HomeMy WebLinkAbout4-21-32arvi-r
SEBASTIAN
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
April 26, 2016
Thelma Dylen Lewin
1835 Barber Street
Sebastian, FL 32958
RE: Interment Rights to Unit 4, Block 21, Lot 32 Sebastian Municipal Cemetery
Dear Ms. Lewin,
Enclosed is City of Sebastian Certificate 2500 entitling you to full interment rights in Unit
4, Block 21, Lot 32, in the name of Thelma Dylen Lewin
If you have any questions, please contact our office at 388-8215.
Sincerely,
Gtl,�
Ja'nne e Williams, MMC
City Clerk
Enclosure
Certificate No. 2500
CITY of SEBAS AN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Thelma Dylen Lewin
1835 Barber Street
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 21, Lot 32
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 14th day of April, 2016.
CITY OF SEBASTIAN, FLORIDA
Joseph F./Griffin
City Manager
ATTEST:
CIJh�
46an2ette Williams, MMC
City Clerk
Ulf
6D
)1
1
OME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
i +a
Name(s) - -- - - -
.MA ���Lead L�kJin/
Address
Area Code &Phone Number `7U S-S>q - 02-701
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
ON 5 A -NZ Dollars ($
on this 14 % day ofAPP—) , 2011 for the purchase of the following described
Cemetery Lot(s) and/or Niche(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)
Temporary Marker Preparation & Installation
Signature of Purchaser
I:1W W-DATAIM§-Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL $
City of Sebastian
The following documents were provided as Proof of
Residency:
and
CITY OF SEBASTIAN 10070
ADMINISTRATIVE SERVICES RECEIPT
Name Lc- W /o -j o Cash
Date -4�' O�eck #
0 Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
teoloi - 34-3yoo
U 4- 31 K A I Usr 30..
Total Paid A00
Ini '
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. - Pink - Applicant