HomeMy WebLinkAbout3-COL-45DnBCertificate No. 2338
CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Helga F. Evarts
534 Acacia Avenue
Sebastian, FL 32958
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 niche:
Unit 3, Columbarium, Niche 45dnb
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 22nd day of June, 2012.
CITY OF SEBASTIAN, FLORIDA
/'\AI Minner
City Manager
ATTEST:
Sally A. aio, MMC
City Clerk
A
Name
Unit
Block cl1l-
Lot
r--
Date of Mark-out
/ ��
Date of Burial lP L /��-• Time
Name of Funeral Hom
Authorized by
� • s
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.
VQrts
Name(s) J
X314 Acacia Ave. Se-basti
j ) n � ,_ Total Paid
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
C
Eva- l`+ s r O. I'V11 ki
Name
[I Cash
Date 6-22-12-
XCheckl
No.
Amount Paid
001001208001
Sales Tax
001501322900
Garage Sales
001501341920
Copies/Bid Specs.
001501341910
LDCICode of Ordinances
001501341930
Elft*n Qualifying Fees
G 0
601010 343800
Cemetery Lots
�Ar ..__�•
LoVNiche 45dmbBlock Unit
001501 343805
Cemetery Fees
50.00
vase, y r; h q
70 00
j ) n � ,_ Total Paid
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant