HomeMy WebLinkAbout1-39-01aan Cf
SEWIST"
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery
—01
�1 �-' 7 5 VIN -0 ��Gr✓�c�r r Cl �u ro__ .
(Please print name and addr s)
()AJrr i, Abbe -"or.! 610ek37
(Lot/niche, block, unit description)
are intended for interment of the following individuals:
Please print name(s):
9`l 3
e5nTO:F7
Interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be
passed on to heirs but the City requires a certified copy of relevant probate or other
court documents.
I have read and understand the terms of this agreement.
Signature Date
Subscribed and sworn to before me this Aa day of � � a017 by
'r;S1A,f4F. fJe:1- E who is personally known to me, or has produced
t as identification.
r �MKZy , CATHERINE E. TESTA
ryPublic, State ria .; Commission#GG 073881
Names of Interred form Expires February f8, 2021
wooded TNu TNy Fninlnwr 80 U557018
F
F F ti
R LI NSE LASS E
G6
-17 46 771-0
DIA ENE
E
GRA T
9675 f C
NGBIRD LANE
MICCO,
32976-0000
DOfi:Q7 -1946
SE%. F
SUED:0
2-2012 HOTS-03
E 1S 0
1.2021
RE T'
=N RSE-
\
RIVER
<murw �n wry sMvuY I.q req,�edpy y,,.
Certificate # 1888
an a
S~~~'~1
Hams of rsuwv ~s~
~~~~~ ~~ ~~~~~"I~~~,~
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Diane & James Acker, Jr. 8095 126th Street, Sebastian, FL 32958
(name) (address)
(name) (address)
(interred name - if known at time (address)
of sale)
in and for consideration of the sum of $1,400.00 ,has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 1 ADD. ~ Block 39 ,Lot(s) 1 & 2
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 1st day of Ap r i 1
Y OF SEBASTJ) ,FLORIDA
f ~' f
4 f
Terrence R. Moor
City Manager
2003
ATT T:
r~
~, ~\ ._
Sally aio, CMC
City Clerk
~~ o
Receipt is acknowledged in the sum of:
C~1/~ .~i~,L ~ ~v~-~~ `~ ~~ D Dollars ($~~O~:~a )
From:
~ ~
,r
on this ~ / day of ~ a r- `.l-, 20 ~ ~ for the pwrchase 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) ~ d- Z. Block ~ q Unit ~ ff I~ i) ,
Purchase Price: ,~~Z~l~~~ t~ ..~2~1~1C~'i.~lf Dollars ($ ~~U~ : ~'~ )
Terms and Condition of Sale:
This contract shall be binding upon both parties, the seller and the purchaser, when approved
by the owner of the property above described:
7, or we, agree to purchase the above described property on the terms. and conditions stated in
the foregoing instrument:
P chaser signature
chaser signature
The City of Sebastian agrees to sell the above nlenuoned property to the above named
purchaser(s) on the terms and conditions stated in the above instrument.
!' _
ity of Sebastian fitness
~Op~
CITY OF SEBASTIAN
CITY CRECEIPT FFICE
Name(/
0 Cash
Date_ I
Check ~
AmoutrtPakl
001001 208001 Sales Tax
001501322900 Garage Sales
001501 341920 Copies/Bid Specs. ~
001501 341910 LDC/Code of Ordinances I
001501362100 Community Center Rent
001501 362100 Yacht Club Rent
001501 362150 Non Taxable Rent
001501 343800 Cemetery Lots
601010 343800 Cemetery Lots ~ ~® ~~
LoUNiche~_, 81ock , Unit ~ ''~ ~1.~
001501 369400 Interment Fee
001501 369400 Weekend Service
680800 220681 Yacht Club Security Deposit
680800 220682 Community Center Security Deposit
680800 220683 Riverview Park Security Deposit
Total Pald
Initials
White -Dept. of Origin • Psllow -Finance • Pink • Applicant