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Certificate No. 2091
OF SEBj~.STLl\N
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Mary ~ DeLisle
(name)
373 Columbus Street, Sebastian, FI 32958
(address)
in and for consideration of the sum of $700.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following plot/niche:
Unit 4 Block
13
Lots/Niches _14a & 14b_
of the Sebastian Municipal Cemetery,
as maintained on rIle 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 3rd day of July 2006.
ATTEST:
/XIl Ail ff1 W~m4- erne.
u75~pu~~-c i+V ~(t..rk
..po r Sally Maio, MMC
City Clerk
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S~ I HARBOR CLUB
sebastiaA, FL 32958
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I: 21;708... .1:11:11: 20700.2.8
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MARY W DELISLE
373 COLUMBUS STREET
SEBASTIAN, FL 32958
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IHlOME OIF PlELICAt~ llSW.JD
1225 Main Street, Sebastian, Fl32958
Telephone (772) 589-5330 - Fax (772) 589-5570
July 3,2006
Mrs. Mary W. Delisle
373 Columbus Street
Sebastian, FI 32958
Dear Mrs. Delisle:
Enclosed is City of Sebastian Certificate 2091 entitling you to full interment rights in Unit 4,
Block 13, Lots 14a & 14b. Also enclosed is a copy of the receipt and the Rules and
Regulations governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sincerely, .
L !'({)./Y'ttffi (jJdtULrn,a
j J)t(Jufv C (-fy C (e r k
fe/( Sally Maio, MMC
City Clerk
SAM:ar
enclosure
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r-fOM~ OF l'rUQN lSi'}J'm
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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 purchaser or person for whom lot is intended for interment must be
provided at time of purchase
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Address ,/
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
ZRecei t is acknowledged in the sum ~
_~ ... ~ / ~ Dollars ($#0. d () )
on this hid day of ~ , 20~ for the purchase of the following
described Cemetery Lot(s) ~he(s).
Unit'; , Block ,,<? , Lot(s) /~"'/!lj 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
Signature of Purchaser
Service fees are to be paid at time of need only
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MARY W DELISLE
373 COLUMBUS STREET
SEBASTIAN. FL 32958
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