HomeMy WebLinkAbout3-COL-18Certificate No. 2435
C
ITY SSEBASSTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Maria & Manuel Gaspar
7613 Chasta Road
Micco, FL 32976
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niche:
Unit 3, Columbarium, Niche 18dsa
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 16th day of September, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
Sally A. Ma- , MMC
City Cler
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Total Paid UC�U
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
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Name ' I r
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❑ Cash
Date C� �'
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No.
Amount Paid
001001208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501341910
LDC/Code of Ordinances
001501 341930
Elecboon Qualifying Fees
601010 343800
Cemetery Lots
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LoUNiche��Block Co I
Unit 3
,
001501 343805
Cemetery Fees
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Total Paid UC�U
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
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HOME of PELICAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
M 6(-r i 6- n u e( G as as r
Name(s)
+7&13 CMSta- kd ,yvlrCco, F(- 3Zg7
Address
0� )q71-35
Area Code & Phone Number
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
A .a YW /
/L''O
Dollars ($UOU, ori )
on this j (� ' day of SCpt . 20 /q for the purchase of the following described
Cemetery Lot(s) and/or Niche(s)'.
Unit 3 Block C0 1 , Lot(s)
Niche(s) / 9 d S ct
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)
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Opening & Closing
Interment
/W O H
Circle One
Disinterment
TOTAL $ 4/ 0 0 0.0 0
ity of Sebastian
The following documents were provided as Proof of
Residency:
I:\WW-DATA\Ms-Cemetery\RECEIPT.doc I and