HomeMy WebLinkAbout3-COL-32DsAName SC- "OtICAJ
UnP 3
Block C- O
Lot N# 3} 0151A -
Date of Mark -out _-
an
Date of Barlel "' —I b -ICI Tim- 10"06
Name of Funeral Horace" r r Cr
Authorized hr
CITY OF SEBASTIAN 11714
ADMINISTRATIVE SERVICES RECEIPT
Name
Date
001001 208001 Sales Tax
001001220000
001501362100
001501362150
450010369900
001001 218010
001501354100
001501347557
001501 341920
001501 351140
001501342100
001501329200
001501329300
001501329100
GcIScI
❑ Cash
`Cf Check# ��g7
❑ Credit
Security Deposit
Taxable Rent
Non -Taxable Rent
Airport Badge
CobraServe
Code Enforcement Fines
Community Center Revenue
Copies
Parking Citation
Police Security Services
Site Plan Review
SubdivisiondPlat Review
Zoning Fees
Amount Paid
u 3& L 32-b5A
Total Pai Kez
Initials
While - Dept. or Origin • Yellow -Admin. Svcs. - Pink - Applicant
Name
Unit
Block (- D
Lot %/
Date of Mark -out
/ Time-
Name
Date of Burial_? /5 fff i3 '
of Funeral Home
Authorized by
Certificate No. 2372
CC
IT
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
J. C. & Betty G. Holland
301 Biscayne Lane
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 32dsa
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 15th day of May, 2013.
CITY OF SEBASTIAN, FLORIDA
\AI Minner
City Manager
ATTEST:
Sally, Maio, MMC
City Clerk
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
Name J�c • 140110-nd
Date 7 - 1 2 - - 1 3
No.
001001 208001 Sales Tax
001501322900 Garage Sales
4794
❑ Cash
Check# 99 7k
Amount Paid
001501341920
Copies /Bid Specs. _
001501341910
LDC /Code of Ordinances _
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots _
CID " � /
Lot/Niche 32 SaBlock `I I Unit -3
001501 343805
Cemetery Fees _
150-60
dLJ4 Total Paid ()
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE Q
RECEIPT U
Name ,,I— C 6 ' QG (acid ❑ Cash pp
Date 4]— 15- 13 Check# l
No.
Amount Paid
001001
208001
Sales Tax
001501
322900
Garage Sales
001501
341920
Copies /Bid Specs.
001501
341910
LDCICode of Ordinances
001501
341930
Election Qualifying Fees
601010
343800
Cemetery LZzotss7
LoUNiche✓G&<A- Block 1 Unites
001501
343805
Cemetery Fees
W Total Paid
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
Date A10 1 Its -
TOO
TERMS
IN ACCOUNT WITH
s
l
% 4e
LP
U
p0
b
Stock Form 25812