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HOME OF PEUGN ISWVD
Certificate # 1972
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Doreen Parker
(name)
P. O. Box 449, Roseland, FZ 32957
(address)
in and for consideration of the sum of 700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plots:
Unit_ 4_ Block _l4_ Lot 15 _
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 13th day of July, 2004.
Y OF SEB TIAN, FLORIDA A
(,~I ' ~-
., enc~~~ ~° oore y A. Maio, CMC
City 1'~Yanager City Clerk
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HOME OF PEUChN 15LhND
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 -Fax (772) 589-5570
July 13, 2004
Ms. Doreen Parker
POBox449
Roseland, Fl 32957
Dear Ms. Parker:
Enclosed is City of Sebastian Certificate 1972 for the purchase of Cemetery Lot 15. Block 14,
Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the
Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sincer ~y,
- / '-~
Sally A. o, CMC
City Clerk
SAM: ar
enclosure
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HOME OFPELICAN ISLAND
City ®f Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
s) _/.',
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Address
Area Code & Phone Number
Residence Address ofi Intended Occupant if Other Than Purch-aser
OfiFice Use Only
is acknowledged in the sum of:
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on this day of , 20~for the purchase of the following
describe Cemetery Lot(s) /or 'chefs). ~
Unit ,Block ~, Lot(s} ~ SJ 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:
Comer Markers (set of 4 - $20) Opening & Closing
Vase and Ring for Niches (cost}
~Si~ ture of P aser °~
Interment
Service fees are to be paid at time of need oniy~
W O H
Circle One
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OREEN J. KEEL ~o-9s 1.123
PH. 589-7974
PO-BOX 449 63-515/670
.GATE ~~- ~ ~~ 03
ROSELAND, FL 32957-0449
PAY TO THE ~ ~ ~~j ~y_~ I $ ~D~ ~ O~ ,.
ORDER OP 6d u-*rv V
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BANK AND TRUST COMPANY
THE SUPERCOMMUNITY$ANK`
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