HomeMy WebLinkAbout4-13-18aO
�#
5����'��
_� . �. ..��,
� �.:
HOME OF PELICAN ISUND
Certificate No. 2038
��� ��� ���������
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Robert Gatchell 159 Caprona Street, Sebastian, Fl 32958
(name) (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 plot:
Unit 4 Block 13 Lot 18a & 18b
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 30th day of August, 2005.
CITY
�
, FLORIDA
ATTEST:
W _
Jeanette Williams, CMC
Deputy City Clerk
O
.
O O
� i
.. _
C '
Name Q� � �' � �!'� � .���. �' `,�;�---�,'�"'�• �
Unit
Block
Lot / � �� /' l�
� �` .�,�.--
Date of Mark-out �� � ��
Date of Burial Q:� Time ��t�' �' �
9 �i�`/
Name of Funeral Home=
i.
Authorized by '
r �
I � � k
N
,;,�r.��, ,,
.�-�� ..,�'� ��'
. . �
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — Fax (772) 589-5570
August 30, 2005
Mr. Robert Gatchell
159 Caprona Street
Sebastian, Fl 32958
Dear Mr. Gatchell:
Enclosed is City of Sebastian Certificate 2038 for the purchase of Cemetery Lot 18a & 18b,
Block 13, 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.
Sincerely,
�� _ _
anette Williams, CMC
Deputy City Clerk
JW:ar
enclosure
��
������
—�,. ; . , .
Y,
�,
HOME OF PEUUN ISW�iD
City of Sebastian Municipal Cemetery
Purchase Receipt
0�
��
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
BraG�i�d at time of purchase
a�GrP,� � C� afr���
Name(s)
iS�� G�•eo.v� �� o��,Q�'.�%.9.�, f--�, �dZy".s�8
,
Address
77z �-s�/ �- s� �f� _- C'� //: ��a � 7�6 -/y'� /
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
OfiFice Use Only
is acknowledged in the s m of:
��/
� ,�__ee�_ �i�
Dollars ($,�Q D _ � d )
on this day of , 20 �for the purchase of the following
described Cemetery Lot(s) an or Niche(s).
Unit �, Block �_, Lot(s),/���� 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) Interment
�,� °d � o H
Circle One
� � Disinterment
%'s"- a�-
Signature of Purchaser
�,
of Sebastian
Service fees are to be paid at time of need only
I:\W W-DATA\Ms-Cemetery\RECEI PT.doc
:� � tny��p
:. �D �� mmD�
� � `n = DV uDiDA W
� 0�. 0 �� m< 1�C�
' � ��`= zom�
- � zr�
��Zy
v p , ��� �
�'. 61-i m �
e r � �''�� �m
'= 4' D r
_ �
= n�
w O �
r
O
' L!1 �, � 3"r'
.0
F � �'�
F
� �..
� 1
3 � , �
r * �
� m �
0'� �
�. .
,
0
'" � '•'
a �" �N �';;
:.>d°� `u
—` � X
� O ` ��
� � �.�' �
;(�j � F-1
- �! h Cp
. �� `! � �
�
:z ,
„r �f� .. . .,.°
L
Name
No.
001001208001
001501322900
001501341920
001501341910
001501341930
{Jll�O�O �dVW
001501 343805
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 3 4 0 2
RECEIPT
' il�,��C'�� .�0, ❑ Cash
�� k#f17��
�0 0 �
Amount Paid
Sales Tax
Garage Sales
CopieslBid Specs.
LDCICode of O�dinanoes
E�tion Qualifying Fees
Cemetery Lots ,�d' ��
LoUNkhe�t�, Bbdc �� . Unit�
Cemetery Fees �DO
�
Total Pald ���Dd
InWals
White - Dept of Oripin • lf�llaw - Finmca • Pink • Applic�nt
P. F. G. GATCHELL 6OHG
1346 Barefoot Circle
Barefaot Bay. FL 32976 I�`�751/631
ewwcri ooem
Date
. �-- `
Pay to the � �� (' v
order of 1' `�J
� � ^ s.��.�„
❑ Fulwu
/ a� � t B�cF Il on
� V
� WACHO /'
Wachovia Bank, N.A. � �" � �
wa ovia.cpm /
For
� c
�:063 L075 L3�: L090 O L650455��' 608
xr
I
i
� I