HomeMy WebLinkAbout4-31-64wCertificate No. 2132
~~ ®~ ~~~~
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
James Dace 1010 Ginger Lane, Barefoot Bay, FI 32976
(name) (address)
In and for consideration of the sum of $1,350.00 is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following
Lot(s)/Niche(s)
Unit_4_Block_31_Lot(s)/Niche_64w_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYEDfTHIS 19th day of June, 2007.
OF%,~~BASTIAN, FLORIDA
AI Minner
ty Manager
ATT~~. ~
CZ
S A. Maio, MMC
City Clerk
t~'I'Y ~?F
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June 19, 2007
Mr. James Dace
1010 Ginger Lane
Barefoot Bay, FI 32976
RE.• Interment Rights to Unit 4, B/ock 31, Niche 64w Sebastian Cemetery
Dear Mr. Dace:
Enclosed is City of Sebastian Certificate 2132 entitling you to full interment rights in
Unit 4, Block 31, Niche 64w.
Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal
Cemetery.
If you have any questions, .please contact our office.
Sinc y, -;
,~' ~ E:~, ~'yi
Sally A. Maid, MMC
City Clerk
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SAM:ar
enclosures
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City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of urchaser or person for whom lot is intended for interment must be
pr9.vide~ at time of purchase
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
q~ ollars ($~ ~~'D d d )
on this day of , 20~ for the purchase of the following
described emetery Lot(s) /or Niche(s).
Unit ,Block ~, Lot(s) 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:
Comer Markers (set of 4 - $20) Opening & Closing
Vase and Ring for Niches (cost)
Signature of Purchaser
Interment
W O H
Circle One
Disinterment
Service fees are to be paid at time of need only
7~
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ADELE-JEAN DACE OR 2$34
JAMES DACE
1010 GINGER LANE ~r-~f 63-4/630 FL
BAREFOOT BAY., FL 32976 Date ~ °'~~ ~ ', ;1 L~ $
Pay C' 1 % `~ ~ ~ `~ ~ ~ ;:~ ~ / l r-~ ;'~% ~ ~ s ~~,
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STRUNK FUNERAL HOMES, R.A. 6199
CASH ADVANCE ACCOUNT-SEBASTIAN
916 17TH ST. -
VERO BEACH, FL 32960 ( `,a ~ ~ ~ ^ 63-t2o5/670
PH. n2-562-2325 DATE ~P 11 1 of
ORDER OF ~~~~~~ ~~~~~~~ ~ tS +~ ~
Msin Office _
~~~R 958 20th Place
.. Wm Beach, FI 32960
a.s ~- ~~-~ www.INNB.eom
Indian River National Bank p~z> ss9-9zoo
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C~IT(Y OF SEBASTIAN
IC RECE' pOFFICE - /, O
Name /Jv~ - ^ Cash
Da ~f eck #
No. Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501 341920 Copies(Bid Specs. _
001501 341910 LDC/Code of Ordinances
001501 341930 Election Qualifying Fees
601010 343800 Cemetery Lots
Lot/Niche ,Block ,Unit
001501343805 C~aa ry Fees
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Initials
White -Dept. Origin • Yellow -Finance • Pink - Appli