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HOME OF PELICAN ISLAND
CITE' OF SEBASTIAN
Cemetery Certificate
THIS INDENTURE MADE this 4th day of May, 2017, between Frederick J. Luhrs, Jr,
as Grantor whose address is 666 Brookedge Terrace, Sebastian, FL 32958 and the City
of Sebastian, a municipal corporation existing under the law of the State of Florida of the
County of Indian River, State of Florida as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of $1,400.00 to be mailed
minus a 5% administrative fee, the receipt where of is herewith acknowledged, does by
this instrument grant, bargain, sell, release, convey and confirm unto the Grantee their
legal representatives and assigns the following property situated in the City of
Sebastian, Indian River County, Florida, to wit:
All of Lots 33 & 34, Block 16, Unit 4, of the Sebastian Municipal Cemetery as
maintained on file in the records of the City Clerk.
To have and hold the same forever; in fee simple.
IN WITNESS WHEREOF, the said party of the first part has caused this instrument
to be executed in their name and witnessed the day and year first above written.
I
Witness: By:
L/ FrederjJ.-l-uhrF6Jr.
STATE OF Florida
COUNTY OF Indian River
I HEREBY CERTIFY, that on this 4th day of May, 2017, before me personally appeared
Donald Morgan who produced V&425 Qe�sC as identification; and who
executed the foregoing conveyance to the City of Sebastian and severally acknowledged
the execution thereof to be her free act and deed as such an individual duly authorized.
Notary Public
CATHERINE E. TESTA
Commission q GG 073881
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HOME OF PB[.tGN ISLAND
Certificate # 1953
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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:
Frederick J. Luhrs, Jr.
and/or Arlene T. Soto Luhrs
(narne)
666 Brookedge Terrace,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(s)_ 33 & 34 _
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 31st day of March, 2004.
City Manager
�A ATTEST:
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�`�' Gj� �%
ly A. Maio, CMC
City Clerk
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HOME OF PELICAN 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
�,�'d �,���,(� T C C�NQ s TR. �,Q/E,r�� % S o�-o C. c�. ��Ps
Name(s)
� G� r3 r�oat',�'� �� /�,�"��P S��s'Ti.q� /`�`• 3�9s�
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:
Dollars ($ o , 04 )
on this ��_day of , 20�for the purchase of the following
described Cemetery Lot(s) an /or Niche(s).
Unit �, Block ,l� , 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
Disinterment
W O H
Circle One
T TAL $/ vd . a c�
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Signature of Purchaser Ci of Sebas ian
Service fees are to be paid at time of need only
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001001 208001
001501 322900
001501 341920
001501 341910
001501341930
601010 343800
001501 343805
CITY OF SEBASTIAN
CITY CLERK'S OFFICP
RECEIPT
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H4ME OF PELiCAN iSWVD
Apri12, 2004
Frederick J. Luhrs, Jr. and
Arlene T. Soto Luhrs
666 Brookedge Terrace
Sebastian, Fl 32958
Dear Mr . & Mrs. Luhrs;
Enclosed is City of Sebastian Certificate Number 1953 for the purchase of Cemetery Lots 33 &
34, 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 ofiice.
Sincer�ly,
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Sally A.1blaio, CMC
City Clerk
SAM:ar
enclosure