HomeMy WebLinkAbout4-17-10aw of
SIEBASTIAN
HOME OF vPELICAN ISLAND
Certificate No. 1985
CITY OF S EB ST I TV
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 A Burns 549 Carnival Terrace, Sebastian, Fl 32958
(name) (address)
in and for consideration of the sum of $700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 Block 17 Lot 10
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 26th day of August, 2004.
Terrence "o
City Manager
ON
, FLORIDA
n
Sal A. Maio, CMC
City Clerk
O.
mor
SEISASTKN
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Name(s)
Address
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
is acknowledged in the m of-
MM
Dollars ($ Off` �• )
on this 1010-9 day of , 206 for the purchase of the following
describe Cemetery Lot(s) an r Niche(s).
Unit , Block /� , Lot(s) /6 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) Interm t
Signat of Purchaser City of Sebastian
W O H
Circle One
Disinterment
?6T`XL $ d-
Service fees are to be paid at time of need only
1: \W W- DATA \Ms - Cemetery\RECEI PT.doc
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 3093
RECEIPT
Nam r
�Zck
Date #
or
No. Amount Paid
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 CopiestBid Specs.
001501341910 LDCICode of Ordinances
001501341930 Election Qualifying Fees
601010 343800 Cemetery Lots l! `
Lot/Nichez�Block� l Unit
001501343805 Cemetery Fees
?I W
Total Paid/ 74j v.
,- ---� ;Let�, Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
L� 1
SEA
.V
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589 -5330 — Fax (772) 589 -5570
August 27, 2004
Arthur J. and Joan F. Burns
549 Carnival Terrace
Sebastian, Fl 32958
Dear Mr. & Mrs. Burns:
Enclosed is City of Sebastian Certificate 1985 for the purchase of Cemetery Lot 10, 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.
Si ,
Sally A. aio, CMC
City Clerk
SAM:ar
enclosure