HomeMy WebLinkAbout4-31-49eCFFY OF
1
HOME OF PELICAN ISLAND
Certificate No. 2302
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Rita Davis & /or Christopher J. Reilly
119 Crawford Drive
Sebastian, Fl. 32958
In and for consideration of the sum of $2,400.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niches:
Unit 4, Block 31, Niches 49e & 50e
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 28th day of July, 2011.
CITY OF SEBASTIAN, FLORIDA
Al Minner
City Manager
ATTEST:
Sally . Maio, MMC
City Clerk
Certificate No. 2302
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:
Rita Davis & /or Christopher J. Reilly
119 Crawford Drive
Sebastian, FL 32958
In and for consideration of the sum of $2,400.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niches:
Unit 4, Block 31, Niches 49e & 50e
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 28th day of July, 2011.
CITY OF SEBASTIAN, FLORIDA
Al JA�I'L
Minner
City Manager
ATTEST:
Sally A. Maio, MMC
City Clerk
CITY OF SEBASTIAN / i
CITY CLERK'S OFFICE 4 I
RECEIPT
Name g I f a ✓ c• U i S ❑ Cash
-7— Z . ! [1 Check
#_ —
Date
Amount Paid
No.
001001 208001
Sales Tax
001501322900
Garage Sales
001501341920
Copies /Bid Specs.
001501341910
LDCICode of Ordinances
001501 341930
Election Qualifying Fees et
601010 343800
Cemetery Lots
Lot/Niche 4q�60Block Unit
001501 343805 Cemetery Fees
Total Paid
Initials
White -Dept. of Origin •Yellow - Finance •Pink - Applicant
My of
SIESAS
HOME Of PELICAN ISLAND
mat I l o9 a cdd re s s'
to b. B o x `7 0 7(e
City of Sebastian Municipal Cemetery Purchase Receipt
3Z2 7�
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
fQ b a \/ I s
Names)
v �t LL
! l 4 Cre WVoy-CA Dr-lve . EL 3Z t5,'?
Address
C-7 -7 z
Area Code & Phone I`
ZZS- - 9Zy9-
ber
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
Jw Jb� atyiA rw 0-0 Dollars ($ o/- '4 �� )
on this. �,� ` day of Ji, (`i 20 l ( for the purchase of the following described
Cemetery Lot(s) and /or Niche(s).
Unit 41 , Block 3 , Lot(s)
Niche(s) 4q d- 56
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) 7 Interment
Temporary Marker Preparation & Installation
Signature of Purchaser
/W O H
Circle One
Disinterment
TlITAI $
I V I PAL
of Sebastian
The following documents were provided as Proof of
Residency:
I: \WW- DATA \Ms - Cemetery\RECEIPT.doc O�
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LOT AVAILABLE FOR SALE
UNIT ,
BLOCK,
LOT