HomeMy WebLinkAbout4-06-11CRY OF
HOME OF PELICAN ISLAND
Certificate No. 2405
OF SSEEIBASSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Heriberto & Teresa Perez
994 Clearmont Street
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 6, Lot 11
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 3rd day of February, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
Interim City Manager
ATTEST:
1
Sally .Maio, MMC
City Clerk
Total Paid / QO 00
Initials
White — Dept. of Origin • Yellow — Finance • Pink • Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
Geri berfo Perez
Name
IkCash
'
3-1q
Date o?—
0 Check#
No.
Amount Paid
001001 208001
Sales Tax
001501322900
Garage Sales
001501341920
Copies/Bid Specs.
001501341910
LDC /Code of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots
dl LOy. 0 0
t I Block
LotMiche
Unit
001501 343805
Cemetery Fees
Total Paid / QO 00
Initials
White — Dept. of Origin • Yellow — Finance • Pink • Applicant
a7Y of
HOME OF PELICAN ISLAND C n
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
i4 &rr ber+6 4 e. re- s a Pere z
Name(s)
gq C(e0-rMb0r- S+-reef ebast;ai, FL-3295S
Address
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
LNf_ -M,&VA01kx . 0.. 0(- �/ a 0 Dollars ($ /0 00.0 0 j
on this 3 day of Fa
Cemetery Lot(s) and /or Niche(s).
Unit Lf , Block 6 , Lot(s) I
20 1 4L 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 & Closing
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
7
li�� lntofiAo
Signature of Purchaser
I: \W W- DATA \Ms - Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL $/000- 0 O
C(6 of Sebastian
The following documents were provided as Proof of
Residency:
and