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HOME OF PELICAN ISLAND
Certificate No. 21.21
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Ronald & Rina Deshaies (Mr. & Mrs.) 136 Maggie Way, Sebastian, Fl 32958
(name) (address)
in and for consideration of the sum of $700.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following lot:
Unit 4_ Block _13_ Lot 13a & 13b_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 15th day of March, 2007.
FLORIDA
ATTEST:
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Sally : .Maio, MMC
rty Clerk
~ City Manager
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March 15, 2007
Mr. & Mrs. Ronald Deshaies
136 Maggie Way
Sebastian, FI 32958
RE.' Interment Rights to Unit 4, B/ock 13, LOTS 13a & 136, Sebastian Cemetery
Dear Mr & Mrs. Deshaies:
Enclosed is City of Sebastian Certificate 2121 entitling you to full interment rights in
Unit,, Block 13, Lots 13a & 13b.
Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal
Cemetery.
If you have any questions, please contact our office.
Sin, ~-~~
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Sally A. ~o, MMC
City Clerk
SAM:ar
enclosures
G1Y OF
S~BASTi~j ~}
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HOME Of PELICAN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Name(s)
l ~ ~~ i'~ CMG Q i e w~ u S~,(a ~S f i' ~ ~ ~'~ ~ ~ Z ~ S ~
Ad+~ress J~
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
ars ($ lU~. f~0 )
on this day of , 20 for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
Unit ~_, Block I~ ,Lot(s) / 3a, /~ (o 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) Interment
W O H
Circle One
Disinterment
TOTAL $ ~U ~ ~ a ~
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nature o urchaser ity of Sebastian
Service fees are to be paid at time of need only
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