HomeMy WebLinkAbout4-13-04a: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 �'
.
��
������
.._,..:,..
��
.�.
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