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Certificate No. 2125
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Certificate of Interment Rights
1N ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Gaetano J. Leone
(name)
in and for consideration of the sum of $350.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following lot:
Unit 4 Block 13 Lot 15b
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.
755 Dempsey Avenue, Sebastian, Fl 32958
(address)
CONVEYED THIS 10th day of April, 2007.
CITY OF
,FLORIDA
ATTEST:
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Sall A. Maio, MMC
City Clerk
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April 10, 2007
Mr. Gaetano J. Leone
755 Dempsey Avenue
Sebastian, FI 32958
RE.• Interment Rights to Unit 4, Block 13, Lot 15b, Sebastian Cemetery
Dear Mr. Leone:
Enclosed is City of Sebastian Certificate 2125 entitling you to full interment rights in
Unit 4, Block 13, Lot 15b.
Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal
Cemetery.
If you have any questions, please contact our office.
Si ely, _
Sally A. • io, MMC
City Clerk
SAM:ar
enclosures
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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
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Name(s)
Address
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
on this /l ,~ day of , 20 ~ 7 for the purchase of the following
described Cemetery Lot(s) an /or Niche(s).
Unit ~, Block ~, 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:
Comer Markers (set of 4 - $20) Opening & Closing W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
TOT $ o~sl~ . o' d
G% .
Signature of Purchaser City of Sebastian
Service fees are to be paid at time of need only
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