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SEBASTIM
HOME OF PELICAN ISLAND
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Certificate # 1884
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
J. Alan & Joan Dobbs
(name)
(name)
(name)
814 Floraland Avenue, Sebastian, FL 32958
(address)
(address)
(address)
in and for consideration of the sum of $1,350-00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 3 , Block Col , Lot(s) 6 D s
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 21 s tday of M a r c h 2003
Y OF S ASTIAN, FLORIDA ATTEST:
Terrence R. re Sally A. Ma' M
City Manager City Cler
0
The Sebastian Cemetery
City ®f Sebastian, Florida
Receipt is acknowledged in the sum of:
Dollars ($ 13510,00 )
From:
814 Floralanol Ave SeIbaStan FL 329M
� )ItoiAe. 77..)399- 931 n
on this Zo 6 day of M &Uja 20_QL_ for the purchase of the following
described Cemetery Lot(s)/Niche(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)/Niche(s) (D D Block ft I Unit 3
Purchase Price: jhft4dA& MW r Dollars ($135 o- oo )
Terms and Condition of Sale:
This contract shall be binding upon both parties, the seller and the purchaser, when approved
by the owner of the property above described.
I, or we, agree to purchase the above described property on the terms. and conditions stated in
the foregoing instrument: , 1>5 ze /�
Purchaser signature
The City of Sebastian agrees to sell the above mentioned property to the above named
purchaser(s) on the terms and conditions stated in the above instrument.
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 1611
RECEIPT
Name 0 Cash
Chock $ —,:
AmountPold
001001208001
001501 322900
001501 341920
00150134`1910
001501 362100
001501 362100
001501 362150
001501 343800
601010 343800
001501 369400
001501 369400
680800 220681
680800 220682
680800 220683
Sales Tax
Garage Sales
Copies/Bid Specs.
�---
LDC/Code of Ordinances
Community Center Rent
Yacht Club Rent
Hon Taxable Rent
Cemetery Lots
Cemetery Lots
Lot/Niche _, Block , Unit
Interment Fee
y�
Weekend Service
Yacht Club Security Deposit
Community Center Security Deposit
Riverview Park Security Deposit
1w Total Paid
Initials
Whits - Rapt. of Origin • Yellow - Finance • Pink • Applicent
8
RECEIVED
CITY OF SEBASTIAN
OFFICE OF CITY CLERK
2003 FEB 10 Pty 1 U
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