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HOME OF PELICAN ISLAND
Certificate No. 2114
~~ ~~ ~~~~
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Michael & Susan Wolz
(name)
200 Chello Avenue, Sebastian, FL 32958
(address)
in and for consideration of the sum of $1,400.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following lots:
Unit 4 Block 9 Lots 34 & 35
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 14th day of February, 2007.
CITY OF SEBASTIAN, FLORIDA
A
I \~,, `
ty Manager
Sall. Maio, MMC
rtv Clerk
Qn ~
S~BASTi~
HOME Of PELICAN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
~l i cG~ Q z l ~- ~ c~sQ ~ (~/~ ( ~
Name(s)
r~OD-- C.~,~f ~n Vie, _~.e,~oQSt~'a.~ ~~ 3Zg 58
Receipt is acknowledged in the sum of:
Address
/ lL '7 C5 ( VoC
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
/lA
/0'0 Dollars ($ ~~(~. ~~ )
on this day of , 20 for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
Unit ~_, Block ~_, Lot(s) 3~{ ~3J~ 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 - $20) Opening & Closing W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
vv
Signature of Purchaser
T/O,T1AL,$
W
y of Sebastian
Service fees are to be paid at time of need only
I :\W W-DATA\Ms-Cemetery\RECEI PT.doc
ICHAEL E. WOLZ os-si
SUSAN F. WOLZ
200 CHELLO AVE
4448
63-215/631
SEBASTIAN, FL 32958 •~ / ~ OO
j~ Date
Pay tothe /^
order of (..~ i Ty 1D ~ 6i[ ~t/4/r/! ~ /J ~ ~ ~ y~.0~
I__I Fva~urvf
-,__ Dollars t ~:~'• °^
SU1V 11(UST ACH RT 061000104
For~.tyl POT 3~1 t'35 ~ M,
~:063L02L52~:078200L763LL711' 4448
1
CITY OF SEBASTAN -
CITY CLERK'S OFFICE ~~
RECEIPT
Name L°~iV tJ/ Il Z ^ Cash
Date D~ ~ ~~7 ~ ~ ~ ~(Check# ~"'~ `i
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDCICode of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetery Lots V~ ~®
~j
LotMiche~y, 3~, Block I .Unit
001501343805 Cemetery Fees
~ tl
Total Paid
~
Initials
White - D . of Origin • Yellow -Finance • Pink -Applicant