HomeMy WebLinkAbout4-13-08aO
��
SE��T�N
_ �.��. �
�
.��...
HOME dF' PEUUN ISU1[VD
�o
Certificate # 1956
�� 1� l� 0)� �i��1_�������
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Amelia King
(name)
305 Live Oak Drive, Vero Beach, FZ 32963
(address)
in and for consideration of the sum of 475.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit _ 4_ Block _13 , Lot(s)_ 8a _
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 28th day of Apri12004.
OF SEB�STIAN, FLORIDA
City
I\
�
�
�- �// -
A. Maio, CMC
City Clerk
O
0 0
Name
Unit �
Block �
Lot � � f7
Date of I
� • �,
Date of Burial 2 � Time d' ��% � �'� '
,,,p i
Name of F�nerai Home ��i��% 1�;� .�
Authorized by , -
�������� ���������
Sebastian, Florida
�
735 Fleming Sueet • Sebastian, Florida 32958
www seawindsfh.com
(772) 589-1933
We hereby certlfy that these are the remains of
AMELIA ROSE KING
. The remains were received
from S�WINDS FUNERAL HOME & CREMATORY
Cremation Permit No. _ 04-261 7— 2 Issued at IATnTAN R T�7FU �nrrt�Tmv
Date of Death APRIL 21 2004
Date of Cremation APRIL 26 , 2004 By STF.VF. TRnNF('
Cremator
ITlY Of
�������
._:��.�
� �.
���
4
.ti.�..�..�.�
HON[E OF PELiCAN lSUNU
April 28, 2004
Mrs. Amelia King
305 Live Oak Drive
Vero Beach, Fl 32963
Dear Mrs. King:
Enclosed is City of Sebastian Certificate Number 1956 for the purchase of Cemetery Lot 8a,
Block 13, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations
governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sin rel , ,
� -
Sally A. aio, CMC
City Clerk
SAM:ar
enclosure
� , .
QIY Of
S�B�T�AN
��
�
HOME Of VPEI.ICAN 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, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
�. `
rn � � � � �- � � �2��3
Name(s) � � � � � � C. � � �� IJ�-- V �,�u ����I
Address � n Z ��� � a� c� ��
I ~ J _ __
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
O�ce Use Only
Receipt is acknowledged in the sum of: �
.
.
��u.�zJ „�e.,�� �,� ° " /� c
'f %
lars ($ `� � �^ O )
on this '.� day of � � , 20� for the purchase of the following
described Cemetery Lot(s) and or Niche(s).
�,/ �"'i f'? J
Unit �, Block � 3 , Lot(s) � 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 �� d v W O H
Circle One
Vase and Ring for Niches (cost) Interment .�� Disinterment
�
�J
Signature f urchaser ity of Sebastian
Service fees are to be paid at time of need only
I :\W W-DATA\Ms-Cemetery\RECE I PT.doc
$�,o, a�
0
�
T ��D
� m°=<
� r �m
� �
i°o � �
�< �
o� ��� 0
���I
N DZ � �
t./� �,
� �
rr �
� �
�
�
�
�
m
CD
G
mwZ
�v
���
�m�
3
ZZZ
�
��m
cNOm�
��r
_
�
m
D
� m
.�.,.
� �
oG
O{{� �
� � �
�
�
� ��
o °' �
� �, � o w
�°�� o
�,. .
CITY OF SEBASTIAN
' CITY CLE�CE POFFIC'E � � � L+
U
No. � �
001001208001
001501322900
001501 341920
001501 341910
001501 341930
601010 343800
001501 343805
h
:k # ��
Amount Paid
Sales Tax
Garage Sales '
CopieslBid Specs. '
LDC/Code of Ordinances
Elechon Quafihring Fees
cho
Cemetery Lots � '
LoUNiche�� . Block� J . Unj�
Cemetery Fees f �� �
�.? . ' �'z'
'«
r ,i r
� �
s %`�- < Total Paid�Q vL� ',
Initlals '
White - O�t. of Origin • Yellow - Pinsnce • Pink • Applirant ,