220681
680800 220682
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680800 220683
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Sales Tax
Garage Sales
Copies/Bid Specs.
LDC/Code of Ordinances
Community Center Rent
Yacht Club Rent
o Cash
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Amount Paid
Non Taxable Rent vf ;$'
l' . i /n- -t ~.-'
Cemetery Lots .,J /'oJ i ~ E..s ~ ~ /..50.,tJO , . ~d, ,'iJ
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Cemetery Lots
LoUNich&-:01 ,;?~ ,Block J iF , Unit L
'<1-4'"1." .
Interment Fee_:~ "I"b"': cJd .aa?
~~~ +-Cfk
Weekend Service' r ~
Yacht Club Security Deposit
Community Center Security Deposit
Riv~rview Park Securi~eposit
KNGS ci3';19 tJ () ..(l/lC/<
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Initial
White - Dept. of Origin. Vellow - Finance · Pink. Applicant
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3,450.00
285.00
58.00
16.00
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3'809.00
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