HomeMy WebLinkAbout3-COL-28DnBNam- f ! eO-4,I U i^ rot A -A^ e o �-5
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Block C o L
Lot Z8
Date of Mark -out
Date of Burial ,�3— /0- m,
Name of Furneral Hom>
Authorized by
CITY OF SEBASTIAN 17048
FINANCE DEPARTMENT RECEIPT
Name nebbie_
1,%r&u UCash
Date 3 - 17-
7-0Z5 O(Check H Z75�
❑ Credit
Amount Paid
001501 362150
Non -Taxable Rent
001001 220000
Security Deposit
001501 362100
Taxable Rent
001001 208001
Sales Tax
450010 369900
Airport Badge
450010 362521
AP Shade Hangar Rent
450001 208045
Airport Sales Tax
001501 347557
Community Center Revenue
001501 341920
General Fund Copies
001501 354100
Code Enforcement Fines
601010 343800
Cemetery Lot Sales
001501 343805
Cemetery Fees (7
480010 341920
Bldg Dept Copies
PD Shop with a Cop
PD COPE
PD Cadets
PD SRT
,Vec,nor- is
3 Cal 28Dnlo Total Paid
Initials
White - Dept. of Origin • Yellow - Finance Dpt. • Pink -Applicant
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Certificate No. 2357
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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:
Normand &/or Eleanor Bourgeois
452 Citrus 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 28dnb
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 7th day of ]anuary, 2013.
CITY OF SEBASTIAN, FLORIDA
` AI Minner
City Manager
ATTEST:
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Sally A,�P�aio, MMC
Ci�v Clerk
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