HomeMy WebLinkAbout4-31-63e
@)
@
OJYOF
SE_ASr~
~~,~-:,,~,~~ '
~j.... ~" '
"~
HOME OF PELICAN ISlAND
Certificate No. 1990
CITY Off SiEBAST1AN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Patricia Lee Thome
(name)
7609 133rd Square, Sebastian, Fl32958
(address)
in and for consideration of the sum of .$1.150.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit_ 4_ Block _31_ Niche _63e_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian,
CONVEYED THIS 29th day of October, 2004.
@)
@)
"'--'~-r'.'.....~"""-",~..;..
.'<1i}~~'~..'.
HOME OF PELICAN ISlAND
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 - Fax (772) 589-5570
November I, 2004
Ms. Patricia Lee Thome
7609 133rd Square
Sebastian, FI 32958
Dear Ms. Thome:
Enclosed is City of Sebastian Certificate 1990 for the purchase of Cemetery Niche 63e, Block
31, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the
Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sally A.
City Clerk
SAM:ar
enclosure
aJYor
SE~AST~
~.^~~...."'..
. ,;'--~::~-t.;, "'0.;, '''','~
',,'- ".~....,:.'<:;~ -~. '
~--,:~~
/7 J7)
~
HOME OF PELICAN ISlAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
~. / --
PAr/f/~/A ~EE /HtJA'NE
Name(s) M
7~~9 /33 ~~ LLJ'tRE
Address ,
JE./!/JsT/A-J FL. 3dfce:r
Area Code & Phone Number
77,;)" scfJ9 -,I ~ c.2LJ
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
{L ~<P"'-~ ,,}$ Dollars ($ (/~JtJ.)
on this qfR3; day of ' , 204- for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
// AJ,44~
Unit r--' Block 3/ ,-bet(s) 0..?E 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
Signature of Purchaser
Disinterment
Vase and Ring for Niches (cost)
~~J~
Service fees are to be paid at time of need only
1:\ WW -DATA \Ms-Cemetery\RECEI PT .doc
!Q HARLAND 2001
-
..
n.J
[PO
-.J
o
OJ
r
m
,,:I/
>Z
~" -I m
III 2l " :I/ (I)
6i~J:C5 -I
:::!c.>:::!>-3:
>c.>1\)
Z C:D 0.1"'" (I)
- OO.:J:
;:ll~~-I m
c.>Ca>:J::I/
~~~e:E
CJ1m :I/-
00 ZZ
me
:I/
-
.lJ
.lJ
-
.. ""
n.J 'lj::
~~
o ~
o
o
o
-
o
U-I
r
~~
~,
~~ 1
~ ! :\~ {fl ~
!~, ~ ~ ~
!~" '.
!
I;;
B>
~
g'o"m
~~<=!:;
g:~
0>
'"
~
~
0>
....
o
I\)
w
co
~
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
~g:_ ~f .J
Date ~ d~ ,.2tJt1.f'
3147
o Cash
~~71
No.
Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501341920 Copies/Bid Specs.
001501 341910 LDC/Code of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetery Lots /_ /SO,tJ/)
,
LotINiChe~. ?~ . Block ~ '? / ,unitL
001501 343805 Cemetery Fees
.t2!
White - Dept. of Origin. Yellow - Finance · Pink. Applicant
#
TolalPaid /. ~,tJO
/
t(Q)~l{