HomeMy WebLinkAbout4-06-10Certificate No. 2397
CITY Off' DEB A -TIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Marion K. Puya
898 Grandin Avenue
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 6, Lots 9 & 10
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 6t" day of December, 2013.
CITY OF SEBASTIAN, FLORIDA ATTEST:
/1VAl Minner
City Manager
1
Sally A' Maio, MMC
"City Clerk
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S,jE0,AS1
HOME Of PELICAN ISLAND
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To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
j41V,q,P_ ; , d rLk- �, A
aM s)
Address ! i
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
�R. - VC te_rc tn
,J�I,EN1`G�� �` f �J�to✓t�2 �yt� OFFICE USE ONLY
Receipt is acknowledged in the sum of:
Dollars ($
on this_ CSC 441 day of DeCCW-6-e K , 2013 for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
Unit 'W , Block (o , Lot(s)
Niches)
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 1,50, 00 1W O H
Circle One
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installati
Signature of Purchaser
1 : \WVV- DATA\Ms- Cemetery \RECEI PT.doc
Interment
Disinterme
TOTAL $ 2_ l 5y. U o
C�
ty of Sebastian
The following documents were provided as Proof of
Residency:
and