The URL can be used to link to this page

Home My WebLink About4-03-21Namew,4dee=7— 1 :rH-Z a Unit Block Lot Date of Mark -out Date of Burial ! l I ✓ t5�- Time Boa -4• ome Name of Funeral Home— Authorized Authorized by 4 . ;�� My L -f EBAST S HOME OF PELICAN ISLAND Certificate No. 2465 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: Jean Ihle 1533 Coral Oak Lane Vero Beach, FL 32963 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 lots: Unit 4, Block 3, Lots 21 & 22 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 7th day of July, 2015. CITY OF SEBASTIAN, FLORIDA Joseph F. Griffin City Manager ATTEST: �'Y' ;7 /v�— Sally A. io, MMC City Clerk ALBERTJOHN IHLE June 23rd, 1939 -July 2nd, 2015 Albert John Ihle, 76, of Vero Beach, FL, passed away Thursday, July 2, 2015. He was a native of Cincinnati, Ohio and a member of St. Sebastian Catholic Church in Sebastian, FL. Albert is survived by his wife, Jean E. Ihle of Vero Beach, FL. Jul 09 15 03:57p Cox Gifford Seewinds 772-562-0983 p.1 Jul 0915 03:25p FUNERAL ADDRESS PHONE A Seawinds Funeral Home 772-589-1939 p.1 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY m,. TIME P K1ICANKVlID For infcrmation contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 569-2545 City Clerk's O.Ffice City Nall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 cr 388-8214 (Check One) V OPEN BURIAL LOT LotBlock_3 Unarm OPEN CREMAINS LOT Lot Block Una OPEN COLUMBARIUM NICHE Niche Block Una 11 N S E_W BURIAL DATE AND SERVICE TIME. CAYYI FOR DECEASED: Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Name Signature Date I certify that I have determined the ownership of the above described site, that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED =UNEP DIRECTOR: -7/cl AS Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: 71"01) S Cemgtery Sed on Date This form to be provided to Cleric's Office by Sexton for permanent record upon completion. State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: July 9, 2015 TRACKING NUMBER: 2015101946 1. DECEDENT INFORMATION Name of Deceased Date of Death ALBERT JOHN IHLE July 2, 2015 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH 1533 CORAL OAK LANE Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. NoJReg. No. Phone Number COX-GIFFORD SEAWINDS FUNERAL HOME & CREMATORY F073377 F073377 (772) 562-2365 1950 20TH ST VERO BEACH, FLORIDA, 32960 Funeral Director/Direct Disposer Fla. Lic. No.IReg. No. TARA MAGINNIS F022699 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2015-F073377-5334 Date Issued: July 2, 2015 Spate Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place Of Disposition: SEBASTIAN CEMETERY Method of Disposition: BURIAL Date of Disposition: EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E, 10/12 64V-1.011, Florida Administrative Code CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT 9909 Name J( -.L ovi le. ❑ Cash Date 1-7-15 E Check # ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit - 001501 362100 Taxable Rent - 001501 362150 Non -Taxable Rent - 450010 369900 Airport Badge 001501 329500 Alarm Permits 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 369900 Miscellaneous Revenue 001501 359000 Other Fines/Forfeitures 001501 351140 Parking Citation 001501 342100 Police Security Services 66i501N, 905 uy 83 1-2,1 127- 11660. 0 mQ Total Paid go0U-o0 Initials While - Dept. of Origin • Yellow - Finance - Pink - Applicant CITY OF � r I 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. Name(s) - 1533 Coral Oak (.ah _ Vera Beach FL 329&3 Address 0 7 Z) Z 3 N- 7Z 114 Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: lars ($ 400U, 00) on this day of 20- for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit —! , Block 3, Lot(s) Z 1, Z Z Niches) 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 1 Sig at re of Purchaser I:1W W-DATA\M s-Cemetery\RECEI PT. doc Interment /W O H Circle One Disinterment TOTAL $ ztf'o-c� � �el Pty of Sebastian The following documents were provided as Proof of Residency: