HomeMy WebLinkAbout3-COL-51DsAG1Y cf
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HOME OF PELICAN ISLAND
Certificate No. 2156
CITV OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Robert & /or Ginnette Hudon 103 Charles Avenue, Sebastian, Fl. 32958
(name) (address)
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit _3_Block_COL_Niches_51D /S /A_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 6t" day of December, 2007.
OF . ASTIAN, FLORIDA ATTEST: ,
I Minner Sally A.. aio, MMC
City Manager City Clerk
Name' .0
Unit -�
Block Cv'L
Lot
Date of Mark -out
Date of Burial
Time �l ° a� `)• N k 7 L� _.
Name of Funeral Home `
Authorized by f
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W
CRY OF
SERMT10
HOAR OF PELICAN ISI M
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
0
Name(s) /U3
Address
ST/ —
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
W
rs ($C�OC� • )
on this &V—j— day of , 20� for the purchase of the following
described Cemetery Lot(s) and /or Niche(s).
Unit _, Block , Lots) S S b Niche(s)
SZ J/s 4
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 (ost)
A2 LE
Signature of Purchaser
Interment
Disinterment
W O H
Circle One
TOTAL $ OCR
City of Se stian
Service fees are to be paid at time of need only
1: \W W- DATA \Ms - Cemetery\RECEI PT. doc
70- 7443/711 1033
THE ROBERT HUDON TRUST .1000063952
ROBERT HUDON OR GINETTE HUDON
7-
/s1r� �JS
BanK. Federd &Mngs
Q
Bloomington, IL 61710 • (877) 734 -2265
m�i'bfreW/—/'y— �.G'o 0,CNA; rS/ 32 _ — ---
1:0711?4431f:10000 6 3 9 5 211e 1033
$ -send
CITY OF SEBASTIAN -
CITY CLERK'S OFFICE 4501
RECEIPT
No.
001001208001
001501 322900
001501 341920
001501 341910
001501 341930
601010 343800
001501 343805
�\❑ /Cash
G�Check #
Amount Paid
Sales Tax
Garage Sales
Copies/Bid Specs.
LDC /Code of Ordinances
Election Qualifying Fees —
Cemetery Lots '00 LofMiche,WifBlock , Unit
Cemetery Fees
4 Total Paid 4TO,s
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
W
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HOME -OF PELICAN 05LAND
2 -2 S-ebas t a,;-
8c
�'3'3 73C '2 "
72,
January 2, 2008
Mr. & Mrs. Robert Hudon
103 Charles Avenue
Sebastian, A 32958
RE. • interment Rights to Unit 3, Block COL, Lot 51DISIA & 52DISIA Sebastian Cemetery
Dear Mr. & Mrs. Hudon:
Enclosed are City of Sebastian Certificates 2156 & 2159 entitling you to full interment
rights in Unit 3, Block COL, Lots 51D/S/A and 52D/S/A. \-, I .
Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal
Cemetery.
If you have any questions, please contact our office.
Sincerely,
Sally A. Maio, M,1.1,
City Clerk
SAM:dc
enclosures
59
5/29/08
Per Kip after a discussion with Mr. Robert Hudon, George Hudon and Blanche Roy - Hudon will
now be going into Unit 3 COL Lot 51DsA and Robert Hudon and Ginnette Hudon will be going
into Unit 3 COL Lot 52DsA — to follow etiquette. George Hudon is a Sr. and Robert is a Jr.
-dwc
DECEASED
NAME:
(First)
PLEASE PRINT
(Middle)
(Last)
01--J
DATE OF BIRTH:
(Month) (Day) (Year)
DATE OF DEATH:
(Month) (Day) (Year)
SIGNATURE:
PRINT
SIGNATURE: / <"� �3 c iZ T ��'�J J Ij
DATE:_ 0
FOR OFFICE USE ONLY
Unit 3
Doubles / South/14
C;OLUMBERIUM: -51
(South)
NICH '6 % �S
NUMBER:
PLEASE PRINT
DECEASED /�v Jp�
NAME: , 4 L= f° !�
(First) (Middle) (Last)
DATE OF BIRTH: / : T / 9,3 E
(Month) (Day) (Year)
DATE OF DEATH:
(Month) (Day) (Year)
SIGNATURE:
PRINT /
SIGNATURE: 013Erz T G !JO
DATE: __. 2 / 2)C cCg m i3C -`/2 ,7,V0
FOR OFFICE USE ONLY
Unit 3
Doubles / South 1,4
COLUMBERIUM: S I
(South)
NICH b
NUMBER:
To Cnt
Initia
Yellow - Finance • Pink •
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
3982
Name
H uc(on
YCash
l Q�
Date
(p
❑ Check #
No.
Amount Paid
001001208001
Sales Tax
001501322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDCICode of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots
LoVNiche6I dsaBlock
Unit
001501 343805
Cemetery Fees
/ (1
To Cnt
Initia
Yellow - Finance • Pink •