HomeMy WebLinkAbout4-10-35CtiY OF
~~
H~NIE OF PELICAN ISLAND
Certificate No. 2167
~~
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 Colleen Audette 755 Wimbrow Drive, Sebastian, FL 32958
(name) (address)
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit_4_Block_10_Lots_35 & 36_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 5t" day of March, 2008.
CITY F S STIAN, FLORIDA ATTE
~i~j ~_
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U'!
I Minner Sall .Maio, MMC
City Manager City Clerk
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Hf7ME 4F' PELICAN ISUINL7
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
~o b-erf d-/o ~
11eev~ ~-} ~~~e~e,
Name(s) '
7~j j ~tll Mbr01,~! Dri y2. 5~b2sfi~~~ FL 3Z~t5~
Address
C~ gal ~~~ -~~~~
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
~'`°-~~-Dollars ($ ~; ~ U~, ~~ ~ )
on this. ~"~ day of ~~ {'C~t , 20 ~~ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit r~ ,Block ~ ~ ,Lot(s) 3 ~ ~" ~ (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)
Temporary Marker Preparation & Installation
/W O H
Circle One
Interment Disinterment
TOTAL $ vL c U~ O. U U
~ignature of Purchaser
The following documents were provided as Proof of
Residency:
I:\W W-DATAWIs-Cemetery\RECEIPT.doc
and
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ty of Sebastian
CITY OF SEBASTIAN
CITY C R
POFFICE
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ECE
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me_
Date_ ~ I Il
~ ~t!~ ~] ~ ~ ~ ~ ^ Cash
~ Check #___
No.
Amount Paid
001001208001 Sales Tax
001501 322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDC/Code of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetery Lots ~
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jj i`11
Lot/Niche35-~3
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001501343805 Cemetery Fees
Initials Total Paid ~~ ~
White -Dept. of Origin • Yellow -Finance • Pink • Applicant
ROBERT K. AUDETTE 5999
'COLLEEN AUDETTE t2os~s~oo2
755 WIMBROW DR.1-772-589-5266
SEBASTIAN, FL 32958 y~ v
~^ V O Date
PdIJ tO d1e .
of ~1~ -- __ ~ $ a ~ v u
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S ; Dollars IJ ~~~ '
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Indian River Natlanal Bank
www.II2NB.co
For _,~_~.c~'"~ ~-Z~ -"P
1:0670 L 20 7~: 0 L7 X84950 L11' 5999