Loading...
HomeMy WebLinkAbout4-04-39Certificate No. 2326 CITY OF SEBASS IAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Keith Eugene McIsaac P.O. Box 780576 Sebastian, FL 32978 In and for consideration of the sum of $2000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4, Block 4, Lot 39 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 19th day of March, 2012. CITY OF SEBASTIAN, FLORIDA "`AI Minner City Manager ATTEST: Sally ;.Vl Ma io, MMC Clerk crly Of 'AN SIESAST- ,� 1175 a HOME OF PELICAN ISLAND 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. e M C'T'. Names PC Address Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: Dollars on this. 19 day of ---,20W for the purchase of the following described Cemetery Lot(s) and /or Niche(s). Unit, Block , Lot(s) Niche(s) 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) Opening & Closing -/W O H Circle One Vase and Ring for Niches (cost) Interment Disinterment Temporary Marker Preparation & Installation k� �- 16 Z:�] Signature of Purchaser I: \WW- DATA \.M s -C em ete ry \R E C E I PT. d oc TOTAL $ a 0( An Sebastian The following documents were provided as Proof of Residency: and CITY OF SEBASTIAN 4450 CITY CLERK'S OFFICE RECEIPT Name [I Cash Date 1 I �c�© Check #- No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees `gyp 601010 343800 Cemetery Lots A_: Lot/Niche Za , Block Unit 001501 343805 Cemetery Fees k l� Total Paid In' ials White - Dept. of Origin • Yellow - Finance • Pink - Applicant