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SE�T!AN
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by my parents,
Oscar & Mary Woods
(Please print name and address of purchaser)
Iqb 4- ZL
(Lot/niche, block, unit description)
are intended for interment of the following individuals:
Please print name(s):
LCnJ y, Elk 8, Lot lqb - Mic/tel(c W Woods
U.n F 24, 8 1 k k, Lof 206 - Terry S, WoCts
Interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be
passed on to heirs but the City requires a certified copy of relevant probate or other
court documents.
I ha 17d d unde tand the terms of this agreement.
5-)-1(to
re Date
Su scribednd sworn to before
ecru Goads
as
�ry Public, State of Florida
of M QVI Z6' I � by
known to me, or has produced
CITY OF
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HOME QF PELICAN ISLAND
Certificate No. 2337
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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:
Oscar F. &/or Mary E. Woods
3870 10t" Street
Micco, FL 32976
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 19a & b, 20a & b
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 20t" day of June, 2012.
CITY OF SEBASTIAN, FLORIDA ATTEST:
� AI Minner
City Manager
i, �
;
Sally . Maio, MMC
City Clerk
CITY OF SEBASTIAN
CITY CLERK'S OFFICE • /, /, 7 7
RECEIPT `� `� � �
Name _1!_ ii�-�' l/ E. W 0 i>C�S ❑ Cash
Date �"� ZV '� Z a(Check N ��
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDGCode of Ordinanoes
001501341930 Elecbon Quali�ing Fees
601010 343800 Cemetery L ts �d
l�i ay b
LoUNiche 20n � b. Bbck �, Unit �
001501343805 Cemetery Fees
. v" ' • Total Paid �GY�. o0
Initials
White - Depl of Origin • �ellaw - Fin�ece • Pink • Applic�nt