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HomeMy WebLinkAbout4-17-21LotlfJfeBkx�c Unit 7r 001501343805 Cemetery Fees Total f.1d lruuai$Wh,t, - Dept. of Origin • Yellow - Finance • Pink • Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE 3 515 RECEIPT Na Cash Date Check$,& 9,6 No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copleal i Specs. 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots LotlfJfeBkx�c Unit 7r 001501343805 Cemetery Fees Total f.1d lruuai$Wh,t, - Dept. of Origin • Yellow - Finance • Pink • Applicant art Of SEBASTIM HOME OF PELdUN ISLAND _�� A�� City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Name(s) 11 I �� •� Address Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: Dollars ($ ) on this �' day of , 20 S for the purchase of the following described Cemetery Lots nd /or Niche(s). Unit , Block-47—., Lot(s)94 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) Inte Signat a of Purchas er W O H Circle One Service fees are to be paid at time of need only I : \W W- DATAWIs- Cemetery\RECEI PT.doc Omar HOME OF PELICAN ISLAND Burial rights in the Sebastian Municipal Cemetery lots /niches purchased by me b x_ _kir. C,, -,MM p, MoRGAIJ ,�- IiosTPATFoy �biwif OR, WFs7r Mgi e o ykvF PA U90Y (Please print name and address of purchaser) (Lot/niche, "block, unit description) are intended for interment of the following individuals: Please print name(s): PWFQV=VM A • SCOTT -PRy/oR MORGAU Interment lots /niches are not to be transferred without written approval of the City of Sebastian. Interment lots /niches in the Sebastian Municipal Cemetery are allowed to be passed on to heirs but the City requires a certified copy of relevant probate or other court documents. , red stand the terms of this agreement. 4-��- + � C. //-IS-Os- Date ibed and sworn to be re me this % day of by who is para or has produced as identification. ub ic, to of orid w,, ANN V. ROUSSEAU ;)D 089531 of Interred form 1225 Main Street, Sebastian, F132958 Telephone (772) 589 -5330 — Fax (772) 589 -5570 November 15, 2005 Diane C. & Sam P. Morgan 2110 Stratford Pointe Drive West Melbourne, Fl 32904 Dear Mr. & Mrs. Morgan: Enclosed is City of Sebastian Certificate 2053 entitling you to full interment rights in Cemetery Lots 21, 22, 23 & 24, Block 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 rel , Sally Mai , MMC City Clerk SAM:ar enclosure CITY OF SEBASTIAN SEBASTIAN, FL 32958 11112005o6 11/07/05ICemetery-Lotlorginal Deed 2-0-­1--6---6e-mete-rT '2,800.00 73152 Angelo & Diane Giovanniello 2,800.00 60089 ---------------- ----------------------- ---- ------- ---- IZ I Ar.Pdrl reW L01M ZY O CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only Input Date 11/7/2005 Fiscal Period Document # Entered By Document Amount # of Lines Total HC Hash Due Date To Be Completed By Department Single Check YIN Y Vendor Number IN TC Reference Organization Code Object Code Project Code Amount 601011 534959 $2,800.00 Description Number of Lines Amount $2,800.00 Buyback of cemetery lots described as Unit 4 Blk 17 Lots 21 22 3 & 24 Copy of original Deed # 2016 attached. ISSUE CHECK TO NAME Angelo & Diane Giovanniello ADDRESS 150 Crawford Street CITY Sebastian State Fl ZIP CODE 32958 DRAW CHECK FROM SEE BELOW APPROVED BY JDATE 11/7/2005 BUDGET APP 0 © MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach a copy of documentation along with the original) OTHER INSTRUCTIONS Please make copy of check. mor ' SEISASTKNa�� 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 Receipt is acknowledged in the sum of: �. ,.,✓ � �rr�z� 1014 / � `-- �'t --� Dollars on this eZe day of , 20-5 for the purchase of the following described Cemetery Lot(s) and/ Niche(s). Unit _�, Block 1, Lot( ao?� 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 Disinterment W O H Circle One TAL $2 dda_ d o r Signature of Purchaser dity of Sebastian-/ Service fees are to be paid at time of need only I:1W W- DATA\Ms- Cemetery\RECEIPT.doc 0 �I A, YI! Of / EBSPAN OME OF PEUUIN ISLAM Certificate No. 2016 CITY OF SEBASTIAN Certificate of Interment Rights 1114 tv"' DANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Angelo and/or Diane Glovanniello 150 Crawford Street, Sebastian, Fl 32958 (name) (address) in and for consideration of the sum of $2,800.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plots: Unit 4_ Block _17 Lots _21, 22, 23 & 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 10th day of May, 2005. CITY OF SEBASTIAN, FLORIDA Interim City Manager ATTEST: A. Maio, MMC City Clerk