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Certificate No. 2072
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Certificate of Interment Rights
1N ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Jerri & Richard E. Prena 317 Fordham Street, Sebastian, FI 32958
(name) (address)
in and for consideration of the sum of $1,400.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following plotJniche:
Unit 4_ Block _16_ Lot(s)Niche(s)_23 & 24_
of the Sebastian Municipal Cemetery,
as maintained on fde in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules a.nd regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 22"d day of Mazch 2006.
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TIAN, FLORIDA
Minner
Manager
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ly Maio, MMC
City Clerk
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City of Sebastian Municipal Cemetery
Purchase Receipt
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To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
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� me(s)
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Address
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Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use On/y
Receipt is acknowledged in the sum of:
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Dollars ($ � ad.- �d )
on this day of 7���,� , 20�� for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
Unit , Block /"� , Lot(s}�,�� � 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 ��%S DU W O H
Circle One
Vase and Ring for Niches (cost) Interment �1 Disinterment
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Signature of Purchaser
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of Sebastian
Service fees are to be paid at time of need only
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CITY OF SEBASTIAN
CITY CLERK'S OfFICE 3 5 4 6
RECEIPT
Name �� �F"-��� �Y�f,�� ;� ❑ Cash
Date w� �r� � �Check# �=.?%% S,.`
No. Amount Paid
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 CopieslBid Specs.
001501 341910 LDCICode of Ordinances
001501 341930 Elec�on Dualifying Fees
601010 343800 Cemetery Lots � � �" �'r
LoUNiche4� Block �, Unit �
001501 343805 Cemetery Fees ���'�
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� Total Paid � � - ���
Initia�s
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
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H�iJdLE L�F P�LI�1 ��t1�IG�
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 — Fa�c (772) 589-5570
Mazch 22, 2006
Jerri and Richard E. Prena
317 Fordham Street
Sebastian, Fl 32958
Dear Mr. Prena:
Enclosed is City of Sebastian Certificate 2072 entitling you to full interment rights in Cemetery
Lots 23 & 24, Block 16, Unit 4. Also enclosed is a copy of the receipt and the Rules and
Regulations governing the Sebastian Municipai Cemetery.
if you have any questions, please contact our office.
S�ncerely,
� ,-�Q��.�.� W.�..�:�.c,�t.�
� ��J� ���ftl � (e r�
�r s�iy M�o��c
City Clerk
SAM:ar
enclosure