HomeMy WebLinkAbout3-59-01Name �obc�T
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Dale of Mark -out
Date of Burial ✓ D
Name of Funeral Home
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Seawinds Funeral Home & Crematory
Robert W Murphy
( July 29, 1947-June n, 2021 )
Robert William Murphy, age 73, passed
away on June 22, 2021 in Sebastian,
Florida.
He was bom in Bayside, New York to
the lam Edward and Margaret Murphy.
A US Army, Vietnam Veteran. Retires
assistant VP and manager of Elective
Benefits, Ann Consulting, San
Francisco, California.
Beloved husband m William M. Hosford. Loving brother of John (the lam
Carole) (Audrey Carey). Pre -deceased by adored sister, Marguerite
Conlan (the late Robert), and brothers Edward (the late Vera) and James
(the late Betty). Dear Uncle of Bunny, Matthews, Adrienne, Patti, Kathy,
Coleco, Margie, Erin, Cherokee, Linda, Karen, Britain, Wendy, John,
Jimmy, Marianne, Joe, and Danny. Predeceased by Niccecs Lynn, and
Vem, and Nephew James. He is also survived by many great and great.
great nieces and nephews.
Visitation will be helps at the Vero Beach location of Seawinds Funeral
Home on Monday, Jane 28, 2021. 1950 20th Street, Vero Beach, 32960.
Requiem Mass to be held on Tuesday, June 29, 2021 at St. Augustine of
Canterbury Episcopal Church, 475 43rd Avenue, Vero Beach, Florida.
Interment to follow at Sebastian City Municipal Cemetery, 1921 N.
Central Avenue, Sebastian, FL. 32958.
Condolences can be made through Seawinds Funeral Home website.
MOF
SEBASTIAN
HOME OF PELICAN ISLAND
Certificate No. 2761
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:
William M. Hosford
325 7oyhaven Drive
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 3, Block 59, Lots 1 & 2
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 25th day of June, 2021.
CITY OF SEBASTIAN, FLORIDA
P I E. Carlisle
City Manager
ATTEST:
w
nette Williams, MMC_
ity Clerk
anC4
SEBAST!N
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772)589-5330 Phone
June 28, 2021
Mr. William M. Hosford
325 Joyhaven Drive
Sebastian, FL 32958
RE: Interment Rights to Unit 3, Block 59, Lots f & 2 in the Sebastian Municipal
Cemetery.
Dear Mr. Hosford:
Enclosed is City of Sebastian Certificate 2761 entitling you to full interment rights in
Unit 3, Block 59, Lots 1 & 2 in the name of William M. Hosford.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Te `
Records Clerk
Enclosure
In IF
ROME or PEUCAN ISLAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser and person for whom lot is intended for interment
must be provided at time of purchase.
Willy PosFGrz�.
Name(s)
3as �oyl�ctJ bR. - 6A577AAI F(- 3z454
Address
-I-7a-a0a--7aa6 C-5)�,-754--9os7
Area Code & Phone Number1,���
abt�.-r . V
Name & Residence Address of Intended Occupant if Other Than Purc ha
OFFICE USE ONLY
Receipt is acknowledged in the sum of
�
o O// O U Dollars ($ �. (: CL1 • )
on this aS day of t] Un E 20ALfor the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 3 , Block -59 , 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 / w O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
Signatugnatu�re o ut� rchase� r Q
r
19W W-DATAWssC.eterytRECEIPT.d.
