HomeMy WebLinkAbout4-31-38e
(,@/~. -===~-==----=C===C~=~~~=_-_'C=C.~.=C_=_C'C"-.=.-=_~_C'C_=C=_'_'_'CCC_-_=_--".C.-.--
U
u __n ___ ___u___ nn_ __ ._u_+ ____u_n_ ___uuuu__un. _ _ non. _ _..............._._......_..._____
II
II
"
"
II
II
II
II
I:
I
il
II
II
II
II
II
,I
II
II I
II
I
I I
I
i
I
I
I
I
I
I
I
I
I
I
i
II
I
!
, i
I I
, I
,
j
II I
I' I
[I I
I I
I I
II
I -~~~\
~ __~==c-=.~c~:"~-=~~~=-. :__~-~--~- .~-
i
II
II
iI
II
II
'I
.;~".
~~-c:-:~.~~,-:-,::~:c_=,~,~~:=_:=_~.__=~ ~ \
rc~f1r
Certificate # 1875
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:
Marilyn A. Antonellis
(name)
1682 Laconia Street, Sebastian, Fl 32958
(address)
(name)
(address)
(name)
(address)
in and for consideration of the sum of $900.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 31e , Lot(s) 38
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 ~ tday of February
2003
C~EBASTIAN,FLORIDA
T~2~~
City Manager
_.
--/
/--==--=::~\
'~f
II
"
"
II
il
"
II
"
II
II
Ii
II
II
II
II
II
II
II
!I
II
._-----_._-~--_._-,~-~-----
- - --------- ~-------- - --- ----------
.r
Name .- / t./)..... /"
/VI.
,/3</"l/ ,'~:.'.' " >. , " .
" ::. j 'J'
/
Unit
""1/
Block
/*,-1-1:----' J / &. J<. ,
Lot
,I:.
Date of Mark-out
/ ,./
) // ,/ I'
,,~-,.,
Time
i .
Date of Burial
Name of Funeral Home
~.~ ~~;~::
/: / /'~
/?
NO ~.f II
f 1..,,,
Authorized by
/
..,,',/"
.._..~1
a
I
13/ J~ 1~
PLEASE PRINT
~~l1tSED LhD mil 5 ~e 1
IFIASn <MIOOUl
~~CUl
Apr; \
<MONTHI
5'
1<155
DATE OF BIRm:
lOAY)
lY~
SIGNATURE: ~ ~ ~
PRINT '~
SIGNATURE:. . ' \Ljr\
~~N~~O-~ ,~S' ~o 3
. ~hvi 1~1 ~ -b l1.e) lis
~ \iPBJ. LCu:.or\.lC~ $1 .
SiJ0as+i(tJ\, FL. .:91'58
An~eJl;s (h) 52/1-5Sd-L1Y-
ClJ-j ~34 - 13~d-.
(C) 4-13-q/7~'
DATE OF DEATH:
DATE:
~\~ \63
FOR OFFICE USE OJ
COLUMrnE~: ~
IEASTI
NICH
NlJl\tmER: 38
.
5 E. "(D )}\) So
D f f i4 p-\ JGvc.
TIF-l PA,
~
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
001001 208001
001501 322900
001501 341920
001501 341910
001501 362100
001501 362100
001501 362150
001501 343800
601010343800
001501 369400
001501 369400
680800 220681
680800 220682
680800 220683
Sales Tax
Garage Sales
Copies/Bid Specs.
LOC/Code of Ordinances
Community Center Rent
Yacht Club Rent
Non Taxable Rent
o Cash
~.
1 51 6
Amount Paid
Cemetery Lots
Cemetery Lots .91J 0 "CJl1
LotINiche 3 B ,Block .3JE . Unit "l/f __
IntermentFee -- -uJ~ ,k~ /P6rOiJ
Weekend Service
Yacht Club Security Deposit
Community Center Security Deposit
fi:~~1
c&crj
t: 130
~ .
Total Paid .t tJ8;? dd
{},~
Initials
White - Dept. 01 Origin. Yellow - Finance . Pink. Applicent
o'ou
It.:-5!OGU
H .. UO
29"00
900,: or.:
~ J l
.;' l......I
"'\.
,_I ',.'