HomeMy WebLinkAbout4-05-3910/18/2016
Karen Welsh called and would like to have her daughter
Stephanie Ann Welsh’s cremains buried on top of her
casket in Unit 4, Block 5, Lot 39.
CITY OF
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FtOME 4F PELICAN ISLAND
Certificate No. 2341
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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:
Karen S. Welch
4435 Sunset Cay Circle
Boynton Beach, FL 33436
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 5, Lot 39
of the Sebastian Mu.nicipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 6th day of August, 2012.
CITY OF SEBASTIAN, FLORIDA
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/ `�41 Minner
City Manager
ATTEST:
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Sally A.� aio, MMC
City Clerk
C�Y �
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HCENtE C3F PE�iCAE�I lSLAh�D
City of Sebastian iiilunicipal Cerr�etery Purchase Receipt
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To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
� r� h S. 1�I e,( c�G�
Name(s)
Address
CS��►1 �35-320�
Area Code & Phone I�umber
C� r �( e. l� o� n to ►n
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
h.c�
,�i-p it'�%�� Q.v'�C� .�Q -�8-p ��-�D o l l a rs ($ ZD U 0��. o.
e�Ch ��
3 3�3 �
on this. �P day of � I�l S�f , 20� for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit — I , Block _�, Lot(s) � J�' -1 Niche(s)
for use in accordance with the conditions; ordinances, resolutions, rules and reguiations 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
Interment
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Signature of Purchaser �'
/W O H
Circle One
Disinterment
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� of Sebastian
The following documents were provided as Proof of
Residency:
I:1WlN-�ATA�Ms-Cemetery\RECEIPT.doc I and
CITY OF SEBASTIAN
CITY CLERK�S oFF��E . 4 4 8 4
RECEIPT
Name /'►�l r� l�'t rs. lnle l c,h
Date 6 ' Co '� � Z
No.
001001208001
001501 322900
001501 341920
001501 341910
001501 341930
601010 343800
001501 343805
Sales Tax
Garage Sales
CopieslBid Specs.
LDCICode of Ordinances
Election �ualifying Fees
Cemetery Lots
❑ Cash
�Check# 533 _
Amount Paid
LotlNiche�, 3� �f(�lock �, Unit t"'�
Cemetery Fees
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c.`� d., ,. Kwte..n (,Jr�-Gti.
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Vv• ` Total Paid VVV �
Initial:,
White - Dept. of Origin • Yellow - Finance • Pink • Applicant