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HOME OF PELICAN ISLAND
Certificate No. 2113
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
George & Sophia Libbos 897 Wentworth Street, Sebastian, FL 32958
(name) (address)
in and for consideration of the sum of $1,400.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following lots:
Unit 4 Block 9 Lots 31 & 32
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 14th day of February, 2007.
TIAN, FLORIDA
ATTE
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Sally aio, MMC
ity Clerk
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HOME Of PEUUN ISLAND
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City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchas~O w
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L~~bc~_s
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Address
~7 ~~. 5~s~ - ~~ 8 1
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
ollars ($ ~ D . ~~ )
Th day of r'f~ Y u 0.ri
emetery Lot(s) and/or Niches
20 b 7 for the purchase of the following
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)
Interment Disinterment
TOTAL $
Signatu o urchaser ity of Sebastian
Service fees are to be paid at time of need only
W O H
Circle One
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Unit `'t' , Block ~, Lot(s) ~ 3 ~~ ,3 Z Niche(s)_
Dollars Li.l ~°~~~'a~^^
SiJ11~~2UST x„r;~ so
SunTrust Bank --r
For --- --_ (/ ! _------_ _ "''
~:0 6 700.60 7`6:00 1800 1 4 5 4 2 2 611' L 28 9
®HAPUND 2002
CITY OFSEBASTIAN -
CITYCLERK'S OFFICE ~ ~ ~ ~ ~{
RECEIPT I
Name ~~ .b.boS ^ Cash
Date ~. ~ ~ `7 - O 1 ~ Check # , a~-4
No. Amount Paid
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 CopieslBid Specs.
001501341910 LDCICode of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetery Lots 00 ~v
LotMiche,:~,.~, Block, Uni t
001501 343805 Cemetery Fees
Total Paid (~QQ. ~
Initials
White - Dept. o rigin • Yellow -Finance • Pink • Applicant
GEORGE'LIBBOS OR onsa5 1L~9
SOPHIE LIBBOS
S97 WENTWORTH ST 63-607/670
SEBASTIAN, FL 32958-4871 / Q
Date
Pay to the C~* J"~ ~, Q ~ ~ ! ~d ~ ~ ~
Order of ~`Z
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