HomeMy WebLinkAbout2-50-06GiY OF
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H�ME C7�F P�LI�AN ISLANQ
Certificate No. 2238
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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:
Janice Pestrichelli Post Office Box 780815, Sebastian, FL 32978
(name) (address)
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following Iots:
Unit 2A, Blk 50, Lots 5& 6
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 8th day of October, 2009.
OF �BASTIAN, FLORIDA
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-� AI Minner
City Manager
ATTEST:
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Sally . Maio, MMC
City Clerk
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LOT AVAILABLE FOR SALE
UNIT a , BLOCK �v , LOT �
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City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
�Q.YI ( C � ��� f �' I Gf'1 L' � i � —
Name(s)
P[�5t C��F�F�ce �x �780815 , Se��z.s��c�n FL 3z4 �8
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
�� �h,e-ta � � nd. 0-�v� '�%-o
on this 0�` day of V�' .
Cemetery Lot(s) and/or Niche(s).
Dollars ($ � 000, oo �
20 �� for the purchase of the following described
Unit �, Block 5� , Lot(s) �`�' UJ 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)
Temporary Marker Preparation & Installation
Signature of Purchaser
Interment
/W O H
Circle One
Disinterment
TOTAL $ �-F � �% � • � �
of Sebastian
The following documents were provided as Proof of
Residency:
I:\W1N-DATA\Ms-Cemetery\RECEIPT.doc I and
CITY OF SEBASTWN
CITY CLERK�S oFF��E � 4 5 9 9
RECEIPT
Name �an i c. e. P�sf� � c h�( �� ❑ Cash
Date r O��" v` I�CCheck# �QS �
No.
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDCICode of Ordinances
Amount Paid
001501341930 ElecGon Qualiryirg Fees
601010 343800 Cemetery Lots QUQ UO
LoUNiche 5'� �. Bbdc Sa . Unit �• �
001501343805 Cemetery Fees
1� W ��� C,(,��/,� Total Paid � 0
Initials
White - Dept of Oripin • llellow - Fin�nee • Pink - Applicant