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HOME OF PELICAN 1SLAND
Certificate No. 2334
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Certificate of Interment Rights
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IN ACCORDANCE with provisions of the Code of Ordinances of the City of (j
Sebastian, it is hereby certified that: j'
II
Patrick Gilligan �I
757 Spire Avenue ��
Sebastian, FL 32958 �
In and for consideration of the sum of $1,000.00 is entitled to full interment �
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 8a & b
of the Sebastian Municipal Cemetery,
: as maintained on file in the records of the City Clerk i
for use in accordance with the conditions, ordinances, resolutions, rules and J
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS St" day of May, 2012.
CITY OF SEBASTIAN, FLORIDA
,.
` AI Minner
City Manager
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ATTEST: i
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: ,:
Sally . Maio, MMC
City Clerk
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Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Beach, Florida 32960
We hereby certify that these are the cremated human remains of:
Deirdre P. Gilligan
April Q8, 2012
(Dote of Death)
Struntc
Funeral Home & Crematory
(Funeral Home in ChargeJ
02765
(Cremation 1D Number)
April 1d8, 2D12
{Date of Cremation)
Sebastian, Florida
(City and State)
By:
emator Signaiure)
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$ � � w ������
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F1�11�iE L3F FELI�AN 35LFihII?
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City of Sebastian iVlunicipal 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.
Gc.%1'' i Ck C'7 i( l� q Ct. n
Name(s) % 5� S r t�C. J V-2.. sC S�'i G�.n �-L 3Z�t 5�
Address
� � 7�) 5sg � ��0
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
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((��, �¢ i 6-0 Dollars ($ /C)D0, o o.)
on this. �f� day of %� Cc.�/ , 20 %� for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit � , Block � , Lot(s) 0 Q'�" h 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
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
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Signature o rc a r
Interment
/W O H
Circle One
Disinterment
T��-�L � lO D O. o O
of Sebastian
The following documents were provided as Proof of
Residency:
!:l�NW-�ATA1Ms-GemetPr;�RF�F�pT.dor I and
CITY OF SEBASTIAN
CITY CLERK�S oFF��E . 4 4 6 7
RECEIPT
Name �Q-�( C L' � l`�! Gf Q1')
Date � � ' /�
No.
001001 208001
001501 322900
001501 341920
001501 341910
00150f 341930
Sales Tax
Garage Sales
CopieslBid Specs.
LDC/Code of Ordinances
Election Duali�ing Fees
❑ Cash
�Check #
Amount Paid
601010 343800 Cemetery Lots � �, ��
LoUNiche ��, Block �, Unit �
001501343805 Cemetery Fees
(�.J _ Total Paid ��
Initials
White — Dept. of Origin • Yellow — Finance • Pink - Applicant