HomeMy WebLinkAbout3-COL-33DsACertificate No. 2386
CJTY OF SEEMEASTI
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Raymond G. & Amelia K. Kitchener
426 Quarry 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 33dsa
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 25th day of June, 2013.
CITY OF SEBASTIAN, FLORIDA ATTEST:
Al Minner
City Manager
Sally A aio, MMC
ity Clerk
r.
Name ,
Unit
Block'
Lot
Date of Mark -out
Date of Burial Time Cqe
Name of Funeral Home f 11? i
Authorized by
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4397
RECEIPT
Name &,4- AmE -1IQ l\ i che,j1Q (Cash / f
Date 6— 2-5—),3 Check #
No.
001001208001
001501322900
001501 341920
001501 341910
001501341930
601010 343800
001501343805
Amount Paid
Sales Tax
Garage Sales
Copies /Bid Specs.
LDCICode of Ordinances
Election Qualifying Fees
Cemetery Lots j 2066,t) c)
Lot/Niche 134& Block ®! Unit 3
Cemetery Fees
00-6 e, 4- r i h 4 7q.yo
Total Paid()
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant