HomeMy WebLinkAbout4-31-60eIj
Mrs. Marion Dair
(name)
a
HOME OF PELICAN ISLA
IAN, FLORIDA
CITY j SE'
AII6 4
r
i'AI Minner
Cit Manager
CITY OF
Certificate No 2185
CITY OF W itt-. Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
201 Mensh Avenue, Sebastian, FL 32958
(address)
In and for consideration of the sum of $1,200.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 4 Niche_60E
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 1st day of July, 2008.
ATTET:
Sally A aio, MMC
C ty Clerk
II
Ii
�'I
STATEMENT DATE
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STATEMENT DATE
//e //I
5 in.* 7;'ii eeh#74/164
4'21 11- e‘eie7;i /C-:
c4)41(7.3 ,a4c-Z1_4L k c>P4
,V.c9c)
IN ACCOUNT WITH
Adams DC5812
ry
u-'7 714
3/
6190
1
't 7/i/.
2c
oct
:1414
o
Ci•
In and for consideration of the sum of $1,200.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
1 'I
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Mrs. Marion Dair 201 Mensh Avenue, Sebastian, FL 32958
(name) (address)
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 1st day of July, 2008.
CITY V SE IAN, FLORIDA
1/
AI Minner
y Cit Manager
CITY OF
HOME OF PELICAN ISLAND
CITY OF SEB STUN
Certificate No. 2185
Certificate of Interment Rights
Unit 4 Block_31 Niche_60E
ATTET:
Sally A aio, MMC
C ty Clerk
SL� 5
Name(s)
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, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
ao ru,,Q,,k,a_ia,v_t_ s3Jt_6,A (9.5
Address
3 (Q O ,)-O
Area Code Phone Number
Name Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
Dollars }O E OO
on this day of
Cemeterry Lot(s) and /or Niche(
Unit "T Block 4. Lot(s)
Additional Fees paid at time of purchase:
Corner Markers (set of 4 $20)
Vase and Ring for Niches (cost)
Temporary Marker Preparation Installation
Signature of Purchaser
I: \W W- DATA \Ms Cemetery\RECEI PT. doc
20 a for the purchase of the following described
Niche(s) (QC E
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed
therefore by the City of Sebastian.
Opening Closing W 0 H
Circle One
Interment Disinterment
of Sebastian
TOTA $1aoo
The following documents were provided as Proof of
Residency:
and
001001 208001
001501 322900
001501 341920
001501 341910
001501 341930
601010 343800
001501 343805
itials
White Dep
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
Sales Tax
Garage Sales
Copies/Bid Specs.
LDC /Code of Ordinances
Election Qualifying Fees
Lots r
Lot/N �O Block I
Cemetery Fees
Origin Yellow Finance Pink Applicant
4090
Cash
Check 3 l93
Amount Paid
Unit T
.7laco
Total Paid