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HOME OF PELICAN ISLAND
Certificate No. 2213
C~~ ~ 1 ~ ~'~ ~~~~~~~
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Victor ~/or Mercedes loffredo
247 Dickens Avenue, Sebastian, FL 32958
In and for consideration of the sum of $3,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Blk li, Lots 28, 29, & 30
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Cierk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 10th day of April, 2009.
CITY OF `EBASTIAN, FLORIDA
;~ ,----
r
~AI Minner
~'~ City Manager
ATTEST:
/"~~ ~
Sally .Maio, MMC
City Clerk
CItY OF
~~ ~
Ft~?ME C7f PELICAN tSLANI}
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase. ~C~n I~E ~ ~~;.~~,-~~ a
V~
C~.1~C ~d 2~S ~O ~ T Y~ P.~G~. (U.-- S o n
Name(s)
a,~ ~ D ~ ~ke-~s /~-ve n u~ , ~e.ba~ f i ct.~, -~~ ~ La ~~
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
~vG~-C. ~~~Qnd DU1G~ ~~D-0 ~ Dollars ($ ~a UO )
on this ~ ~ t h day of r I ~ _, 20 ~~ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit ~, Block __~~___, Lot(s) o~.~ 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
ignature of Pur a r
/W O H
Circle One
Disinterment
TOTAL $ ~o~~. ~ ~
tYe L(~.~~ec.an-nom
of Sebastian
The following documents were provided as Proof of
Residency:
Interment
I:\WW-DATA\Ms-Cemetery\RECEIPT.doc I and
CITY OF SEBASTIAN
CITY CLERK'S OFFICE _ 4 2 3 9
RECEIPT
Name '~~ ~ 1 '/~ Ge-~"' O
Date ~ ~ ~ v ~t/ 1
No.
001001 208001
001501322900
001501341920
001501 341910
001501 341930
601010343800
001501 343805
^ Cash
Check # ~ ~ J
Amount Paid
Sales Tax
Garage Sales
Copies/Bid Specs.
LDC/Code of Ordinances
Election Qualifying Fees
e°
Cemetery Lots '' II
LoUNich~~~lock~, Unit
Cemetery Fees
w Total Paid~~~!, - ~
Inkials
White -Dept. of Origin • Yellow -Finance • Pink • Applicant