HomeMy WebLinkAbout4-13-23bAl Minner
City Manager
CITY OF
HOME OF PELICAN ISLAND
Certificate No. 2237
CITY 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:
John /or Lorraine Lacenere
650 Helicon Terrace
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 13, Lots 23b, 24b, 38a 37a
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 23 day of September, 2009.
CI OF, BASTIAN, FLORIDA ATT
Sally Maio, MMC
City Clerk
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, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
4- ,Lorrain arenere
Name(s)
(0 5 D con Te rrQC. Sbasfi'a an a 3295
Address
Area Code Phone Number
Vase and Ring for Niches (cost)
Signature of Purchaser
I: \W W- DATA \Ms Cemetery\RECEIPT. doc
Additional Fees paid at time of purchase:
HOME OF PEUCAN ISLAND
Name Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
rl.o
jjij ,t/ and_ Q 14. /D0 Dollars
Temporary Marker Preparation Installation
A4
000
on this 023 rd day of 4 20 CA for the purchase of the following described
Cemetery Lot(s) and /or Niche(s). 23►
Unit Li- Block /3 Lot(s) 3 g 2 Niche(s)
37a
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed
therefore by the City of Sebastian.
Corner Markers (set of 4 $20) Opening Closing W 0 H
Circle One
Interment Disinterment
ty of Sebastian
TOTAL o ;V 0O 0
W
The following documents were provided as Proof of
Residency:
and
4
I
1
A
8 8 8 8 8 5
8 8 8 8 8 8 8
1
1
AVAILABLE FOR SALE
UNIT V BLOCK 0 LOT/NICHE �.3