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HomeMy WebLinkAbout3-77-08Cf1YOF ziiw HOME OF PELICAN ISLAND Certificate No. 2498 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: Mildred Trainor 1199 Brigadoon Street Sebastian, FL 32958 In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 3, Block 77, Lots 7 & 8 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 March, 2016. CITY OF SEBASTIAN, FLORIDA Joseph F. Griffin City Manager ATTEST: 4a�nette Willia rs, MMC City Clerk JOHN EDWARD TRAINOR March 7, 1927 — March 26, 2016 Mr. John Edward Trainor, 89, died March 26, 2016 at the VNA Hospice House in Vero Beach. He was born in the Bronx, New York, raised his family in Northvale, New Jersey and retired to Sebastian from Toms River, New Jersey in 2000. He was a US Army veteran and served as a Cannoneer for the 351st Infantry during WWII, where he earned the European African Middle East Northern Campaign Medal, the Army of Occupation Medal and the WWII Victory Medal. He retired as an elevator electrician with the IBEW Local 3, New York. Survivors include his wife of 65 years, Mildred A. Trainor of Sebastian, daughter Deborah Trainor of Westwood, New Jersey, sons John Trainor, Jr. of Nanuet, New York and Kevin Trainor of Northvale, New Jersey, nephew John Compossa of Holtsville, New York, grandsons Michael (and wife Lindsey) and Kevin Jr. 03/29/2016 17:46 FUNERAL. DIRECTOR'S REQUEST TO FOR BURIAL OPENING IN SEBASTIAN M For inforMAtion contact Kip Kelso . Cemetery se Sebastian MUnicipal Cemi (772) 589-2545 City Clerk's office City Hart, 1225 Main Str Sebes#fart, pt 32958 office (772) 388-8215 or 38 Fax: (773) 58"570 FUNERAL HOME: Strunk Funeral Horne and Crematory ADDRESS: 1523 North Central Avenue, Sebastian. Florida. 3235 PHONE#: 7723Q9--ICOQ OF ri c IpA 4 #5444 P.001/001 Schack Ones XXXXOPEN BURIAL LOT �.otffrBlock 7 Un t OPEN CREMAINS LOT Lot _Flock U t OPEN COLUMBA IUM NICHE Niche ock nit— - BURIAL DATE AND SERVICE TIME. Thursdav 3/31/2036- 11:0044 Chwel FOR DECEASED: John Edward Trainor Name NAME AND SIGNATURE OF LOT GINNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) A. Trainor d ka March 29'_2016 _Mildred Name Signature Date I certify that I have determined the ownership of the above descrih site the all si a fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin Timothy W. ME n in March 29,_2b'ls Date Name Signature echeckedvert" emeteth t I Sexto a ci the ownership information by viewing owner' dee and confirming with Clerk% office and that all fees have been paid: Cemetdry S xton Date This form to be provided to Clerk's Office by Sexton for permanent r cord upFn co pietion. State of Florida, Department of Health, Bureau of Vital Statistics OTU d BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: March 29, 2016 TRACKING NUMBER: 2016051194 1. DECEDENT INFORMATION Name of Deceased Date of Death JOHN EDWARD TRAINOR March 26, 2016 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lie. No./Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director/Direct Disposer Fla. Lie. NoJReg. No. TIMOTHY W. MARVIN F022789 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: 2016-FO41870-5042 ,A jam--- Date Issued: March 28, 2016 State 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: j 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-1.01 1, Florida Administrative Code CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT p 9 9 9 g Name /' t %5. �Y//GZ ( n O r ❑ Cash Date .�-,� U f' b aCheck # rU3 ❑ 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 001001 218010 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 601 343800 Z000.00 f Total Paid 2000-4) 0 Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT09997 Namec5b'un k►'a i n Or Q Cash Date -.�����p 3,dheck#7y00 ❑ 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 001001 218010 Alarm Permits 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 oOi50i 3y3ko5 c�fc 15o.0o Total Paid 15o, 0� White - Dept. of Origin • Yellow - Finance • Pink - Applicant ' / 3 Name Unit Block Lot Date of Mark -out 3z3a //(- Date of Burial J /3 ! /!± Time /l • cfl� • C ` K ��� Name of Funeral Home— Authorized ome Authorized by