HomeMy WebLinkAbout4-31-46e
@)
@)
t~~l(
Certificate # 1895
aJYor
51_ASTIAN
~
-,ib;;' " .
HOME OF PELICAN ISlAND
Cln( 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:
Carole M. Britto
P. O. Box 760, Fellsmere, Fl 32948
(address)
(name)
(name)
(address)
. in and for consideration of the sum of $1,150.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 31e , Lot(s) 46
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 25th day of April
, 2003 .
ATTEST:
~ cl'n7
f/f;lo, CMC
City Clerk
---
@
@)
aJYor
SEBAST~
~,;J'~
. ;.:~ ..:&.- " ~"
/
Y /S7J
HOME OF PELICAN ISlAND
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
C-A12-tJ L Z- M _ xS R.. liT 0
Name(s) _
'-p. 0, 't3 0 'x ? 0 0,1 (-eJ /5 m erG.-eJ F I.-
Address I \
L 77d--~ 07/ -O/O?
Area Code & Phone Number
~~o
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
~Ceipt is acknowledged in the sum of:
.' cwJ.! :nvz- - ~/
L/
on this ",~~;t?L day of '
r -~
describeaCemetery Lot(s) and! r Niche(s).
Unit -1--, Block 3'1 E I Lot(s) -#O/..
Dollars ($1 / S7J, &} )
"
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)
Interment
Disinterment
,
~)J1, ~~
Signature of Purchaser
'I
~,//. JO)AL $ 1/ / S-o, cJ7)
/ fl~= ~
C' y of Sebastian
Service fees are to be paid at time of need only
I :\WW-DA T A \Ms-Cemetery\RECEIPT .doc
.
.A
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
17'19
'~ ~~
':'--?- .
1001 208001
1501 322900
1501 341920
1501341910
1501 362100
501 362100
1501 362150
1501343800
1010 343800
1501 369400
1501 369400
)800 220681
)800 220682
l800 220683
OR
Initials t'
o Cash
~# ~,<-)j'/T
Amount Paid
Sales Tax
Garage Sales
CopieslBid Specs.
LDC/Code of Ordinances
Community Center Rent
Yacht Club Rent
Non Taxable Rent
Cemetery Lots
Cemetery Lots !/iP. dr)
LOVNiche~. Block oJ iE . Unit i-/
Interment Fee
Weekend Service
Yacht Club Security Deposit
Community Center Security Deposit
Riverview Park Security Deposit
$
Total Paid /../--.:;21 , (',0
"
White - Dept. of Origin. Yellow - FillllncI . Pink. Applicant
~,?It. i$''U'tt/) 05/98
iD. tJ. if 04> 760
?""--. ?.4 32941-0760
Pay to the
Oraer of
~
For
1:0 b 700 5 .581:
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
1720
Nam
Amount Pa~
Date
o Cash
~c(~rf,~
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC/Code of Ordinances
001501 362100
001501 362100
Community Center Rent
Yacht Club Rent
001501 362150
Non Taxable Rent
001501 343800
Cemetery Lots
601010343800
/./Jd-d,
d /
.j?/ E . Unit-;z:.-
Cemetery Lots - ..
LOVNiche~. Block
Interment Fee
001501369400
001501 369400
Weekend Service
680800 220681
Yacht Club Security Deposit
680800 220682
680800 220683
Community Center Security Deposit
Riverview Park Security Deposit
()',)
,;f ,
,
Total Paid j, /-54.{).
,
Initials
White - Dept. of Origin. Yellow - Fillllnca . Pink. Applicant
@
63,515/670
2287
Date
~~~8
e, (J)
$~3 (')0. ~
"-
'7n.~
:l 2000 L. . L. 7 b II' 2 28 7
@CHECKGAlLERY,1998 STYLE#P38 1.800.354-3540 www.checkgaHery.com
PrInted on recycled paper using vegetable-based Inks
Kittens OOiordano Art Ltd.