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STRUNK FUNERAL HOME CREMATORY
1623 No. Cental Ave.
SEBASTIAN, FL 32958
(772) 589-1000,
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HOME OF PELIUN ISUND
Certificate No. 1987
G��T. � `_'� �� `'"� �����1�; �'��"�� �V
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
William & Joan Furphy
(name)
844 Lance Street, Sebastian, FZ 32958
(address)
in and for consideration of the sum of 1400.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit_ 4_ Block _16_ Lot _17 & 18
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 13th day of September, 2004.
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A. Maio, CMC
City Clerk
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CITY OF SEBASTIAN
CffY CLERK'S OFFICE 3 1 O/,
RECEIPT 4
N�me � �
❑ Ca
Date heck #
No.
Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 CopieslBkl Specs.
001501341910 LDC/Code of Ordinances
001501341930 Election Qualifyl� Fees
601010 343800 Cemetery Lots '✓ �
8, ,��� .
LofM�he %�_, g� �� UMt �
001501 343805 Cemetery Fees
7/ .
I kials Total Paid /,��DlJ.: o 0
Whita — Dept of Oripin • Yellow — Fin�nce • Pink • Applicant
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HOME Of PEUUN ISiAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the conect rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whorn lot is intended for interment must be
provided at time of purchase
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t,(/ ,��� C�VV� d- � 0,4,�.1 � v('Z I� �`�
Name(s) �-�-�
�2i `� � J-� C� (n ,e S� 52 Y� �.S I� a V�
Address
1?2- 6��f- 0 5 3�7
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
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Dollars ($ e . Dd )
on this � day of _, 201� for the purchase of the following
described Cemetery Lot(s) a d/or Niche(s).
Unit �, Block /� , Lot(s) �% 9�/� Niche(s)
for use in accordance with the conditions, ordinances, resotutions, 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
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Si ature of Purc r ity of Sebastian
Disinterme
Service fees are to be paid at time of need only
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HOME OF FELiCAN 1�I�WD
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
September 13, 2004
Mr. & Mrs. William Furphy
844 Lance Street
Sebastian, Fl 32958
Dear Mr. & Mrs. Furphy:
Enclosed is City of Sebastian Certificate 1987 for the purchase of Cemetery Lots 17 & 18, 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.
Sir�eer ly, —
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Sally A. io, CMC
City Clerk
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enclosure