HomeMy WebLinkAbout4-09-38Certificate No. 2106
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Suzanne M. Conners
(name)
517 Drawdy Way, Sebastian, FL 32958
(address)
in and for consideration of the sum of $1,400.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following plots:
Unit 4_ Block _9_ Lots 38, 39_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 21St day of December, 2006.
OF ~F/BASTIAN, FLORIDA
Manager
ATTEST:
~ v
Sally Maio, MMC
rtv Clerk
an ~
S~,~ASTu~
;-~.. ~~
HOME OF PELIUN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
(.~ Z a~ n~ Curl n e r.S
Name(s)
Address
Receipt is acknowledged in the sum of:
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
/~c,
!~ Dollars ($ ~, ~ ~®~ 1~~ )
on this ~~ day of ~~~~~n1r , 20 ~ (o for the purchase of the following
described Cemetery Lot(s) and/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:
Corner Markers (set of 4 - $20) Opening & Closing
Vase and Ring for Niches (cost)
Signature of Purchaser
Interment
W O H
Circle One
Disinterment
TOTAL $ I , ~ ~ ~ . C) C~
~ a
;~~~ ~ ~,G ~e i~ ~, ~ D~~~ t~
ty of Sebastian
Service fees are to be paid at time of need only
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
_ - -
~aUib ~Z. ~ortner~ or o9-ot - 979
~u~anne ~l. c~otttter~
5t7 ~ratnDp map Date ~ ~ - 1 -b~ 63-a/630 FL
~e6a~tiatt, ~ 32958 ioaa
Pay to the _(
Order of C`~ Oar ~~VD ~(C~Ad1 ~ ~ )boo. o0
~c
C"'~ h ~ ~Vl~ A~5 [~ (l~~ ~~ ~.~ ~(~k ~~ ~D p Dollars 8 s ~,...~
BankofAmerica
ACH R/T 063100277 ~~~r n
~-E1~
ForL~hi f~ Q(~,~~ ~{ 3
- - -- ~ ~~e_.~___-_ __, ___
---
~:06300 047: 005-,8 2996 25811' 979
~~ -
o~A~ew~Ka
- .GUgRDIANA SAFETY BLUE 6VDGL
CffY OF SEBASTIAN
CITY CLERK'S OFFICE ~ ~,` C~
RECEIPT V 7
Name ~~~-~~ ~ ~ W ~ n 0 r~ ^ Cash
Date_ ~ L ' ~ ' Qw ~ Check #~_
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 CopieslBid Specs.
001501341910 LDC/Code of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetery Lots I ~Qa (~
LotMichea~sY-"`-' Block, Unit
001501 343805 Cemetery Fees
Total Paid 1 `CVQ.W
initials
White -Dept. of igin • Yellow -Finance • Pink • Applicant