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HOME OF PELICAN ISLAND
Certificate No. 2182
CIS OF SEBASUTAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Cynthia Volek 8365 100th Court, Vero Beach, FL 32967
(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— Block 10 Lot 23
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 6th day of June, 2008.
CITY OF SEBASTIAN, FLORIDA
I Al Minner
City Manager
ATTEST:
I/ � .
Sally . Maio, MMC
City Clerk
'�/ Y
J
. � �
Certificate No. 2182
CITY OF S EB-3 .-ST'I N
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Cynthia Volek 8365 100th Court, Vero Beach, FL 32967
(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— Block 10 Lot 24
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 6th day of June, 2008.
CITY gF SE,BASTIAN, FLORIDA
Al Minner
ty Manager
ATTEST:
Ily A. aio, MMC
Cftv Clerk
My OF
HOME OF PELICAN ISLAND
Certificate No. 2182
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Cynthia Volek 8365 100th Court, Vero Beach, FL 32967
(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— Block 10 Lot 24
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 6th day of June, 2008.
CITY OF ST STIAN, FLORIDA ATTEST:
Minner aio
C , MMC
city
Manager City Clerk
CM Of
I
pc6
HOME OF PEUCAN ISLAND
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.
nfhia Vole,I-
Name(s) '
8'365 1004 -h Court VLLL) Beach, rL 324 �o
Address
(-� 7d-) 38F- I (, ( 3
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
liteb . 0-M PI/ �fl Dollars ($2, 600." )
on this day of 6t C , 2009 for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
;i
Unit ''f , Block /0 , Lot(s) 2-3 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
-. -Si ture of Purchaser
I: \W W- DATA \Ms - Cemetery\RECEI PT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL 01 000 , D D
rVpil1�, i ff, 11
The following documents were provided as Proof of
Residency:
CITY OF SEBASTIAN
CITY CLERK'S RECEIPT OFFICE 3988
Name C y n fh V (e k ❑ Cash
Date h e -() 09 XCheck #.2917
No.
001001 208001
001501 322900
001501 341920
001501 341910
001501 341930
601010 343800
001501 343805
Amount Paid
Sales Tax
Garage Sales
Copies/Bid Specs.
LDCICode of Ordinances
Election Qualifying Fees
Cemetery Lots 2 �0
LotMiche , Block r Unit 14
Cemetery Fees
" — Total Paid ZW. 0C
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant