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HOME CSE PELICAN ISLAND
Certificate No. 2063
CITY 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:
Arthur J. & Joan F. Burns 549 Carnival 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 _17 Lot(s)Niche(s)_7_
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 10" day of February, 2006.
CITY O SE TIAN, FLORIDA ATTEST:
inner Sally aio, MMC
itv anager Citv Clerk
CITY OF SEBASTIAN
CITY CLEERK' POFFICE
RECEIPT
3531
nae v❑ Cash
Date GJ eck 1--,-16 d�
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDC/Cade of Ordinances
001501341930 Election Qualifying Fees
601010 343800 Cemetery
LoUNiche Block Unit
001501343805 Cemetery Fees
Tota4d%--e�e
Initials
White — Dept. of Origin • Yellow — Finance • Applicant
L/
arra J?
SEBASTMN
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, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Name(s)
Address
& Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
is acknowledged in the sum of:
Dollars ($7 e-. e2�) )
on this��day of , 20_for the purchase of the following
described Cemetery Lot(s) and/or
Unit_, Block 17 , 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
Signature of Purchaser
of Sebastian
W O H
Circle One
Disinterment
TOTAL $ %.- • e7
Service fees are to be paid at time of need only
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HOME OF PELICAN 9SIAID
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 — Fax (772) 589-5570
February 10, 2006
Arthur J. & Joan F. Burns
549 Carnival Terrace
Sebastian, Fl 32958
Dear Mr. & Mrs. Burns:
Enclosed is City of Sebastian Certificate 2063 entitling you to full interment rights in Cemetery
Lot 7, Blk 17, Unit 4. 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.
Si re j
y
Sally Maio C
City Cler
SAM:ar
enclosure