HomeMy WebLinkAbout4-08-07aCITY OF
HOME OF PELICAN ISLAND
Certificate No. 2420
C
ITY OFSEE-B-3ASSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
William H. Nill, Sr.
217 Periwinkle Drive
Sebastian, FL 32958
In and for consideration of the sum of $500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 8, Lot 7a
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 27th day of May, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
Sally A. M 'o, MMC I
City Clerk
�c.IC Q%md Total Paid L�
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4883
RECEIPT
Namev� I
(I(�rn� " f 1
11 Cash
Date 5-27-
I q
/ z
[)(Check# .)-q-3
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC/Code of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots
00,0
LoMiche -701- , Block
, Unit 41
001501 343805
Cemetery Fees
�c.IC Q%md Total Paid L�
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CITY Of
1 -1\ �.'
HOME Of PELICAN 'ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
/.'j I (It 6-OAH'\Ir ( I Sv-.
Name(s)
Address 21-7 Fort jfnk(e.bv-, Saba-Lhc-n FL 3ZY5E
qw(�/ 6&�q!�
Area Code & Phone Number
Name & Kesldence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
Dollars ($ 50 0. OS:)
)
on this 1. 7 ,4-[' day of & , 20� for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit ! , Block & , Lot(s) -�a 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)
Temporary Marker Preparation & Installation
Signature of Purchaser
Interment
/W O H
Circle One
Disinterme
TOTAL $
y of Sebastian
The following documents were provided as Proof of
Residency:
I:\WW-DATA\Ms-Cemetery\RECEIPT.doc
and