HomeMy WebLinkAbout3-COL-24DnBCertificate No. 2417
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Gerald R. & Patricia Ann Lussier
202 Cobia Court
Barefoot Bay, FL 32976 -2558
In and for consideration of the sum of $4,000 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niche 24 D /N /B
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 5th day of May, 2014.
CITY OF SEBASTIAN, FLORIDA
t
Joseph F. Griffin
City Manager
ATTEST:
Sally A. Wio, MMC
City Clerk
CR OF
EIE3ASTK
HOME OF PELICAN ISLAND
1225 Maim Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589 -5570 Fax
May 5, 2014
Gerald R. and Patricia Anne Lussier
202 Cobia Court
Barefoot Bay, FL 32976 -2558
RE: Interment Rights to Unit 3, COL, 24 D IN /8 Sebastian Municipal Cemetery
Dear Mr. & Mrs. Lussier:
Enclosed is City of Sebastian Certificate 2417 entitling you to full interment rights in Unit
3, COL, Double Niche 24 DIN /B.
If you have any questions, please contact our office at 388 -8215.
Sincerely,
Sally A. Maio, MMC
City Clerk
Enclosure
au �
. �•
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase. _
Name(s)
Address
od� (ob A-- &0'r
Area Code & Phone Num
Gt SS ie l'
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
�U
Dollars ($ Q °°
on this �-� day of , 20_L� for the purchase of the following described
Cemetery Lot(s) and/or Niche( ).
Unit , Block &--, Lot(sT a 6 N b Njehg )
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) L Interment
Temporary Marker Preparation & Installation
L34� ignature of Pu chaser
/W O H
Circle One
Disinterment
TOTAL $ �j DDo- CO
City of Sebastian
The following documents were provided as Proof of
Residency:
I: 1WW- DATAWIs- CemeterylRECEIPT.doc I and
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
4867
RECEIPT
Name U�-�L
a� -
❑ Cash
/�
//
Date
No.
Amount Paid
001001 208001
Sales Tax
001501 322000
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDCICode of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots
LotlNiche cN Block
, Unit,
Ofl1501 343805
Cemetery Fees
Total Paid
Initials
White - Dept. of Origin e Yellow - Finance *
Fink - Applicant