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Certificate # 1904
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Certificate of In ��'�� �� nt Rights �
1N ACCORDANCE with
it is hereby certified that:
Robert Plangarell
(name)
(name)
in and for consideration of t
interment ri�hts e Sebasti
3
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9 Ba S
(ad
(address)
f the City of Sebastian,
Sebast , F1 32958
$1, 3 5 0, o o has hased and is entitled to full
ic Cemetery for following plot:
ock 5Ds
tian Mun emetery,
as maintai n in the records of the City Clerk
for use in accordance with the con ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebasti
CONVEYEDTHIS 6th dayof .Tune , 20G3 ,
C Y OF SE ASTIAN, RIDA ATTEST:
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Terrence R. ore a y A. M o, CMC
City Mana er City Clerk
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CITY OF SEBASTWN
CITY CLERK'S OFFICE , 4 � � '�
RECEIPT J .
Name �(,LC,J m �� � �Y �' �,'Cash'` Q � ��
Date I "� "' �.J ❑ Check#
No. Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501 341920 CopieslBid Specs.
001501 341910 LDCICode of Ordinances
001501 341930 Election Qualifying Fees
601010 343800 Cemetery Lots
LoUNiche �� � Block `-"' � , Unit �
001501 343805 Cemetery Fees
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Total Paid � ` + � �''
' Initiais
White - Dept. of Origin • Yellow - Finance • Pink • Applicant ��-""'" �„
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Certificate # 1904
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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:
Robert Mangarell
(name)
(name)
1049 Barber Street, Sebastian, FL 32958
(address)
�(address)
in and for consideration of the sum of � 1, 3 5 0. o o , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 3 , Block COL , Lot(s) 5Ds
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 6 th day of .Tune
OF
Terrence
City Mar
2003 ,
ATTEST:
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y A. M o, CMC
City Clerk
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S�BASTI�
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HOME OF �PELiCAN ISWVD
City of Sebastian Municipal Cemetery
Purchase Receipt
�y
6%
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
at time of purchase
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Area Code & Phone Number
L_ .2?�y'_s �
Residence Address of Intended Occupant if Other Than Purchaser
OfiFice Use On/y
Receipt is acknowledged in the sum of:
lars ($�!��. o d )
on this � day of , 20 �.� for the purchase of the following
described Cemetery Lot(s) d/or Niche(s).
Unit�, Block C�D,L , Lot(s) J`fJs 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-$20) Opening & Closing
Vase and Ring for Niches (cost) ��- �
Signature of Purchaser City of Seba
W O H
Circle One
Disinterment
'AL$ ��, dd
Service fees are to be paid at time of need only
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Date of Burial - ?��� � 6• Time � a %� � 5���
Name of Fu
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