HomeMy WebLinkAbout4-13-25aCITY of
IEN
HOME OF PELICAN ISLAND
Certificate No. 2176
CJTY 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:
Jane Pleiman 8565 104th Avenue, Vero Beach, FL 32967
(name) (address)
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit —4— BIk 13 Lot-25a-
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 17th day of April, 2008.
CITY OF/ WBASTIAN, FLORIDA
Al Minner
ty Manager
ATTEST:
e-V k-
-For Sally A. Maio, MMC
City Clerk
arf OF
SEBAS,TIAN
HOAR OF FWCAN WM
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
,:3an e, l e r rn Q n
Name(s)
kL� 6-,-) t 0 q - '� e V e- Ko 13 eO-c -fog -- rL 3 Z g 6 7
Address
i of, -ao -0C
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
//Receipt is acknowledged in the sum of:
Q.rlOC .'/1too Dollars ($10U0, �° )
on this day of 1qV r 1 I , 20_Q&_ for the purchase of the following
described Cemetery Lot(s) and /or Niche(s).
Unit , Block, Lot(s) Niche(s) 025 fq
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 cZ� 5� O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
TOTAL $ loZ 6 5, D 0
tk)
(Jigtturce of Purchaser C(Y of Sebastian
Service fees are to be paid at time of need only
I: \W W- DATA \Ms - Cemetery\RECEI PT.doc
zW
<0
LL
a0a
m N
N Y U LU
L+- W W
O J �
F_- F
V _
V
a
o
E
vo
L Y
L
❑ ;
s
U
O
N m
N
LL T
c rn
d � y N
rso _
CO ` O J Li
a)
a) O Z O
N
1 d CJ E E
N U`m U W U J U
O o 0 o O n
OCl C14 m C�l
00 cli O �0-- O Q) M M
N ('7 (�7 f��J C") C��J C
O
y O Cl O O O O
•� O u1 �'1 W to O �
A m O Cl O O O O O O
2 Z O O O O O c0 O
r9h,
z
i1
C
z�
•
�r
M
a
3
v
�(1
�3
W
m U
CL Q
c a
H Y
m
e
W
I
m
•
c
ca
� o
6
m
0
I
m
3
m
\
Name `
Unit
Lot
Date of Burial Tim
Name of Funeral H'Qrne—wL
Authorized by