HomeMy WebLinkAbout4-13-33bCRY OF
SEBAS7"�
HOME OF PELICAN ISLAND
Certificate No. 2192
OF SEE-B-3ASTIANS
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 $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 4, Blk 13, Niche 33b
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 26th day of September, 2008.
STIAN, FLORIDA ATTEST:
TI`
nner Sally aio, MMC
inager City Clerk
tTfY U
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
eMa p
Names)
!2(ycrS ode- br, �nd i Gita -r of rc FL 3Z903
Address
(_321 ) T- -� - Co b
Area Co &de Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
ollars ($ /, 000.4'(, )
on this o2 f h day of 20d for the purchase of the following described
Cemetery Lot(s) and /or Niche(s)-
Unit , Block, Lot(s)
Niche(s)
33 b
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
Sigi4ature of P chaser
Interment
/W O H
Circle One
Disinterment
TOTAL $ li 600,00
4i�ofebastian
The following documents were provided as Proof of
Residency:
l: \\MTV- DATA \Ms - Cemetery\RECEIPT.doc ! and