HomeMy WebLinkAbout4-13-17b-._ _
_.:.--_-_ �
., , -_^ _ _.---�--._-�—._-- __-_�---_-- - ----= --_ =-----=—� =_--_._.._
_ _ _ __
�.,./ - - --- - .. _ .--.._ ---- --------- ------ -_ _- .. _._.. ____—� - \v/
lYIY �
�� �
�. . � . . . . : . _ ,�Ra�' F .: .. , � �
�� �
.' . . . . . i7i/ltlF � Z"Grl�.i7i7 NLf1l4Y � � .
Certificate No. 2054
�'� �: x (J�� ��,�.������
: Certificate of Interment Rights
�\`-'/i
_
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Letha Rivet Howell 9884 Riverview Drive, Sebastian, Fl 32976
(�e) (address) .
in and for consideration of the sum of $350.OQ is entitled to fiill interment rights in the
Sebastian Municipal Cemetery for the following plot:
Unit_4 Block ,_13 Lot(s)NicLe(s) 17b
of the Sebastian 1Vlanicipai Cemetery,
as maintained on file in the records of the City Clerk
for use in accorda.nee with the conditions, ordinances, resolutions, rules and regulations
prescribed thenefore by the City of Sebastian.
CONVEYED THIS 1 st of December, 2005.
CIT�Y OF SF�ASTIAN, FLORIDA A��;
.
Manager
'.y Clerk
�
�_.
�
�v��
Name ,�� _ ,,� .0 � �� ; =
'�
�� ,�..,. �� � �/ � �. �i�r.�� �fr��/��/'=� / �" � ��,��..
1
Unit
, �.- ._ � �,. �
Block
�� ���.,� , �,,�,: ,���
l
Lot � � f �
Date of Mark-out f �% �`� � `' �'
Date of Burial /� �� `�-�`-:' �' • Time � �'4 ` {�' � %�
-.y
� a
Name of Funeral Home � �'�'' `
. % . , ,,
�
- ' �. �. ,,_ _ , ...
Authorized by ' "'`" �� �
�
A
x
T
Q
3
N
�
�
N
�
�. � � � � � �
,
` � , � � �J �V ' ..�
\ �+ ':
� r
� � ` � � {`.
r.l, .? ` �, �' �
� �`1 0
� j1 � w
* � 1
� O
l '
4 } �
1
� R� � fl
� �
O
\
\�
4�
�
�
��
� �
� �
�� �
`� � �
/� � � ,
�lti
f�,
1-
N
`�
'S ��.
�n I N
C1
�
CiiY �
. . ;r�.�.� .
�,��T�., � ; ��,.,�
�
,�
MC3N[E C7►F PELI�AN ISL.�rN@
1225 Main Street, Sebastian, Fl 32958
Telephone (772) 589-5330 — Fax (772) 589-5570
December 5, 2005
Letha Rivet Howell
9884 Riverview Drive
Sebastian, Fl 32976
Dear Ms. Howell:
Enclosed is City of Sebastian Certificate 2054 entitling you to full interment rights in Cemetery
Lot 17b, Block 13, Unit 4. Also enclosed is a copy of the receipt and the Rules and Regulations
governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sin e
� -
Sa11y Mai , C
City Clerk
SAM:ar
enclosure
��
s�����
-��-�
HOME OF PELIUN ISIAND
��
���y
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
� � ��` � .
Name(s) � � , �e c _ � ;
Address �
`7�� �� � bZ�� �
Area Code & Phone Number
� (''�ti� C- S � � (� ,
Residence Address of intended Occupant if Other Than Purchaser
O�ce Use Only
Receipt is acknowledged in the sum of:
,
�; c.,b Doiiars ($ �5� °� )
on this t day of , 20 C>J� for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
Unit `t" , Blocic �_, 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 tirne of purchase:
Corner Markers (set of 4-$20) Opening & Closing
W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
TOTAL $ �J5 O ���
�
Si nature of Purchaser Sebastian
Service fees are to be paid at time of need on
I:\W W-DATAUAs-Cemetery�RECEIPT.doc
•
, _
I Q
o� ��
�
� ��
Name
�
� �� � � , No.
W �
� � 001001 208001
� � � 001501 322900
I 001501 341920
' 001501341910
' 001501341930
601010 343800
i 001501343805
i
�
i
i
�
�,
0
LETHA RIVET HOWELL
9884 RIVERVIEW DR.
SEBASTIAN, FL 32976�121
P�' TH� 1 .� .
��
��I�R OF
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
3518 '
❑ Cash
� eck #��
Amount Paid
Sales Tax
Garage Sales
CopieslBid Specs.
LDC/Code of Ordinances
Eledion Qualifying Fees C���
Cemetery Lots C �
LotlNiche.�,�, Blodc�..�j . Unit�
Cemetery Fees
Total Pai
�� I
n s � �
White - Dept of Oriyin • llellow - Fin�nce • Pink • Applic�nt
5767
DATE �r�3-4/630 FL
� 748
�� 'j�l G � - ��i
>�:�.:. .. ..
i � ^� _
BankofAmerica � - Do��i�"�
�i��
acH airoaa,00�n ° Premier anking
-� ��� �.����
�:063• 00047�: 0054863599 ivi�. - -_ ,-- --- ---�
576?
LETHA RIVET HOWELL
9884 RIVERVIEW DR.
SEBASTWN, FL 32976-3121
�AY TO THE
� ER OF
d
�
� BankofAmeric ��'
�.
ACH R/T 063100277 j � i 1 i'� . , ,
C
^�
`'
2 W
� O
m y
y X
�
O �
�
:.: U
�
a
c
ti �
0
�
�
= Y
a �
w t
�
❑
590Z
.� 63-4/630 fL
DATE 748
�C-j4:S7___,'I Q� I $ ��
��, �.��
��� S �"'�.���,�
BeevllyM1Nnw
DO �,�.
Premier Banking
�I � / �:
:: .._ ._ . /�✓� . _� . .:_.._, . ' � ,_y��� _ ._ - .
3599 ii' S907
�
'�
�
�
�
�
� � m
R �
C �
C
y O � � �
N N O � J IL
� � � � � � � �
� � o. � � � � �
c`6n c� ci ° w ci � v
� O N O O O
O � � 01 O�f a�O
\ N M M � l'7 �
at
p p p O
O I�A 11� 1[f 1�A O
Z °o $ o g $ �°o
�
�
M
�
0
�
0
� C
Y
a �n
� s°
0
� �
e
d
c°a
c
w
�
W
e
�
Y
•
. O
O
�
0
�
i a
3
� �
C