HomeMy WebLinkAbout4-18-21 Available
=;,'tY OF
Certificate No. 2085
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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:
Adam C. Lewis 210 Dickens Avenue, Sebastian, Fl 32958
(name) (address)
in and for consideration of the sumi of $1,400.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following plot/niche:
Unit 4 Block ' 18 Lots/Niches 21 & 22
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 26`i' day of May 2006.
OF
City Manager
FLORIDA' ATTEST:
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Salle aio, MM
amity Clerk
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1225 Main Street, Sebastian, F132958
Telephone (77~) 589-5330 -Fax (772) 589-5570
May 30, 2006
Mr. Adam C. Lewis
210 Dickens Avenue
Sebastian, Fl 32958
Dear Mr. Lewis:
Enclosed is City of Sebastian Certificate 2085 entitling you to full interment rights in Unit 4,
Block 18, Lots 21 & 22. Also enclosed is a copy of the receipt and the Rules and Regulations
governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sin ply,
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Sally Ma o, MMC
City Clerk
SAM:ar
enclosure
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City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase/ / ~
Name(s)
ddress
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Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
'~ ~ Dollars ($ d"Q. ~~ )
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on this ,.~ day of , 204 for the purchase of the following
described Cemetery Lot(s) an or Iche(s).
Unit ~, Block _L~, 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
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Ignature o Purchaser I of Sebastian
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Service fees are to be paid at time of need only
I:\W W-DATA\Ms-CemeterylRECEIPT.doc
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