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Certificate # 1920
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Joseph & Bernadine Ulgherait
(name)
(name)
706 Oleander Cir., Barefoot Bay, F1 32976
(address)
(address)
in and for consideration of the sum of $2,025.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 3 , Block COL , Lot(s) 25DS
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 27th day o f October f 2003
CITY OF SEB TIAN, FLO A
ce R. e
City Manager
ATTEST:
au Cif (erg
f r Sally A. Maio, CMC
City Clerk
W
O O
October 27, 2003
Mr. & Mrs. Joseph Ulgherait
706 Oleander Circle
Barefoot Bay, Fl 32976
Dear Mr. & Mrs. Ulgherait:
Enclosed is City of Sebastian Certificate Number 1920 for the purchase of Cemetery Niche
25DS, COL, Unit 3. Also enclosed is a copy of your receipt and the Rules and Regulations
governing the Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
S' cerely,
D r ally A. Maio, CMC
City Clerk
SAM:ar
enclosure
COY or
SEA 11P
HOME OF nUCAN 5"
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
To -S 2 F H 47 rE�,F?, N A-b/ 14 -if QL-C,14 E k A J Name s)
7 0 C�cE /�D-Z =� C r� c ��
A ress
1m;� t r—oc9 X34 y FL— 32—q`)6
Area Code & Phone Number
t77D- G(�1- 90C� L�
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
�0'0 ------Dollars
on this day of 89-0106
described Cemetery Lot(s) and /or Niche(s).
2003 for the purchase of the following
Unit , Block .O , Lot(s) Niche(s) o�S A5
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) 39P) a Interment
Disinterment
I i 1
Service fees are to be paid at time of need only
I: \W W- DATA \Ms- Cemetery\RECEIPT.doc
CITY OF SEBASTIAN _
CITY CLERK'S OFFICE
RECEIPT
Name U th 1 er-a i -� ❑ Cash
Date ' _ "f 0,3 )(,Check#
No. Amount Paid
001001208001 Sales Tax
001501322900
Garage Sales
001501341920
Copies/Bid Specs.
001501341910
m
001501341930
Election Qualifying Fees
a:(n-
601010 343800
Cemetery Lots C2025
LoVNiche Block Unit
001501343805
Cemetery Fees — V AS'e, Y. wfi
/ OW ao
Total Paid
Initials
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CITY OF SEBASTIAN _
CITY CLERK'S OFFICE
RECEIPT
Name U th 1 er-a i -� ❑ Cash
Date ' _ "f 0,3 )(,Check#
No. Amount Paid
001001208001 Sales Tax
001501322900
Garage Sales
001501341920
Copies/Bid Specs.
001501341910
LDC/Code of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots C2025
LoVNiche Block Unit
001501343805
Cemetery Fees — V AS'e, Y. wfi
/ OW ao
Total Paid
Initials
White – D of Origin • Yellow – Finance • Pink • Applicant