TOTAL
��S�Q
City of Saba 1
The following documents were providedasas) Proof
of
Residency:
'tJQ/ L-1 5 �. ode and )
Funeral Director's Request to City of Sebastian for Burial Opening In Sebastian
Municipal Cemetery
Contact Information:
Sebastian Municipal Cemetery
Phone (772) 589-2545
Fax (772) 228-9927
City Clerk's Office
Cathy Testa
City Hall, 1225 Main Street
Sebastian, FL 32958
Phone (772) 388-8209
clestaecitvofsebastian.org
Funeral Home: Seawinds Funeral Home
Address: 7 5 So nth FI .mina Street Sehwstian FI 329FR
Phone:777-SRq-1 pRR
(Ch !�� Open Bunel Lot
Open Cremains Lot
Open Columbarium Niche
Burial Date and Service Time: June 7R 7f171 12:30
Deceased Nam• Robert William Murphy
Lot)_ Block rZ Unit
Lot Block Unit
Niche_ Block Unit
(Cirdel N 5 E W
Name and Signature of Lot Owner or Repress
�Must provide proper documen lion of owre iu)4p 6/28/2021
Iliam Hosford !!�"`��``
Print Name Signature Date
I certify that I have detemtined the ownership of the above described site that all site fees and
administrative fees have been paid and authorized opening of same.
Name and Signature of Licensed Funeral Director.
Clarencia Ingram �'w.i.uu� W snannzi
Print Name s9nalure .r�,.arx, Date
I certify that I have checked the ownership information by viewing the owner's dead and confirming with
Clerk's Office and that all fees have been paid:
Cemetery Sexton Certification:
-//' n-a— G/ass1 aI
erhetery Sexton Date
This font to be provided to Clerk's Office by Sexton for permanent record upon comdelion.
CITY OF SEBASTIAN 13303
ADMINISTRATIVE SERVICES RECEIPT
Name sE�I.Jtru R-Ph�i OCash ��
Date��I 2.1 XCheck N,34��1�_
❑ Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001208001 Sales Tait
450010 369900 Airport Badge
001001 218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001001 220030 PD SHOP
001001220033 PD COPE
001001 220032 PD EXPLORER
010043 535270 PD UNIFORMS
601010343800 CEMETERY LOT SALES �J
001501343805 CEMETERY FEES
t 3 /51K Sq LDr 1
S rn Total P
mtials
White - Dept. or Origin - Yellow-Admin. Svcs. - Pink -Applicant
CITY OF SEBASTIAN 13298
ADMINISTRATIVE SERVICES RECEIPT
Name �asFceD /X.",/ ❑Cash
Date 6 a1q, l_ check# 7CO
❑/ Credit
Amount Paid
001501 362150 Non -Taxable Rent
001001 220000 Security Deposit
001501 362100 Taxable Rent
001001208001 Sales Tax
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001001220030 PD SHOP
001001 220033 PD COPE
001001 220032 PD EXPLORER
010043 535270 PD UNIFORMS
601010343800 CEMETERY LOT SALES
001501343805 CEMETERY FEES
E/ fi .,3 61K s7 Luis I+A INOaIs h
Total faida,
White - Dept. of Origin • Yellow-Admin. Svcs. - Pink -Applicant
State of Florida, Department of Health, Bureau of Vital Statistics
'- O��Qa BURIAL TRANSIT PERMIT
HEALTH DATE PRINTED: June 29, 2021 TRACKING NUMBER: 2021121599
1. DECEDENT INFORMATION
Name of Deceased Date of Death
ROBERT WILL" MURPHY June 22, 2021
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER SEBASTIAN 325 JOY HAVEN DRIVE
Name and Address of Funeral HomelDirecl Disposal Establishment Fla. Lie, Nodal, No. Phone Number
SEAWINDS FUNERAL HOME F0733H F073HO (n2)509-1933
735 SOUTH FLEMING STREET
SEBASTAIL FLORIDA, 32950
Funeral DlrectorM]Mct Disposer Fla. LIc. No.IReg. No.
CIARENCIA INGRAM _ _ _ F073926
Medical Varigcatlon Statement
OFFICE at the certKying physician's office, was contacted on 0612MO21 by the funeral director listed above; he/she Indicated Nat
MICHAEL ANTHONY VENAZIO, certifying physician, will complete and sign the medical certification of cause of death within T2
beam.
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: June-22 Jun2020.51a5
�-- Data issued: June n2, e
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number:
4• CEMETERY OR CREMATORY
Place of Disposition: SEBASTIAN CRY 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.
OH 320E, 10112
6aV-1 011, Florida Adrn,ravive Cone