HomeMy WebLinkAbout4-04-01IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Charles J. Burnett 674 Kroegel Avenue, Sebastian, FL 32958
(name) (address)
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 4, Lots 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 21St day of September, 2010.
CITY OF SEBASTIAN, FLORIDA ATTEST:
f
Al Minner Sall Maio, MMC
City Manager City Clerk
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Total Paid �D
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4251
RECEIPT
Name (1]harlie
s BL1rrl e [/
11 Cash
Date,? 2.7--lo
YCheck# 100'7
5ff9
-//S7
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC /Code of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots
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Lot(Niche / `-cZ , Block
_, Unit
001501 343805.
Cemetery Fees
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Total Paid �D
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
City of Sebastian
Sch „tiun Cemetery
Pit. N 1(772) S89 . 25 45
Fax 8 1(772) 228.9927
�utc Tbi, Is tnr Infurmalianal purpose, reguarding Alunutncnls .t Scbnsllan Centctcrx
\tile ' I'his is for a Double Nlarker under 2ft. S over 2 ft. ( over 2 17. is a poured foundation ) '
I'Ira,c rclurn In ('its' Of seha,ltin
Sebastian ('enutert
1921 \urth Cenlril Awe. Foundalion tuture(I
32958 b }, : jamie h.
Attention Cemetery Scvto„ date 10/7/10
antic tn,l.tllcd
hs ; ben
�1re Base : Die : doll 12/8/10
ti �nuc & U�Ir,
Ilia charles burnette Iler lorraine burnette
D.O.B. 1943 D.O.B. 1944
D.O.D. ( D.O.D. 2010
Unit:
4
Blk.:
4
Lot :
1 , 2
Square Feet:
_
Approved:
K.C.K.
Checked By :
K.G.K.
Date:
12/8/10
By:
everlasting
81,
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WIDE
Oct 01 10 04:00p
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