HomeMy WebLinkAbout4-06-24Name
Unit
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Lot :p
Date of Mark -out ` / /l�
Date of Burial �! ( Time 'OD
Name of Funeral Home
Authorized by
Certificate No. 2408
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Robin Hickey
105 King Fisher Way
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 6, Lot 24
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 6t" day of February, 2014.
CITY OF SEBASTIAN, FLORIDA ATTEST:
d
Joseph F. Griffin
Interim City Manager
Sally A., aio, MMC
City Clerk
CM 0
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HOME OF PEt.i# iSLA�riiE?
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
"
Name(s) '
l&J Xing FrShe-r WJ% Se-baSfi cc.ii FL- 3 7Y5S
Address
(- 7 7)
Area Code & Phone NurT
er
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
- lLii
CWL tk J'AM- GJ- _ 10,52( t C ' 'r — .. Dollars ($
on this day of , 20 for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
Unit , Block , Lot(s) 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: '�C y Pm
Corner Markers (set of 4 - $20) Opening & Closing oZ Jr U. D 0 /W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
TOTAL $ 61 L
1.
Signature of Purchaser City of Sebastian
I:1W W- DATA \Ms - Cemetery\REC E I PT.doc
The following documents were provided as Proof of
Residency:
and
Total Paid 12-5 ,00
Initials
White - Dept. of Origin • Yellow - finance • Pink . Applicant
CITY OF SEBASTIAN
CITY CLERKS OFFICE
RECEIPT
4840
P-4 b 1-4r) t L� �
Name
G/�l[ � ❑ Cash
Date a G7
�! YCheck#
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies /Bid Specs.
001501341910
LDC /Code of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots
G)�U.aQ
/
Lot/Niche'T ,Blocky, Unit
001501 343805
Cemetery Fees
z 5C): 0
Total Paid 12-5 ,00
Initials
White - Dept. of Origin • Yellow - finance • Pink . Applicant