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HomeMy WebLinkAbout4-10-21CITY OF :~ HOME OF PELICAN ISLAND Certificate No. 2177 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Karen Steinke Post Office Box 68, Roseland, FL 32957 (name) (address) In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4 Blk 10 Lot 21 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 17th day of April, 2008. OF ~$EBASTIAN, FLORIDA AI Minner ty Manager ATTEST: ~~~~ ~ ~ ~Ur Sally A. Maio, MMC City Clerk Q11f OF 5~$ASTI,~ ~ T_ \~ HOME OE PE4IUN ISWVD City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Ka~~~l _S~-f~P.i ~ ~ ~ Name s) ~ lob', fZvS bland FC, .3295 7 Address Area Code & Phone Number k~reh K, ~feink2 ,~ Carl ~. ~S~teinke. Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: ~--~ Dollars ($~()~(). UU ) on this ~ ~~ day of ~ 0 r i ~ , 20~ for the purchase of the following described Cemetery Lot(s) and or Niche(s). Unit `7 ,Block ~ U , Lot( 02-1 Niches 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) Signature of Purchaser Interment W O H Circle One Disinterment TOTAL $ Q (~ ~ 4 U ~~Q~~~~YYI/~ C' of Sebastian Service fees are to be paid at time of need only I:\W W-DATA\Ms-Cemetery\RECEI PT.doc CITY OF SEBASTIAN CITY CLERK'S OFFICE " 3 9 8 4 RECEIPT Name ~~ C~) n~ _ ^ Cash Date - (~ ~ ©~ Check#~~ No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees ~ /~/~/~ ~ 601010343800 Cemetery Lots ~Sd1lL5L- LoUAliege ~, Block ~ O ,Unit 001501 343805 Cemetery Fees Total Paid Initials White -Dept. of Origin • Yellow -Finance • Pink • Applicant