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HOME OF PEUCAN ISUND
Certificate No. 1992
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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:
Cynthia Bowman 734 Barker Street, Sebastian, Fl 32958
(name) (address)
in and for consideration of the sum of 350.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit_ 4_ Block _13_ Niche _lla_
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 16th day of November, 2004.
Y OF SEB , FLORIDA A
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errepc . Moore
Cit ana�er
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Sal A. Maio, CMC
City Clerk
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Name
Unit
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Lot
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Date of Mark-out
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Date of Burial
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Name of Funeral Home � '�
Authorized by
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Sebastian, Fjori�
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735 Fleming Sueet • Sebastian, Florida 32958
wwwseawindsfh,com
i772) 589-1933
We hereby certify that these are the remalns of
JULIUS WOLERT
. The rempins were recelved
from COX-GIFFORD FUNERAL HOME
Cremation Permit No. 04-1423-172 Issued pt INDIAN RIVER COUNTY
Date of Death AUGUST 1 2
Dpte of Cremption q� d 4
By�vE � �.,�.�
� 3 � � Cremator
C[IY OF
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HOME �OF PEL�ChN ISLANU
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
November 17, 2004
Ms. Cynthia Bowrnan
734 Barker Street
Sebastian, FI 32958
Dear Ms. Bowman:
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Enclosed is City of Sebastian Certificate 1992 for the purchase of Cemetery Lot l la, Block 13,
Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the
Sebastian Municipal Cernetery.
If you have any questions, please contact our office.
Sin��ly,
J�'� n � � �• �� 4
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Sally A. M o, CMC
City Clerk
SAM:ar
enclosure
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HOME OF VPELIUN ISWVD
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
provided at time of purchase
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Address
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Area Code & Phone Number
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Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
c i12e� �Q� �� ti�( Dollars ($ �5�0- GC )
on this %�� day of ��� , 20� for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
C�1r. a� o.� C� �- d C�
Unit � , Block _�, Lot(s) l 1 A� 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 � W O H
d , Circle One
W
Vase and Ring for Niches (cost) Interment Disinterment
TOTAL $ �y� �
i
ig ature of Purchaser f Sebastian
Service fees are to be paid at time of need only
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
No.
001001208001
001501 322900
001501341920
001501 341910
001501341930
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001501 343805
CITY OF SEBASTIAN
CITY C RECEIpOFFICE 3� 7 �
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Amount Paid
Sales Tax
Garage Sales
CopieslBid Specs.
LDC/Code of Ordinanoes
Electlon QuaBhring Fees
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Cemetery Lots ;3 5
LofM�he r� /7 Bbdc�, Unit,�
Cemetery Fees
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Total Pa
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