HomeMy WebLinkAbout4-13-22aaiY#
SIE TAW
HOME Of PEUCAN ISLAND
Certificate No. 2025
CIS OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Richard J. & Jo Lynn Wheeler 1367 Cownie Lane, Sebastian, Fl 32958
(name) - - (address)
in and for consideration of the sum of $700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4_ Block _13_ Lots 22a & 22b
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
0
11 11 CONVEYED THIS 1st day of July, 2005. ) �1
ON of
SEIBASTKN
HOME OF vPEUCAN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
S. l�f/�/,EEG E,P ,�` v 0 L yiv/N/ 1� h.4 Z Z�ie
Name(s)
/ 7 _ _ CO r.J/V /E" L iy
Address
772- 6-9/-�:2T�'�I
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
lars ($
on this day of , 20� for the purchase of the following
described Cemetery Lot(s) an or N e(s).
Unit _, Block_, Lots) Niches)
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
Signature dT Porchaser Ci y-Qf Sebastian
W O H
Circle One
Disinterment
TOTAL $ � D
Service fees are to be paid at time of need on
I: \W W- DATA \Ms- Cemetery\RECEIPT.doc
CITY OF SEBASTIAN
CRY CLERK'S OFFICE
RECEIPT
Name
V 1 V ❑ Cash
Date
i�Check k
// ``
No.
Amount Paid
001001208001
Sales Tax
001501322900
Garage Sales
001501341920
CopieslBkl Specs.
001501341910
LDCICode of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery jajA& LotMiche 1-✓ Unit
001501343805 Cemetery Fees
Total Paid
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
aiY OF
SE C(Opr
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, F132958
Telephone (772) 589 -5330 — Fax (772) 589 -5570
July 5, 2005
Mr. & Mrs. Richard J. Wheeler
1367 Cownie Lane
Sebastian, F132958
Dear Mr. & Mrs. Wheeler:
Enclosed is City of Sebastian Certificate 2025 for the purchase of Cemetery Lots 22a & 22b,
Block 13, 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.
Si y,
Sally A. aio, MMC
City Clerk
SAM:ar
enclosure