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HomeMy WebLinkAbout4-11-11CITY OF !~1E~~ASTI~I~~~ =-.L ~r- HOME OF PELICAN ISLAND Certificate No. 2193 C~~~ ~ ~'~ ~~~~~~~ Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Betty Preece 615 N. Riverside Drive, Indialantic, FL 32903 (name) (address) In and for consideration of the sum of $6,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 4, Blk 11, Lots 11, 12, 13 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 26th day of September, 2008. CITY OF S BASTIAN, FLORIDA ATTE sf .. ~, ~/ ; ' "AI Minner City Manager Sally A~1aio, MMC City Clerk Celt' Cif ~ ,~ ~,~ ~~ H{)Ntilr ©F PEi.IC.RhI tStAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. Name(s) GPl 5 ~~ ~i1r2i'~S I'~~, ~i' li'1Gt~~-1C~n -f'I'c ~~ 3Z4~,3 Addr ss Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser Receipt is acknowledged in the sum of: ~~ ~ ~~ ~'~----~ Dollars ($ ~ ~UU, ~ ~' on this. 02 5,~h day of Sip t , 20 Oct for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit y ,Block ~ ~ ,Lot(s) ~~~ i Z. ~ 3 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, Si nature of rchaser ~~5.vb ~O H Circle One Disinterment TOTAL $ ~ ~-~5, a o of Sebastian The following documents were provided as Proof of Residency: OFFICE USE ONLY Interment !:\VlN_V-DATA\Ms-Cemetery\RECElPT.doc I and