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4-15-24
~~ 3~.; HOME OF PEUUN ISLAND Certificate # 1944 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Carolyn J. Vernon 705 S. Easy Street, Sebastian, Fl 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 _15 , Lot(s)_24 _ 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 9th day of February, 2004. OF SEB~STIAN, FLORIDA ra'n~e R.'Mo City Manager ATTEST: ~- Sa A. Maio, CMC City Clerk x JJ J -_ cm a s~B~T~ HOME OF V PELICAN ISIJUVD City of Sebastian Municipal Cemetery Purchase Receipt 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 o ~ ~~~ J . y E~ Na ~ Name(s) 0 >- s. ~ ~ s ~ ~.-f- 5 ~~ ~ a ~~ Address ~~7a- ~8'~'- -78 (Z Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: /~0 /19-0 ollars ($ 7oD. ~ ~ ) on this ~~ day of ~~b r ua.r~,~ , 20 Q~ for the purchase of the following describerrd Cemetery Lot(s) and/or Niche(s). Unit `T- ,Block ~ ~ ,Lot(s) 02 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 W O H Circle One Disinterment TOTAL $ ~ ~ ~ - ~ ~ Signature of Purchaser of Sebastian Service fees are to be paid at time of need only I:\W W-DATA\Ms-CemeterylRECEI PT.doc CITY OF SEBASTIAN CITY CLERK'S OFFICE 2 5 0 ~ RECEIPT ~'~O ( Cu ~ E~ ~~~ F~r'i ©t~ ^ Cash . Name ~.- ~ Date .-~~ /1 ~Check# ~ ~% Amount Paid No. 001001208001 Sales Tax 001501 322900 Garage Sales 001501341920 CopieslBid Specs. 001501341910 LDC1Code of Ordinances 001501341930 Election Qualifying Fees Q It 1 1 ( 601010 343800 s Cemetery Lots ~ ~ __. s t LotMiche.s~.f----~ Block .Uni 001501343805 _~-- _~-- Cemetery Fees Total Paid ~~~ °~, a Initials White -Dept. of rigin • Yellow -Finance • Pink -Applicant •• ^ ° ' ~° °•e m~ mof9 a D~~ `"~ i C 3 ^ D ~ 3 C J o Z i -0 ' ~ ~(~' :~ V (D N O 7 O ~+ ~ ~ ~ ~ ` ~~ i m o ~j A C zz ~7 ~ W QIY Of S~~~s~'~ ~.~ ~. -ti HOME OF PELiGN ISLAND February 11, 2004 Carolyn J. Vernon 705 S. Easy Street Sebastian, Fl 32958 Dear Mrs. Vernon: ~0~~ Enclosed is City of Sebastian Certificate Number 1944 for the purchase of Lot Number 24, Block 15, 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. Since l..~C . Sally A. Maio, CMC City Clerk SAM:ar enclosure