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4-17-09
0 ayyOF SERASTM HOME OF PELICAN ISLAND Certificate No. 2041 3TY OF SUB ASTIAN 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. and Joan F. Burns 549 Carnival Terrace, Sebastian, Fl 32958 (name) (address) in and for consideration of the sum of $700.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit —4— Block 17 Lot/Niche 9 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 1 st day of September, 2005. CITY F SEBAPIAN, FLORIDA ATTEST: tuner Jeanette Williams, CMC Uity Manager Deputy City Clerk • 0 arf OF ©17 / SJBASTUW a HOME OF PEUUIN 5 AtdD City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase S) Address Area Code & Phone Number E Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt jai cknowwlledged in the sum oaf: tars ($ - e' c' ) on this day of , 20 —4Y/— for the purchase of the following describ ed Cemetery Lots) d/or Niche(s). Unit, Block Lots) 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, �. L cJi,- rg}�a dire of Purchaser �r W O H Circle One Disinterment T TA $'% d . e 7 ity of Sebastian Service fees are to be paid at time of need only I : \W W- DATA\Ms- CemeterykRECEI PT.doc CITY OF SEBASTIAN CITY CLERK'S OFFICE 3405 RECEIPT Nam � C-Liab ❑ Cash Date k # No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 CopieslBki Specs. 001501341910 LDCICode of Ordinances 001501341930 Election Oua"ng Fees 601010 343800 Cemetery Lots iMirtFe Block iMt _ 001501343805 Cemetery Fees Total Paid /dam Initials White — Dept. of Origin • Yellow — Finance • Pink • Applicant 1225 Main Street, Sebastian, F132958 Telephone (772) 589 -5330 — Fax (772) 589 -5570 September 2, 2005 Arthur J. and Joan F. Burns 549 Carnival Terrace Sebastian, F132958 Dear Mr. & Mrs. Burns: Enclosed is City of Sebastian Certificate 2041 for the purchase of Cemetery Lot 9, Block 17, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sincerely, anette Williams, CMC Deputy City Clerk JW:ar enclosure