HomeMy WebLinkAbout4-11-03- - - - -
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jl HOME OF PELICAN ISLAND !!i
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'~ Certificate No. 2196 ''
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Certificate of Interment Rights !~
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~~ IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that: 'I!
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~j~ Kimberly &/or David McMath jp,
~I 709 Hayman Ranch Road ;I
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~~ Kenansville, FL 34739
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' In and for consideration of the sum of $4,000.00 is entitled to full interment
~ rights in the Sebastian Municipal Cemetery for the following lots:
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Iii Unit 4, Block 11, Lots 3 & 5 ~!I
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%I of the Sebastian Municipal Cemetery, iljl
~~ as maintained on file in the records of the City Clerk ~~
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I~ for use in accordance with the conditions, ordinances, resolutions, rules and j!;
Ij~ regulations prescribed therefore by the City of Sebastian. ~l
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CONVEYED THIS 14t" day of October, 2008.
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~~ CITY SEB TIAN, FLORIDA ATTEST. ~,
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jj I inner Sall .Maio, MMC ''~,,
ii it anager City Clerk P
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FIC?M'r QF PELICAN i5LA1dI?
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
~i rn ~JeY~y cc.v~
Name(s)
7UR N~u~~n
Address
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Area Code & Phone Number
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Name & Residence Address of Intended Occupant if Other Than Purchaser
Receipt is acknowledged in the sum of:
OFFICE USE ONLY
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Dollars ($ ~U~~_ ~~ )
on this. ~ y f~ day of (~ ~. f v 6~.1- , 20 0~ for the purchase of the following described
Cemetery Lot(s) and/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)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Interment
/W O H
Circle One
Disinterment
TOTAL $ `I" 60 O . v c
Opening & Closing
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Si natured urchaser
ty of Sebastian
The following documents were provided as Proof of
Residency:
!:\~-DATA1Ms-Cemetery\RECEIPT. doc
and
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
4 2 01
Name \ I I'Vl ~~r~ / r tLt't~`-~ Cash
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Date ^ Check#
No. Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501341920 CopieslBid Specs.
001501341910 LDCICode of Ordinances
001501 341930 Election Qualifying Fees
601010 343800 Cemetery Lots ~~~
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Lo Niche 3~z, Block ~ 1
,Unit
001501 343805 Cemetery Fees
`' - ' ~"~~`~"'~, "~' Total Paid VW OQ
Initials
White -Dept. of Origin • Yellow -Finance • Pink • Applicant