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Certificate No. 1983
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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:
Claire M. Ranahan I3225 U.S. Hwy I, LotAl2, Sebastian, FZ 32958
(name) (address)
in and for consideration of the sum of 700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit_ 4_ Block _16_ Lot _29_
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 18th day of August, 2004.
OF SEB
City
FLORIDA A .
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S y A. Maio, CMC
City Clerk
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HOME OF PEUCAN ISLAND
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) � 4
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Address
Area Code & Phone Nurnber
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
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Dollars ($��0. d o )
on this �� day , 20d� for the purchase of the following
described Cemetery Lot(s) a/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
Vase and Ring for Niches (cost) Interment
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�t"gn ture of Purcha - U�'ty of Sebastian
W O H
Circle One
Disinterment
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Service fees are to be paid at time of need only
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CITY OF SEBASTUIN
CITY C RECEipT FFICE � O��
Name � ��� �—�� �_.,, ❑ Cash
uate . o� ��'D / /
No. Amount Pald
001001208001 Sales Tax
001501322900 Garage Sales
OOt501341920 CopieslBid Specs.
001501341910 LDCICode of Ordinances
001501341930 Elecdon Qualffying Fees
601010 343800 Cemetery Lots �(', f;. Cy��
,
LoUNiche �_, Block �, Unit �
001501343805 Cemetery Fees
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Total Pald ��� C� -�
Inftial� '
White - Dept. af Oripin • Yellow - Finmcs • Pink • Appllc�nt
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HOME CjF PEUChI+I lSi1►ND
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
August 18, 2004
Claire M. Ranahan
13225 U. S. Hwy l, Lot Al2
Sebastian, F132958
Dear Ms. Ranahan:
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Enclosed is City of Sebastian Certificate 1983 for the purchase of Cemetery Lot 29, 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.
S' ly,
, ��
Sally A. aio, CMC
City Clerk
SAM:ar
enclosure
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