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Certificafe No. 2325
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Wendy Micciche
147 Filbert Street
Sebastian, FL 32958
In and for consideration of the sum of $2000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 5, Lots 7& 8
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 12t" day of March, 2012.
CITY OF SEBASTIAN, FLORIDA
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'�AI Minner
City Manager
ATfEST:
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Sally �,OMaio, MMC
�ity Clerk
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City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
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Name(s)
I�E ��F� I b�rf S-f�reef Sef��S ti�.� �c- 3Zq5�
Address
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Area Code & Phone umber
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
�b �;lf�,g.t,�,C�Q,,h,D� �;[ /'�p-� Dollars ($ ZC7C�b . �' ° )
on this. day of
Cemetery Lot(s) and/or Niche(s).
20 for the purchase of the following described
Unit , Block `� , Lot(s) � �' � Niche(s)
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for use in accordance witt�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
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Signature of P aser
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Interment
/W O H
Circle One
Disinterment
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ty of Sebastian
The following documents were provided as Proof of
Residency:
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