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HomeMy WebLinkAbout3-COL-12DsG M Certificate # 1879 0a HOME OF PELICAN 15" � 1 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Harold E. Mainor (name) Jerry Kay Mainor (name) (name) 413 Quarry Lane, Senastian, F1 32958 (address) 413 Quarry Lane, 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) 12 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 11 thday of March , 2003 . OF Terrence City Max FLORIDA 0 Name if R e Unit '? Block " O Lot Date of Mark -out E. MRTnr i G. it E M fit,£ �V -S ) , 'r Date of Burial 3-1-7-03 Time r / � d � -47 Name of Funeral Home Authorized by FORT PIERCE CREMATORY P.O. BOX 777 FORT PIERCE, FLORIDA 34954 We hereby certify that these are the cremains of From Strunk Funeral Home funeral firm Permit No. 1228-03-0117 M Date of Death arch 7, 2003 Date of Cremation # 10318 Harold E. Mainor the remains were received Sebastian, Florida city and state Issued at Sebastian, Florida FORT PIERCE CREMATORY By —a7— ator # O-Z-9 8' JERRY KAY MAINOR 08-96 2245 HAROLD MAINOR 413 QUARRY LN. ^� 63- 515/670 SEBASTIAN, FL 32958 DATEs.7 ,2f' 19--q 11 772- 589-0427 PAYTO ORDER OFE� $� F6st 14ation2a MorE ®MMAGER HANK AND TRUST COMPANY ACCOUNT THE SUPERCOMMUNITY BANK"' VERO MC FLORIDA 32060 FOR �` -- ;06 00 5 i 58�: i L004 i 79 ?116 2 4 5 CITY OF SEBASTIAN CITY CLERK'S OFFICE 1616 RECEIPT Name Mai. yi D r 0 Cash Data ✓ -2-t — 03 X1 Chock/ 2 Z� AmourdPakl 001001 208MI 001501 322900 001501 341920 001501 341910 001501362`100 001501362100 001501 362150 001501 343800 601010 343800 001501 369400 001501 369400 680800 220661 680800 220682 680800 220683 Sales Tax Garage Sales Copies/Bid Specs. LDC/Code of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lots. Lot/Niche , Block Unit 3 Interment Fee Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit niche, all'o -� L/6L21 ,00 40 — Total Paid 3 • C' LJ Initials White — Dept. of Origin • Ifollm — Finance • Pink - Appiieont The Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of: From: #4, -ela �, 5L 3 Dollars ($ . y o ) oh u f: ; 77,2 - sue- aY�T on this //& day of , 20 0L3 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) /Z 0 - w Block 2a Unit ,3 Purchase Price: /, c� . © ° Dollars ($ / SS-0, 0 d ) Terms and Condition of Sale: This contact 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: n 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. Yi y of Sebastian Witness COPY CITY OF SEBASTIAN CITY CLERK'S OFFICE 1556 RECEIPT Nam ,,c 74- ❑ Cash Data AmountPald 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copiesl8d Specs. 001501341910 LDC/Code of Ordinances 001501362100 Community Center Rent 001501362100 Yacht Club Rent 001501362150 Non Taxable Rent 001501 343800 Cemetery Lots 601010 343800 Cemetery Lots Lot/Niche Block `=o t/ Unit (3 001501369400 Interment Fee 4P, atJ — j ' K, 7 001501 369400 Weekend Service 680800 220681 Yacht Club Security Deposit 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposit Total Pa lnitlals Whito — Dept. of Origin • Yellow — Finance • Pink • Applicant -5