HomeMy WebLinkAbout4-08-15bCertificate No. 2298
CITY Of E
BSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Murray &/or Lois Hicks
177 Pelican Island Place
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 15a & 15b
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 25th day of May, 2011.
CITY OF SEBASTIAN, FLORIDA
"'AI Minner
City Manager
ATTEST:
Sally"aio, MMC
itv Clerk
CM Of
CEDAST"
Y 4
HOME OF PELICAN ISLAM?
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Name(s)
VVlurrQU �-Lois H i cKS
O'VIA V (C -c
Address
C -77Z_ 0,331
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
-fjon 32q5
a..^.d l ft Dollars ($ /, 666, oo )
on this ,2 5/� day of 20,, [ _ for the purchase of the following described
Cemetery Lot(s) and/or Niche(s)
MME
Unit � , Block Lot(s) Niche(s) (5 0,4
b
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)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Sign e of urcha er
I:\W W-DATA\Ms-Cemetery\RECEI PT.doc
Opening & Closing
Interment
/W O H
Circle One
Disinterment
TOTAL $ v D
W -
y of Sebastian
The following documents were provided as Proof of
Residency:
and
Total Paid
000 po
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CRY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
0
Name
Mrs F'( f les —
iI Cash
0-
(Check#
Date
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
CopiestBid Specs.
001501341910
LDC/Code of Ordinances
001501341930
Election Qualifying Fees
Uad`yo
601010 343800
Cemetery Lots
a+b
LoUNiche I Block
, Unit
001501 343805
Cemetery Fees
Total Paid
000 po
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
I Aug 31 12 08:08a Everlasting Stoneworks
17725899312 p.1
City of Sebastian
Sebastian Cemetery
Pb. # 1(772) 589 - 2545
Fax S 1(772) 228 - 9927
NOfe ° Tkis is for larormational purposes reguarding Monuments . at 5elnstl20 Cemeten .
Notc . 441
Please return toG�C>
Sebastian Cemetery
1921 north Cenlral Ave: Foundation soured
32M by : everiastingljamie
Attention Cemetery Sexton date
size.
Names 8 Dates: His1'q1
D_O.D.
§Fa life flat grass marker
�c"A Her: l
D.O.B.
D.O.D.
.egal. Description
Unit: `l
talk_
Lot
Approved By: K. G. K.
Checked l3y : K. G. K.
Date :
everiastlng stone works
Example:
it
deep i \ \ 11 „
stone installed
by : everlasting Jami%LAl
date : ��
„ Aug 31 12 08:08a Everlasting Stoneworks 17725899312
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