HomeMy WebLinkAbout4-15-36CEMETERY CERTIFICATE
THIS INDENTURE MADE this day of t4 u,4 K LA.D., 2014, between MARY K. KASPER,
as Grantor whose address is N. `��Wo o� C>r�ei,e 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 $1,400.00 to it in hand paid minus a 5%
administrative fee, the receipt where of is herewith acknowledged, does by this instrument grant, bargain, sell,
release, convey and confirm unto the Grantee their legal representatives and assigns the following property
situated in the City of Sebastian, Indian River County, Florida, to wit:
All of lots 36 and 37, block 15, unit 4, of the Sebastian Municipal Cemetery as maintained on file in
the records of the City Clerk.
To have and to hold the same forever; in fee simple.
IN WITNESS WHEREOF, the said party of the first part has caused this instrument to be executed in
her name and witnessed the day and year first above written.
Witnes
Mary K Kasper, Grantor
Witness -Z
STATE OF r-1 0ri odC.,
COUNTY OF T►Idt g-y, KiVL.y
I HEREBY CERTIFY, that on this Z 1 S1 day of J6- hlt_6-rV , 2014, before me personally
appeared Mary K. Kasper, who is personally known to me or produced FL Driyecs L►Cft-5, as
identification; and who executed the foregoing conveyance to the City of Sebastian and severally
acknowledged the execution thereof to be her free act and deed as such an individual duly authorized.
W
iW,tary Public
, ; �. ?$R JEANETTE WILLIAMS
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Burwed ihm Dray rain Insurance 800- 385 -7019
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CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
Due Date
To Be Completed By Vepartment
1/24/14 Single Check Y / N Y'� Vendor Number
LN
TC
Reference
Organization
Code
Object
Code
Project
Code
Amount
601010
343800
/ 3 3C , GC
i 3 30, O C
Description
Number of Lines Amount
ka 5eev L05 Unit /-1, 131k t5, L17 tS 36, 4- J 7 !/4 U L) , 0 Ca
minus 5% administrative fee
ISSUE CHECK TO
NAME
Mary K. Kasper
ADDRESS
7418 N. Firwood Circle
CITY
Citrus Springs STATE FL ZIP CODE 34433
DRAW CHECK FR QM SEE BELOW
APPROVED BY 1
DATE 1/21/14
BUDGET APP
D
MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach
a copy of documentation along with the original)
OTHER INSTRUCTIONS Please give Clerk's office a copy of the check.
arfor
SERAST"
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HOME OF PELICAN ISLAND
Certificate # 1916
CITY,/ OW'SEBASTIANl
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
John F. and Mary K. Kasper 599 Caravan Terrace, Sebastian, F1 32958
(name) (address)
(name)
(address)
in and for consideration of the sum of $3,500.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 15 , Lot(s) 36, 37, 38, 39 & 40
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 12thday of September , 2003
Y OF S ASTIAN, FLORIDA ATTEST:
i
Terrence R. oore Sally A. io, CMC
City Manager City Clefk
O O
SEISASTKNy�4
HOW Of PELICAN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Area Lode & I-none Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
Dollars r'$.�vr�. d d )
on this /,Z& day of ag4wla �� , 20 ,0.1 for the purchase of the following
described Cemetery Lot(s) and /or Niche(s).
Unit Block Lot(s )?4& ,�8 iche(s)
D
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
WI F1010 061
Disinterment
Service fees are to be paid at time of need only
I: \W W- DATA \Ms- Cemetery\RECEIPT.doc
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE 2075
RECEIPT
Na 7` ❑ Cash
7
Old eck #
No. Amount Paid
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDC /Code of Ordinances
001501341930 Election Qualifying Fees
601010 343800 Cemetery Lots �s� r /3/�� `
LotlNich Block �� Unit
001501343805- Cemete�F4 W'F-' �o
Total Pane
7
Initials
W ite - Dept. of Origin a Yellow - Finance • Pink . Applicant
September 15, 2003
Mr. & Mrs. John F. Kasper
599 Caravan Terrace
Sebastian, Fl 32958
Dear Mr. & Mrs. Kasper:
Enclosed is City of Sebastian Certificate Number 1916 for the purchase of Cemetery Lots 36, 37,
38, 39 & 40, 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.
Sin , � -, " )V - -1
Sally A. o, CMC
City Clerk
SAM:ar
enclosure