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Certificate # 1900
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Phyllis J. Oakes
(name)
(name)
4 Abaco Court, Sebastian, F1 32958
(address)
(address)
in and for consideration of the sum of $700.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 13 , Lot(s) 1A & 2A
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 20thday of May , 2003 .
Y OF S��ASTIAN, ORIDA
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Terrence � . oore
City Manager
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A. M o, CMC
City Cle
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S�BAST�
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HdME Of PEI,ICAN ISUND
City of Sebastian Municipal Cemetery
Purchase Receipt
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To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
pr�ded at time of purchase
%
s)
ress
S � ��'�G��s
L� V � �i��`v� O�G-.Ni7�/ /.
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a Code & Phone Number
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Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Recei�t is acknowledged in the sum of:
l i , ��.
Ilars ($��B - �� )
on this ��cx-�.J, day of 7r� , 20�� for the purchase of the following
described Cemetery Lot(s) and/� Niche(s).
Unit �, Block 1L�, Lot(s) /�9 �- s,7,4 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:
Corner Markers (set of 4-$20) Opening & Closing
Vase and Ring for Niches (cost) Interment
Disinterment
W O H
Circle One
, TAL $ �� �, d�5
. �.��-�-°� G% Q;��`
Sign ure of ha er ity of Sebastia
Service fees are to be paid at time of need only
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CITY OF SEBASTIAN � � � ^ �
CITY CLERK'S OFFICE ��
RECEIPT
Na � � v �.�� ❑ Cash
Date , �!°s C' �' eck #-�,����_
� Z
Amou�Paid
001001 208001
001501 3229Q0
001501 34192!1
001501 341910
001501 362100
001501 362100
001501 362150
001501 343800
601010 343800
001501 369400
001501 369400
680800 220681
680800 220682
680800 220683
Sales Tax
Garage Sales
Copies/Bid Specs.
LDC/Code of Ordinances
Community Center Rent
Yacht Club Rent
Non Taxable Reni
Cemetery Lots �
Cemetery Lots ��—�-�--�
> �
LoUNiche , Block/.�, Un��
Interment Fee
Weekend Service
Yacht Club Security Deposit
CommuniN Center SecuriH Oeposit
Riverview Park Secunty Deposit
� � � D l�"�
---- `�b--=, . Total Paid �A �
Initlals
White — Dapt. of Oripin • Ysllow — Financ� • Pink • Applicent
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