HomeMy WebLinkAbout3-COL-08DsName �� ,5ER6
Unit ?p
Block
Lot
Date of Mark-out
A.
Date of Burial Time 44
Name of Funeral HoMe--/l
Authorized by
aff0F
SIER"T hN
HOME OF PELICAN ISLMD
Certificate # 1919
MY 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:
Joseph Flescher
(name)
(name)
279 Joyhaven Drive, Sebastian, F1 32958
(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) 8DS
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 13th day of October
CI Y OF SEB TIAN, FLORIDA
Te ce R. oore
City Manager
2003
ATTEST:
Sally A. aio, CMC
City C erk
19]
O 0
aly OF
SEXAS,TIAN
HOME Of PEUCAN ISLAND
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
J
Name(s
ress
Area Code & Phone Number
A,4.
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
pt is acknowledged in the sum of:
- Dollars (UV-.C—,0-.04 )
on this / day of , 20D�,7 for the purchase of the following
described Cemetery Lot(s) and /or Niche(s).
Unit , BlocWa, Lot(s) 0 L1/1"X1 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 W O H
Circle One
Vase and Ring for Niches (cost) j8- Od Interment Disinterment
TOTA •3� o d
Signs ure of P chaser 4Ctyeb n
Service fees are to be paid at time of need only
I: \W W- DATA\Ms- Cemetery\RECEIPT.doc
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE r 2158
RECEIPT
Na MILL ❑Cash
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Da
No. Amount Paid
001001208001 Sales Tax
00`1501322900 Garage Sales
001501341920 CopieslBid Specs.
001501341910 L.DCICode of Ordinances
001501341930 Election Qualifying Fees
601010 343800 Cemetery Lots
LotlNichtal— Block "d / Un'
001501343805 Cemetery Fees rR
�. Total Paid Z -
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
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