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SE,BASTLAN
HOME OF PELICAN ISLAND
Certificate No. 2632
CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Lee & Lynn Reid
674 Crystal Mist Ave
Sebastian, FL 32958
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niches:
Unit 3, Bilk COL, Niches SODS & 51Ds
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 14`" day of May, 2019.
CITY OF SEBASTIAN, FLORIDA
4�'i�
Paul E. Carlisle
City Manager
ATTEST:
bj'ce"n'Q'
anette Williams, MMC
ity Clerk
-nor
SEe�►STiA1V
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
May 17,2019
Mr. & Mrs. Lee Reid
674 Crystal Mist Avenue
Sebastian, FL 32958
RE: Interment Rights to Unit 3, Block COL, Niches 50Ds & 51Ds, Sebastian Municipal
Cemetery.
Dear Mr. & Mrs. Reid:
Enclosed is City of Sebastian Certificate 2632 entitling you to full interment rights in
Unit 3, Block COL, Niches 50Ds & 51 Ds in the name of Lee & Lynn Reid.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te a
Records Clerk
Enclosure
010 D
SEBASTIAN
A0
HOM Of15111AND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is Intended for Interment must
be provided at time of purchase.
L.6 -e -* L"'j P" L.
Name(s) n -t�i
-74— N Y S TA -C_ A nn I i ST ACE SEYS&IJT7&-,.i, � 3.22 5 b
Address
77A6,33 693S�
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is Cacknowledged in the sum of: f
tA� �Y�L�S RrJJ •.--� Dollars ($
on this W day of M r 4A + 2019 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s). ()
Unit 3 , Block (°oc, , Lot(s) Niche(s) -TO !)S + SI bS.
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 & Closinaf 00
'5O' I w O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
�� e of Purchaser
I:\W W-0ATAWs-Cemetery%RECEIPT.dac
C
TOTAL � S ¢City Sebas
The following documents were provided as Proof of
Residency:
I QWe2s Z..IaanS�- and
CITY OF SEBASTIAN 11685
ADMINISTRATIVE SERVICES RECEIPT
n
Name �� -� -
O Cash
Date
'dCheck# 31
001501341920 Copies
17 Credit
Amount Paid
001001208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
(1;01010 343900 Pv "-(ES
a y-00
onsb1 &�*)T o(r_n
fib -06
0016VI 343QC6- �ASt<+1914G.1
fQ5,00
! ).11r 3 0-a Nick s x+511) s
T--4*9 Total Paid
Initials
White - Dept. of Origin • Yellow -Admin. Svcs. - Pink - Applicant