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Certificate No. 2262
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:
Lorraine Pimentel 6031 River Grove Drive, Micco, FL 32976
(name) (address)
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 lot:
Unit 4, Block 13, Lot 28b
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
_— for- use- "ccordarrce- v`rith- the_ con- ditiorrs urdinanzes —, re:
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 18th day of June, 2010.
CITY OF SEBASTIAN, FLORIDA ATTEST:
I,ILy I- IdIIdLJ. Cf
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Sally . Maio, MMC
City Clerk
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Date of Mark -out 4115-110 -
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Evaluation Only.
City of Sebastian
Sebastian Cemetery
Ph. # It772) 5819 - 2545
Fax # 1(772) 228 - 9927
Vote This Is for informational purposes reguarding Monuments at Sebastian ('emcter� .
!dote This is for Single Markers under 2 ft. & over 2 ft.( over 2 ft. is a poured foundation )
Please return to City of Sebastian t Dry Mix
Sebastian Cemetery
1921 'forth C'enlral Are. Foundation poured
32958 By
Attention C'emeter) Sexton date
stone installed
1„ - : mike
Size : 1 -0 x 2 -0 r 0 -4 grey granite flat grass vet. marker date : 9/9/10
Name & Date HIS: Thomas Banks HER:
D.O.B. 1927
1).0.1)• 2010
Legal Descripition
Unit
Blk .
Lot
Square Ft.
Approved By
Checked By
DATE
By
Example :
4
13
286
K. G. K.
4"
K. G. K.
9/9/10
e.c.m.
D. 0. B.
1).0. D.
tA
1 Ft.