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S EI�AN
HOME OF PELICAN ISLAND
Certificate No. 2437
CITY 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:
Babbie Lou Cannon
1504 Eagles Circle
Sebastian, FL 32958
In and for consideration of the sum of $1,200.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niche 13Ssa
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 22nd day of September, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
Sally A. io, MMC
City Clerk
MY OF
HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
o -u r- a Cc.,.n n c r)
Name(s)
Address c --329r, -
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
Receipt is acknowledged in the sum of:
on this Z^- day of
Cemetery Lot(s) and/or Niche(s .
Unit 3 , Block C ( , Lot(s)
OFFICE USE ONLY
15- 'n Z)
v Dollars ($ 12-00, Do
20jy
for the purchase of the following described
Niche(s) /3Ss A
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
kSnatu—re of Purchaser
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL $ /200
City of Seba ian
The following documents were provided as Proof of
Residency:
and