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'~ Certificate No. 1981
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Certificate of Interment Rights
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IN ACCORDANCE with provisions of the Code of Ordinances of the City of ~
Sebastian, it is hereby certified that:
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John P. and Mildred J. Finnegan 525 Durant Street, Sebastian, Fl 32958 ~
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0 has urchased and is entitled to full
in and for consideration of the sum of $2,350.0
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I'I I interment rights in the Sebastian Municipal Cemetery for the following plot:
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Unit_ 3_ Block _COL_ Niche_27Ds_
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of the Sebastian Municipal Cemetery, ~ I
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,, I as maintained on file in the records of the Cit Clerk
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prescribed therefore by the City of Sebastian. ~
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CONVEYED THIS 11th day of August, 2004.
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i' CIT OF SEB TIAN, F~.ORIDA ATTEST: i~!
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~ rrertce R~. Moore Sally A. Maio, CMC
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HdME OF PELICAN !BLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Name(s)
Address
7~z - sue- a~s~
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
~ Dollars ($ /, ~S• ~~ d )
on this `/.t~ day o , 200 for the purchase of the folYowing
described Cemetery Lots} an r Niche(s).
Unit ~~, Block~L ,Lot(s) Niche(s) ~7~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)
Vase and Ring for Niches (cost).~8 v d
Opening & Closing
Interment
Disinterment
Signature of P chaser
Service fees are to be paid at time of need only
W O H
Circle One
$ ~.~~8 d ~
I:\WW-DATA\Ms-Cemetery\RECEIPT.doc
Name "'a~
Unit -
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Lot ~~~~ ~~
Date of Mark-out
Date. of Burial (1 + ~/ ~ ~! Time
Name of Funeral Home -
Authorized by
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ITY OF SEBASTIAN
CITY CLERK'S OFFICE -O
RECEIPT ~`
am ~/ ^ Cash G,~KG~
ate ~ ~d7 eck# 6T6?
o. Amount Paid
71001 208001 Sales Tax
71501322900 Garage Sales
01501341920 CopieslBid Specs.
01501 341910 LDC1Code of Ordinances
01501 341930 Election Qualifying Fees s/
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01010 343800 Cemetery Lots ~~ ~
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Lot/NlcheZ~, Block~L , Unit3
01501 343805 Cemetery Fees
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Total Paid ~ o~/ ~ ~
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White -Dept. of Origin • Yellow -Finance • Pink -Applicant
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE °~
RECEIPT I'
Name ~ 't'L~/ Cash
Date ~ _ IGr ^ Check#
No.
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 CopiesBid Specs.
001501341910 LDC/Code of Ordinances
001501341930 Election Qualifying Fees
601010 343800 Cemetery Lots
Lot/Niche t Block ~! ~, Unit ~_
001501 343805 Cemetery Fees
Amount Paid
Total Pai ~__
Initia
White -Dept. of Origin • Yellow -Finance • Pink • Applicant
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STRUNK FUNERAL HOMES, P.A. 6117
CASH ADVANCE ACCOUNT-SEBASTIAN
916 17TH ST.
VERO BEACH, FL 32960 ~ I ( ~ ~^ --- ---!=5 _,_
PH.772-562-2325 DATE ! - -
PAY
TO THE
ORDER
t ~ ~2
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Main stn
958 20th Place
- - - - ~ = Vero Beach, FI 32960
ss G~ ~s~ www.IHNB.~an
Indian River National Bank (772) s69-9zoo
FoR ~~NNe~~,~ M~S•o~C.
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