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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