HomeMy WebLinkAbout3-COL-17Name
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Unit -�
Block C �'
Lot
Date of Mark -out
Date of Burial Time
t
Name of Fune
Authorized by
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SEAW INDS CREMATORY
Sebastian, Florida
735 Fleming Street • Sebastian, Florida 32958
www.seawindsfh.com
(77,2)-589-1933
We hereby certify that these are the remains of AGNE S C'ARRANO
The remains were received
Cremation Permit No. ()8-261 7-0SO Issued at INDIAN RIVER COUNTY
Date of Death MARCH 21 2 D D R
Date of Cremation 3 12 ti 12 0 0 8 By
Cremator
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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.
1,16 sC/0I-/ �, R
Name(s)
:? S8� �� �n r ,cl S� S� ,e�sT► R v �L3ar�s�
Address
Area Code & Phone Number
77 o'L v'—Fi- 0 F 4 -z.
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of.
n /� e a't, r� rp-�' f;'eq'�
Do
Dollars ($ )
U
on this day of .6A -5T -,20/7. for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block COL , Lot(s) I'M -SA- 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)
�o 00
/// Interment
Temporary Marker Preparation & Installation
SiOdture 6f Purchaser
/W O H
Circle One
Disinterment
TOTAL $ �/�����
City of Seba
The following documents were provided as Proof of
Residency:
I:IWW-DATA\Ms-Cemetery\RECEIPT.doc I
and
CITY OF SEBASTIAN 10738
ADMINISTRATIVE SERVICES RECEIPT
Name0���O
U Cash /
Date r% heck # ! j3
❑ Credit
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
L4o
Initials
Amount Paid
Total Paid
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. - Pink - Applicant
CITY OF SEBASTIAN 10739
ADMINISTRATIVE SERVICES RECEIPT
Name o ❑ Cash
Date heck #
U Credit
Amount Paid
001001 208001
Sales Tax
001001 220000
Security Deposit
001501 362100
Taxable Rent
001501 362150
Non -Taxable Rent
450010 369900
Airport Badge
001001218010
CobraServe
001501 354100
Code Enforcement Fines
001501 347557
Community Center Revenue
001501341920
Copies
001501 351140
Parking Citation
001501 342100
Police Security Services
001501 329200
Site Plan Review
001501 329300
Subdivision/Plat Review
001501 329100
Zoning Fees
1S-
�0
3�3$d.� �
04
04�-r 3 73tIL CCL- Mld_yy 17J SA -
LAP Total Pa �. OU
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant
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HOME OF PELICAN ISLAND
Certificate No. 2362
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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:
Joseph Carrano
358 Fleming Street
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niche 17dsa
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 22nd day of January, 2013.
CITY OF SEBASTIAN, FLORIDA
s
�"AI Minner
City Manager
ATTEST:
,
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f
Sally aio, MMC
City Clerk
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�iC?ioriE C3F P�LICAhI 95iAht�
City of Sebastian Nlunicipal Cernetery Purchase Receipt
,�
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��
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum
��
Dollars ($� )
—� —__ _
on this. ��N� day of , 20� for the purchase of the following described
Cemetery Lot(s) and/or Nich s).
Unit � , Block ��, Lot(s
Niche(s) � � �� 1�C�
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 = $2
Vase and Ring for Niches (cost)
Temporary Marker Preparation & lnstallation
l
' natu e of Purchaser
Opening & Closing
Interment
/W O H
Circle One
Disinterment
IV�/'n1L�P�lA A li�v
C�-6f Sebastian
The following documents were provided as Proof of
Residency:
!:\VVW-DATA\Ms-Cemeteryl.R FC F I PT. c�oc
1 and
CITY OF SEBASTWN
CITY CLERK�S oFF►�E . 4 7 8 2
RECEIPT
Name � '� � ❑ Cash
Date I � �o� —�`� � � Check #�
No.
001001 208001 Sales Tax
001501 322900 Garage Sales
001501 341920 CopieslBid Specs.
001501 341910 LDCICode of Ordinances
001501 341930 Election Qualifying Fees
Amount Paid
601010 343800 Cemetery Lots -
LotlNiche �.�lock�, Unit -J
001501 343805 Cemetery Fees
��ry ��
Total Paid C���.L
. . Is
White - De t. o Origin • lfellow - Finance • Pink - Applicant
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