HomeMy WebLinkAbout4-13-03a:o
0
��
S��T�1
. �..� ��, � _
.. .._.
�,
NOME OF � PEUGW ISUND
Certificate # 1918
��� � ��������
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Joseph & Dorothy Lyons 853 Barber St., Sebastian. F1 32958
(name) (address)
(name)
(address)
in and for consideration of the sum of �� 0 0. 0 0 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 13 , Lot(s) 3 a & 4 a
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 2 n d day of 0 c t o b e r � 2 0 0 3
��
�eR.�G
Manager
FLORIDA
ATTE,ST:
� t %' n� �
��T
ly A. o, CMC
City Cler
�o
►•— •
O �'
.
__
Name,_�
Unit�
Block +� �
Lot f�
�� ���� �;�,�.;
�, � � .., .... �• '�
Date of Mark-out ¢�' � t�"' a,' �
Date of Burial ' �-� " +�` � � � . '' r 'r7
� Time `
. r
,. '1"'",�� , _ :.�-s' _ _ _
Name of Funeral Home .` , �� ., , � ,,. __ _ _ __ _ _ . _ _. .
Authorized by�`�~�--= � �� � � �..�„� �`�Y �' � �� ��'�
I
„ ��^ r :. , .
� . - �'��.
C!!Y 0�
��
�
.�.,�., ..�-�n
,�------'�
�:
HOME OF PE4I�AN ��D
Oetober 3, 2UO3
Mr. & Mrs. Joseph Lyons
$53 $arber Street
Sebastian, F'132938
Dear 1VIr. & Mrs. Lyons:
Enclosed is Ci#y of Sebastian Certifica#e Number 191 S for the purchase of Cemetery Lots 3a &
4a, Block 13, Uni# 4. A�so enclosed is a cop� o� your receipt arid the Rules and Regula#io�s
governing #he 5ebastian 1Vlunicipal Cemete�.
If you have any questions, please contact our office.
Sin ,
" �
Sally A. o, CI�IC
City Clerlc
SAM:ar
enciosure
��
������
.._,..:,..
��
.�.
HOME OF�PEUUN LSWW�f�D
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance wi#h cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
Name(sy � /
�3 � �E,2 �� - ��-�b.�'� i�i . �� .f
Address -
77Z- s"8� -�.3o�'S�
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
O�ce Use Only
Recei s acknowledged in the sum of: �,
,l_s���
ars ( fJd. D-'8 )
on thi���--day of C.�h.( ._�r� , 20�� for the purchase of the foliowing
described Cemetery Lot(s) and/or Niche(s).
Unit �, Block �, Lot(s)� � Niche(s)
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
Addiiional Fees paid at time of purchase:
Corner Markers (set of 4-$20) Opening & Closing W O H
Circfe One
Vase and Ring for Niches (cost)
Signature of P ser
Interment
Disinterment
Service fees are to be`paid at time of need onfy
L•lW W-DATA�AAs-CemeterylREGEIPT.doc
;
�
� o � ��� � �
� ~ � � ��d� �
T� �' p� �
,7 t D � (� �P'y,� �x
� Z � � � ��� (
� � � � rr � Z k
1�
r�$� 5 �.�� 3
� � � r� �
� � �
= O� �
. N ,x s,
r , �
n � � �.
p p.- €
�' h
� � �
7 � ,
t
N �
0
�
❑ a
� k
� 0 �
�S �
�
�1 � �
/Q, E
W C
� �b.: .. � ��Z
�- . �-.. �. � . .: : E
� V .
� �� � � �
� o g � �,, E
��������':
PY"� � � �' {{g
� � r,� (/�i� :i
° �'� E
CITY OF SEBASTIAN
CITY CLERK'S OFFICE '� 2 1/ F�
OCAC1�fT
No: / �
001001208001
001501322900
001501341920
001501341910
001501341930
601010 343800
• / Amount Pakl '
Sales Tax
Garage•Sales
CopieslBid Specs.
LDC/Code of Ordinances
Electlon Qualirying Fees �
Cemetery Lots '%�!'% � '
LoUN� Blodc%� - Un �
/
001501343805 . Cemetery Fees �
. To��P� . d
Initials %�� :
Whita — Dept of Oripia . 1fNlow — Finanea . Pink - Applicsnt
�
1
�.
=e� eo $
Q� a: i
0
� �� � �
� �� �
� � � �
�
� �
� Q �,
�
�
; m r
� �
S �
E
� `� ra
� �0
� � J
; J —
i � , r7.1
�5 � � a
; � �
J rY9
3 �
� V ' r.�
� �
� rA
� , �
x �,
5 � � r1
Li �
� � ��
� °' ' �`:
x- d ■�•
� �p , � �- ���� � J �`"'�
� �''� `�Q Q � � �:
� z`� M. � s
� x¢ �
� °�� � = o
� � � o
U , C`-
� xa� � ,f � a
�+=� � ,�w. �
�
c�JS:�r��,�' 8 v �
F
�Gcd�"' �� �� ��` � �Q
Name
No. "
001001 208001
001501 322900
001501341920
001501 341910
001501 341930
601010 343800
001501 343805
� !� r�
�. ..� �
�
�
CITY OF SEBASTWN "
CITY CLERK'S OFFICE 2� 9 U
RECEIPT
❑ Cash
�,e�k# �%!9
- - - Amount Paid
Sales Tax
Garage Sales
CopieslBid Specs.
LDGCode of Ordinances
Eledion Qualiyir►g Fees
Cemetery Lots
LotMiche . Bbdc . Unit
Cemetery Fees
. • S�dO
a6. d �
Tot�l Pafd� . dd
In�ials
White - Dept of Oripin • YWlow - Financs • Pfnk • Appliwnt
0