Loading...
HomeMy WebLinkAbout4-12-16oryoF q � HOME OF PELICAN ISLAND Certificate No. 2620 CITY OF SEBASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Kathy Ann Racine 7645134 1h Street Sebastian, FL 32958 In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4, Block 12, Lot 16 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 15th day of March, 2019. CITY OF SEBASTIAN, FLORIDA ATTEST: Paul E. Carlisle City Manager anette Williams, MMC City Clerk -I On OF SEBAST" HOME OF PELICAN ISLAND 1225 Main Street Sebastian, FL 32958 (772) 589-5330 Phone March 20, 2019 Kathy Ann Racine 7645 134' Street Sebastian, FL 32958 RE., Interment Rights to Unit 4, Block 12, Lot 16, in the Sebastian Municipal Cemetery. Dear Mrs. Racine, Enclosed is City of Sebastian Certificate 2620 entitling you to full interment rights in Unit 4, Block 12, Lot 16 in the name of Kathy Ann Racine. If you have any questions, please contact our office at 388-8209. Sincerely, Cathy T Records Clerk Enclosure Glya SEBASTIAN ROME OF FWCAN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. n %Kkv`I A,\1 N 1� ft C I nJ c Name(s) '713LH/` ST' Address 77A- 3c-I4?Ao Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: 1/1 AL, Dollars ($e;?60O.ct 1 on this Ws"-\ day of KAr-44ZL4 Cemetery Lot(s) and/or Niche(s). Unit /4- , Block )a , Lot(s) 14c 20 19. for the purchase of the following described 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 - $20) Opening & Closino Vase and Ring for Niches (cost) Interment Temporary Marker Preparation & Installation Signature of Phrdhaser /W O H Circle One Disinterment (P=± ITOTALJ$ �� ©G IL�-� ��/ Qf�-�Q . City of Sebe)" The following documents were provided as Proof of Residency: l:\WW-DATAWs-CmeteqARECElPT.doe and CITY OF SEBASTIAN 11599 ADMINISTRATIVE SERVICES RECEIPT Name hACls❑ A1Cash Date 31i4 [J9 . 1 1Ll.Check# 14-,5-4 ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001 218010 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 001501329100 Zonis �c i c i e 3 �I 1FeeLL77- n, A LaT I16 iffials .Total lainx._ White - Dept. of Origin - Yellow -Admin. Sves. - Pink -Applicant