HomeMy WebLinkAbout4-02-17CITY OF
EBAST
HOME OF PELICAN ISLAND
Certificate No. 2461
UT V 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:
Ross 3. & Eleanor L. Wade
9295 78th Place
Vero Beach, FL 32967
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 2, Lot 17
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 27th day of May, 2015.
CITY OF SEB�ASTIAN, FLORIDA
lig,
Joseph F. Griffin
City Manager
ATTEST:
Sally A. io, MMC
City Clerk
CITY OF SEBASTIAN
FINANCE DEPARTMENT RECEIPT 1) g q g
Name Inn d- in r,5 OJU el ❑ Cash
Date__:'Z %� 5 yCheck#
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit -
001501 362100 Taxable Rent -
001501 362150 Non -Taxable Rent -
450010 369900 Airport Badge
001501 329500 Alarm Permits
001001 218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 369900 Miscellaneous Revenue
001501 359000 Other Fines/Forfeitures
001501 351140 Parking Citation
001501 342100 Police Security Services
foto 34SaoCemetery Lot zoo.O0
ug 1-1-7
Total Paid
Initials
White -Dept. of Origin - Yellow - Finance - Pink - Applicant
CITY OF (
J--D�_�.J
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at tim�of purchase.
�oSS d l�c�norLlA/ade
Name(s)
RZ
Address
7 -7.)-
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-'' Ptace , Vivo
-12Y
M Ft- 32Ot6 -7
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
�b-VL&kk4Gt-/Ld S G �u d �� Dollars ($_2000. oo )
on this day of 201 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit _r , Block _— —1, Lot(s) 1 1 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 / W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
2-
Sigl ature of Purch er
I:\W W-DATA\Ms-Cemetery\REC EIPT.doc
TOTAL $ ZOD . OU
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CQyjr of Sebastian
The following documents were provided as Proof of
Residency: