HomeMy WebLinkAbout4-13-28aCITY OF
HOME OF PELICAN ISLAND
Certificate No. 2236
CITY OF SEI3ASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Russell /or Gloria Murdock, Jr.
1319 Barber Street
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following Tots:
Unit 4, Block 13, Lots 28a 29a
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 21 day of September, 2009.
CITY
ASTIAN, FLORIDA
I Minner
City Manager
ATTES
Yki
Sally A aio, 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.
/2uSSP.(I 4- C to rio /'Yl&& rd.o ck. Jr.
Name(s)
130 RQ,Vhe,r WetoJ $56hasha.n FL- .32g5R
Address
L17Z) 388 2 856
Area Code Phone Number
QIY O
SL ST
Name Residence Address of Intended Occupant if Other Than Purchaser
Vase and Ring for Niches (cost)
HOME OF PELICAN ISLAND
Additional Fees paid at time of purchase:
Corner Markers (set of 4 $20) Opening Closing
Temporary Marker Preparation Installation
Signature of Purchaser
I: \W W- DATA \Ms Cemetery\RECEI PT.doc
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
l U,4t2rtzt' t (6-p Dollars /D('.
on this al day of f 20 09 for the purchase of the following described
Cemetery Lot(s) and /or Niche().
Unit 4 Block 3 Lot(s) 02.ffq 4-Zia Niche(s)
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed
therefore by the City of Sebastian.
/W 0 H
Circle One
Interment Disinterment
TOTAL MOO
The following documents were provided as Proof of
Residency:
y of Sebastian
a
1
1111•111/110►
a
08SS SE. 8 8 8 8 8 8 8
1
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AVAILABLE FOR SALE
UNIT BLOCK 13 LOT/NICHE ogQ-