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Certificate No. 2094
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Pauline A. Lillegard 656 Atlantus Terrace, Sebastian, Fl 32958
(name) (address)
in and for consideration of the sum of $700.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following plot/niche:
Unit 4 Block 9 Lots/Niches 6
of the SebasNan Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS l Oth day of July 2006.
'IT� OF S �ASTI.
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FLORIDA ATTF,B�`P:�
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S A. Maio
City Clerk
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1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 — Fax (772) 589-5570
July 10, 2006
Ms. Pauline A. Lillegard
656 Atlantus Tenace
Sebastian, Fl 32958
Dear Ms. Lillegard:
Enclosed is City of Sebasti�xi Certificate 2094 entitling you to full interment rights in Unit 4,
Block 9, Lot 6. Also enclosed is a copy of the receipt and the Rules and Regulations governing
the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sinc�rel�y, ^/ __
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Sa11y A. Mffio, M1VIC
City Clerk
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enclosure
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City of Sebastian Municipai Cemetery
Purchase Receipt
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To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
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Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Rece�t is acknowledged in the sum of:
►,�,�,
Dollars ($�O"�, � )
on this la.� day of , 20 Dlo for the purchase of the following
described Cemetery Lot(s) d/ iche(s).
Unit , Block �_, Lot(s) � 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) Interment
Disinterment
W O H
Circle One
OTAL $ 11 D
C� �c�.�v,.-c� . �
Signature o Purchaser ity of Sebastian
Service fees are to be paid at time of need only
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PAULINE A LILLEGARD � 3� 5
656 Atlantus Terrace
Sebastian, FL 32958 ssasvss�
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Pay to the
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Example
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STRUNK FUNERAL HOME & CREMATORY
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1623 No. Central Ave.
SEBASTIAN, FL 32958
(772) 589-1000
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