HomeMy WebLinkAbout2-44-02� v .
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CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
Due Date
To Be Completed By Department
3/1/2013 Single Check Y / N Y Vendor Number
LN
TC
Reference
Organization
Code
Object
Code
Project
Code
Amount
601010
343800
$142.50
Description
Number of Lines Amount
Refund of cemetery lot 150
minus 5% administration fee -7.5
Unit 2 Addition, Blk 44, Lot 2
see attached letter
ISSUE CHECK TO
$142.50
NAME
jean Lee Sharlow
ADDRESS
48 Old Vaughn Bridge Road
CITY
Hartselle STATE AL ZIP CODE
35640
DRAW CHECK F M SEE BELOW
APPROVED B
7U a
DATE ,Z /
BUDGET APP
MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach
a copy of documentation along with the original)
OTHER INSTRUCTIONS Please give a copy of the check to Jeanette
City of Sebastian
Main Street
City Hall
Sebastian, FL 32958
Jenette:
I would like to sell the cemetery plot (one) of 1 & 2 — block 44 unit #2 Addn. This belonged to Lois
McCarty. This also was in the name of Jean Lee Sharlow. Mrs. McCarty had since moved back to Ohio
and will not be buried in Florida.
Thank you for your assistance in this matter. My address is
Je n Lee Sharlow (daughter)
48 Old Vaughn Bridge Rd
Hartselle, AL 35640
7, 5 ry-) in
Paid by CEMETERY Receipt No.... ............ Dated . .12.=30.- 82 3 .............. .. NCf.
300.00 .. .. ... - 2 - Receipt #008 0512
List Prim $ .................. Maximum No. Purial Spaces .................
Deed #512
�00.00 Flat Lois B. McCarty /and /or Jean Lee
Net Paid $ ...... ........... Monument permitted., .....................
Sh.�arlow; P.O. Box 454, 567
M row
Im row Drive, Sebastian,Fla.
R & R ISSUED (Data above thb line for City Record on]YPOTS 1 & 2, BLOCK 44, UNIT #2, Addn.
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L)J
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sore �b-411 2-' "13
Paid by CEMETERY Receipt No... , 008. Dated ..12 :30.:82 ..................
NO. 0 °
_ _ Receipt
?.
# 08
't
List Price $ . ...300:00....
Maximum No. Burial Spaces ...... ....... . Deed #51
300.00
Flat, Lois B.
McCarty
/and /or Jean Lee
Net Paid$ ,,,,,
Monument permitted., ._..
Sharlo ;
P.O.
Box 454, 567
Wimbr
Drive,
Sebastian,Fla.
R & R ISSUED
(Data above this line for City Record onlypOTS 1 & 2 ,
BLOCK
44, UNIT #2, Addn .
M