HomeMy WebLinkAbout4-13-35aIN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Andrew /or Anita Herbst 205 S. Wimbrow Drive, Sebastian, FL 32958
(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 Tots:
Unit 4, Blk 13, Lots 34a 35a
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 16 day of October, 2009.
CITY OF S
ASTIAN, FLORIDA
I Minner
City Manager
CITY OF
HOME OF PELICAN ISLAND
Certificate No. 2239
CITY OF S ASTIAN
Certificate of Interment Rights
ATTEST:
Sally Maio, MMC
ity Clerk
Corner Markers (set of 4 $20)
Vase and Ring for Niches (cost)
Signature of Purchaser
I: \W W- DATA \Ms Cemetery \RECEIPT.doc
S A F
HOME 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, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
d,re-w Ant fa P erbsf
Name(s) SbaSti c-' FL 3ZQ 5
�D5 5. �,�,lrrnbrvw �r� ve,,
Address
772. 5T-?7Eq
Area Code Phone Number
Name Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
QY1L aria gl ite A Dollars 6 00,00
on this 5'' day of Oat 19e,r 20 Dq for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
Unit Block 13 Lot(s)3(4,2. 4. 3 5a. Niche(s)
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:
Temporary Marker Preparation Installation
Opening Closing W 0 H
Circle One
Interment Disinterment
The following documents were provided as Proof of
Residency:
and
41111 ty of Sebastian
TOTAL /DD O, 00
Herbs
Date /o /5 0 6
Name
No.
001001 208001
001501 322900
001501341920
001501 341910
001501341930
601010 343800
001501 343805
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
Sales Tax
Garage Sales
Copies/Bid Specs.
LDC /Code of Ordinances
Election Qualifying Fees
Cemetery Lots
Lot/Niche3Ae3 /3
Cemetery Fees
Initials
White Dept. of Origin Yellow Finance Pink Applicant
4601
Cash
)(Check# /59
Amount Paid
Unit �T
Total Paid /40430 o
I i1 /7/4,86 57_
A#D •et fix, is 5 r
i3 Cc,ei,.o
AVAILABLE FOR SALE
UNIT BLOCK ,(i LOT/NICHE.3- 0---