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HomeMy WebLinkAbout3-59-01Name �obc�T tlnir Blo11. 51 Lot t !�1 Dale of Mark -out Date of Burial ✓ D Name of Funeral Home w_ /( �V Authorized by Timms �!/G FL, L 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