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Certificate No. 2058
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Michael D. O'Dea I04 Charles Avenue, Sebastian, F132958
(name) (address)
in and for consideration of the sum of $1,400.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following plot:
Unit 4 Block _18_ Lot(s)Niche(s)_8 & 9_
of the Sebastian Municipal Cemetery,
as maintained on fde in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 4~' day of January, 2006.
CITY~F S~~STIAN, FLORIDA ATTF~-T~;
.~-~.
Manager
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aio, MMC
Clerk
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t1'tY CIS'
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H~ ~~ FELL ~SLL~
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 -Fax (772) 589-5570
January 5, 2006
Michael D. O'Dea
104 Charles Avenue
Sebastian, Fl 32958
Dear Mr. O'Dea:
Enclosed is City of Sebastian Certificate 2058 entitling you to full interment rights in Cemetery
Lot 8 & 9, Block 18, Unit 4. Also enclosed is a copy of the receipt and the Rules and
Regulations governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sin ,
Sally Mai , C
City Clerk
SAM:ar
enclosure
QII' OF ~~
SE~T~N ~~
ROME OF PEUUN ISIAIVD
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
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NarrSe(s)
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~~'.
Address - '
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Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Ofifice Use Only
Receipt is acknowledged in the sum of:~7 ~
Dollars ($ / d4 G'~ )
on this ~ day of ~~~ -- , 20~~ for the purchase of the following
describe Cemetery Lot( nd/or Ni e(s).
Unit ~_, Block _f~_, 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 W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
i
I f . TOE 1 cc . oa
Si nature o Purchaser ity of Sebastian
Service fees are to be paid at time of need only
I:\W W-DATA\Ms-Cemetery\RECEI PT.doc
390
M: D. O'DEA
MARGARET O'DEA ~. ~ ~ 63-801712670
104 CHARLES AVE / ~~ ~ BRANCH 39
SEBASTIAN, FL 32958 DATE
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PAY TO THE ~~ ~l ~~ t y~,.i/`''~ tiJ %' ~~r v ` ~ ~ J~r /~,
ORDER OF s•=•~°~
,~,~ ~~ F•clu~ee
_~r~ ~ 'C~ A ~~~~ ~L.~' /.~~ DOLLARS ~ ~«u, ••
a 1~ ~hAN F
Flodde Crodit Unloa ~^
Ql~it'J Service Starts 7fcn1
,r. ~ NP
MEMO ~ ~ ~ ~
~:267080 L77~:503006550 L00211' 390
® HARLAND 2002
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