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Certificate # 1979
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Philip & Barbara Tsonis 698 Rolling Hill Drive„ Sebastian, Fl 32958
(name) (address)
in and for consideration of the sum of 1 400.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plots:
Unit 4 Block 16 Lot 15 & 16
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 4th day of August, 2004.
�
�rren�. Moore
City Manager
, FLORIDA A T:
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Sa A. Maio, CMC
City Clerk
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HOME OF PEUCAN ISIAND
City of Sebastian Municipal Cemetery
Purchase Receipt
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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
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Name(s) _ ..
Address
Area
)581 �435
e & Phone Number
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Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
3� �r5�
Dollars ($ � C�� � U0 )
on this ��' �' day of T u lA� T , 20 U`t for the purchase ot the tollowing
described Cemetery Lot(s) and/o Niche(s).
Unit �_, Block �, Lot(s) � 5�" � b 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
W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
TOTAL $ / e . d
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Signatur of Purchaser ' y of Sebastian
Service fees are to be paid at time of need only
1:1W W-DATA\Ms-Cemetery\RECEIPT.doc
CITY OF SEBASTIAN
CITY CLERK'S OFFICE � � 5 �
RECEIPT
Name 1 � . ° � � � ❑ Cash
Date O ' � ` Q � f�(Check # �� �.
No. ' Amount Paid
001001208001 Sales Tax
001501322900 Gardge Sales
001501341920 CopieslBid Specs.
001501341910 LDCICode oi Ordinances
001501341930 Election Dualifying Fees
601010 343800 Cemetery Lots � Q���
LotMiche �� �, Block l l�_, Unft T
001501 343805 Cemetery Fees
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Totai Paid
tnitials
Whit - Dept. of Oripin • Yeliow - Finance • Pink • Appiicant
C[IY OF
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HOME OF PEUCAN 1SI11ND
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
August 4, 2004
Mr. & Mrs. Philip Tsonis
698 Rolling Hill Drive
Sebastian, F132958
Dear Mr. & Mrs. Tsonis:
Enclosed is City of Sebastian Certificate 1979 for the purchase of Cemetery Lots 15 & 16, Block
16, 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.
Sincerely,
Sally A. Maio, CMC
City Clerk
SAM: ar
enclosure