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HomeMy WebLinkAbout4-03-24Name �� G • ���tt/�s�''� ��1� Unit IK Block Lot a� Date of Mark -out 1146. Date of Burial / Time Ll 'G ' �. ^ k��QL Name of. Funeral Home Authorized by 1�a Certificate No. 2501 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: Owen & Theresa McParland 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 24 & 25 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 15th day of April, 2016. CITY OF SEBASTIAN, FLORIDA 4� r Joseph F. Griffin City Manager ATTEST: anette Williamsm-JNtC`-:.ti' ity Clerk OWEN CARROLL MCPARLAND May 29, 1954 - April 14, 2016 Mr. Owen Carroll McParland, 61, died April 14, 2016 at his residence in Sebastian Survivors include wife of 27 years, Theresa Marie McParland of Sebastian, FL; brother, Eugene McParland and sister, Patricia Durkin. He was preceded in death by his brother, Kevin McParland. Visitation will be held 5:00 PM - 7:00 PM on Sunday, April 17, 2016 at Strunk Funeral Home, Sebastian, FL with a Prayer Service being held at 6:00 PM in the funeral home chapel. A Mass of Christian burial will be held on 11:00 AM, Monday, April 18, 2016 at St. Sebastian Catholic Church, Sebastian, FL. Interment will follow at Sebastian Cemetery. Born: May 29, 1954 Death: April 14, 2016 04/13/2016 13:36 FUN�RAL DIRECTOR'S REQUEST TO FOR WRIAL OPENING IN SEBASTIAN OPEN COLUMB RIUM NICHE Niche N a BURIAL DATE AND SE VICE TIME: Monday 4/18/2016, FOR DECEASED: OIA en Carroll McParland NAME AND SIGNATUR OF LOT OWNER OR REPRESENTA (Must provide proper do umentation of ownership) Theresa Marie McParla OF 4 Un #5535 P.001/001 CEMETERY nit @ St. Sebastian Name Signature I certify that I have deter nined the ownership of the above desedbi ic site tha all sl fees have been paid anc authorize opening of same. NAME AND SIGNATUR OF LICENSED FUNERAL DIRECTOR: Gary D. Evans Gani . fFv Name Cemetery Sexton Cera I certify that l have chi office and that all fees /2. This form to bs Signature the ownership information by viewing been paid: , rr/ v _ Date to Clerk's Office by Sexton for pi [ 4/15/2016 Date e fees and administrative 4/1512016 Date and confirming with Clerk's For informatlon contact: wo Kelso .Cemetery Seen Sebastian MunicIP81 COM (772) 589'2545 City Clerk's Offlce City Haiti 1225 Main StR Sebastian, Flt 32958 Office (772) 388.8215 or 381 Fax. (772) 589-5579 FUNERAL HOME: 5tr nk Funeral Home and CrematorY ADDRESS: 1623 North entral Avenue Sebastian Florida 3295! PHONE#:7ZZ-__qRq-2Q 10 (,�k One) OPEN BURIAL. LT Lot 24i OPEN CREMAIN LOT Lot.Rlock_ OPEN COLUMB RIUM NICHE Niche N a BURIAL DATE AND SE VICE TIME: Monday 4/18/2016, FOR DECEASED: OIA en Carroll McParland NAME AND SIGNATUR OF LOT OWNER OR REPRESENTA (Must provide proper do umentation of ownership) Theresa Marie McParla OF 4 Un #5535 P.001/001 CEMETERY nit @ St. Sebastian Name Signature I certify that I have deter nined the ownership of the above desedbi ic site tha all sl fees have been paid anc authorize opening of same. NAME AND SIGNATUR OF LICENSED FUNERAL DIRECTOR: Gary D. Evans Gani . fFv Name Cemetery Sexton Cera I certify that l have chi office and that all fees /2. This form to bs Signature the ownership information by viewing been paid: , rr/ v _ Date to Clerk's Office by Sexton for pi [ 4/15/2016 Date e fees and administrative 4/1512016 Date and confirming with Clerk's cm or 77 - GO a 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. Owe. Th ere-Sa. MC 106-r laeid Name(s) 7 & �( AW 13y f'" 5tree-+ , 5aaZ tlo-4 F(- 32-252 Address (-7-7Z) Z2-9 % Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: tJu� ae-d 'I�4 �o-o �J�oilars ($ 4000. UO ) on this -5day of &Irl ( 20� for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit 41 , Block 3 , Lot(s) Zq ZS 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 - Vase and Ring for Niches (cost) Temporary Marker Preparation & Installation Signature of Purchaser Opening & Closing Interment /W O H Circle One Disinterment TOTAL $ ,ILAO(). City of Sebastian The following documents were provided as Proof of Residency: I:\W W-DATA\Ms-Cemetery\RECEIPT.doc and CITY OF SEBASTIAN 10073 ADMINISTRATIVE SERVICES RECEIPT Name me-19arland FOJYLit4 UCash Date 4 -15 —i & ❑ Check # 4 16redh Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees teiowlo 3y3k0o UUO.I)U u v 83 Lots Lyr-Z Total Paid 000- oD I 'tials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant . State of Florida, Department of Health, Bureau of Vital Statistics OYI d BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: April 15, 2016 TRACKING NUMBER: 2016061261 1 • DECEDENT INFORMATION Name of Deceased OWEN CARROLL MCPARLAND Date of Death April 14, 2016 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER SEBASTIAN 7686134TH STREET Name and Address of Funeral Home/Direct Disposal Establishment STRUNK FUNERAL HOME- SEBASTIAN F041870 Fla. Llc. No./Reg. No. Phase Number F041870 1623 N CENTRAL AVE (772) 589-1000 SEBASTIAN, FLORIDA, 32958 Funeral Dlrector/Direct Disposer Fla. Lic. No./Reg. No. 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-FO41870-5058 �� Date Issued: April 14, 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: i��'n Method of Disposition: Date of Dis ositio p 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. DH 326E, 10112 If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. 64V-1.011, Florida Administrative Code CITY OF SEBASTIAN 10075 ADMINISTRATIVE SERVICES RECEIPT Name N1-1hCRkUW-b ❑ Cash Date '''f'1 12 )16 qZ'�eck # � ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees OO I n ( -C . oo. U 4I Ba�- Total Paid Initi Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant