HomeMy WebLinkAbout4-08-24aCertificate No. 2419
CITY W SEBSTI11
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
George & Mildred Michos
342 Benedictine Terrace
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 8, Lots 23a & 24a
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 19th day of May, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
C
Sally A. aio, MMC
City CI rk
a1Y Of
:: IX
HOME OF PELICAN ISLA39D
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
Ord(. j
Name(s
A Bred a ��
3q 2 6 ea-ed� c-h'n e- ff -rro -(- e, -5e -b (�S -1-i c-�
Address
(� -7 -J) J i R -8335
Area Code & Phone Number
ydrrie <k meslaence Aaaress of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
Dollars ($ jd�D. 00
on this C f� day of 20—Lq for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
Unit , Block , Lot(s) 3C, � 02gQL 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) Interment
Temporary Marker Preparation & Installation
SigQuLre of urchaser
/W O H
Circle One
Disintermen
TOTAL $ 1606. 60
4-4� /,kJ
of Sebastian
The following documents were provided as Proof of
Residency:
I: \VVVV- DATA \Ms - Cemetery\RECEIPT.doc
and
Total Paid 000'coC)
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
/, 8 7 O
`+ 8 I
"
`- 5 Lh
Name i
❑ Cash
Date 5 rl
[XCheck # /420-7
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies /Bid Specs.
001501341910
LDC /Code of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots
j
3a J 4
Lot/Niche , Block
Unit
001501 343805
Cemetery Fees
Total Paid 000'coC)
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant