HomeMy WebLinkAbout4-11-17C[iY OF
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HOME OF PELICAN ISLAND
Certificate No. 2216
C~ ~ ~~~~~
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Christine Colletti 7480 130t" Street, Sebastian, FL 32958
(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 lots:
Unit 4, Blk 11, Lots 17 & 18
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 25th day of April, 2009.
CITY PF SE~i~STIAN, FLORIDA
ATTEST:
~~
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Sally .Maio, MMC
City Clerk
Minner
Manager
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Mt?ME OF FELtCAN ISF.ANL1
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.
h~isfine Co~l~f~~~
Name(s)
~~ f d 13 d ~' ~.~-~e. of ~S~hQS fi c~.~ ~~ 3Z q 5g
Address
7~Z
~ - Co ~ 5 to
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY.
Receipt is acknowledged in the sum of:
~~8~
-~Gt
on this. 02.5 day of ~p ~ ~ ~ , 20 d ~ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit `7" ,Block ~ ~ ,Lot(s)
~7 ~ ~0
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
The following documents were provided as Proof of
Residency:
Interment
Niches
/W O H
Circle One
Disinterment
TOTAL $ ~~~~ Dd
W
' y of Sebastian
I:\WW-DATA\Ms-Cemetery\RECEIPT.doc f and
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