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Home My WebLink About3-51-13Name CcflOS c,r..i t'S o9 `4y1 dt Unit 3 Date of Mark -out eI -w —11 Date of Burial 'I - 17 - I CI Name of Funeral Home Authorized by Time P. do Ci. foVcS.dL Strunk Funeral Home - Vero Beach CARLOS CENDEJAS LUNA ( October 26, 1938 - September 08, 2019 ) Mr. Carlos Cendejas Luna, 80, passed away September 8, 2019 in Vero Beach, Florida. Carlos was bona in La Yerbabuena Michoacan, Mexico and lived in Vero Beach, Florida. He retired as a harvester in the Agriculture industry Carlos was a member of Our Lady of Guadalupe Mission, Fellsmere, Florida. Survivors include his wife of 59 years, Ignacia Cendejas of Vero Beach; sons, Carlos Cendejas (Guillermina) and Jose Cendejas (Catalina); daughters, Teresa Cendejas (Gilberto), Emilia Cerda (Carlos), Olga Magana (Francisco), Guadalupe Garcia (Rogelio), Gmciela Spivey (John), Rocio Zamora (Jorge) and Alejandra Cendejas (Roberto). He also had seventeen loving grandchildren and eleven great-grandchildren. He was preceded in death by his parents, Miguel and Emilia Cendejas; brother, Juvencio Cendejas; sister, Consuleo Cendejas and grandson, Clifford Spivey. Memorial contributions may be made to Our Lady of Guadalupe Mission, Fellsmere, Florida. Visitation will be held from 10:00 AM to 12:OOPM on Thursday, September 12, 2019 at Our Lady of Guadalupe Mission, 12896 County Road 512, Fellsmere, Florida 32948 followed by a Mass of Christian Burial at 12:OOPM with Father Saints Mallya, celebrant. Burial will take place following the Mass at Sebastian Cemetery. Arrangements are by Strunk Funeral Home and Crematory, Sebastian, Florida. cur. StsA'sPrIAN AW .fig_ 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. =CrmAefo 0EAidei4-S Name(s) 85'6E- gq`*AvE. Uano QeAuf, ICG 3Au 7 Address -7 •4q 4 - Sc) 3 &)4 -Tr --a 6L, -,,q 1NcA vA Area Cade &Phone Number //��,4 obs I /� II j C EnII)ETLAS WA — 1166a,q,D. Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: Lkr y" 0 SA,�R) MJ OO i loU - Dollars ($ 4, 000. OG t'O) on this day of 20_ for the purchase of the following described Cemetery Lot(s) and/or Niche(s). unit 3 'Block ( Lot(s) / 3 +4 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 Comer Markers (set of 4 - $20) Opening & Closina Y/' 7s-0' co 1w O H Circle One Vase and Ring for Niches (cost) Interment Disinterment Temporary Marker Preparation & Installation 1S14 --->U„ JL Signature of Purchaser I:\WW4)ATA\Ms- emeteryURECEIPT.doe TOTIL $ -4, I n Sb, 00 l S-4-� City of Seban The following documents were provided as Proof of Residency and FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY VI 4.G Van I For information contact: Kip Kelso, Cemetery Sexton 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 Office (772) 388-8215 or388-8214 ctesta0citvofsebastian.oro FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) XXXX OPEN BURIAL LOT _OPEN CREMAINS LOT _OPEN COLUMBARIUM NICHE Lot 13 Block 51 Unit3 Lot -Block -Unit Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 1:00 PM Thursday, 9/12/2019, Sebastian Cemetery committal service FOR DECEASED: Carlos Cendejas Luna Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) lanacia Cendeias IAIA.aaia Celu(ejas 9/9/2019 Name Signature Date 656599th Avenue, Vero Beach, Florida, 32967 1 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 FUNERAL DIRECTOR: Jeff Gibbs Name Debt Gibbs Signature 9/9/2019 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: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. State of Florida, Department of Health, Bureau of Vital Statistics Fifflara BURIAL TRANSIT PERMIT HFALTH DATE PRINTED: September 9. 2019 TRACKING NUMBER: 2019146370 7. DECEDENT INFORMATION Name of Deceased Data of Death CARLOS CENDEJAS LUNA September S. 2019 Place of Death � County City, Town or Location Name of facility, or street address It not a facility INDIAN RIVER VERO BEACH 856599TH AVENUE Name and Address of Funeral HomelDiract Disposal Establishment Fla. Lt.. NoMeg. No. Phone Number STRUNK FUNERAL HOME. SEBASTIAN F0418T0 F041870 (7'!2)5894000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA. 32958 Funeral DlroctorlDlmcl Olspoaer Fla. Lie. No.IReg. No. JEFFREYGIBSS F107102 Medical Verification Statement Dr. Morel at the codifying physician's office, was contacted on 0910912019 by the funeral director listed above; helshe Indicated! that GUILLERMO F MOREL, certifying physician, will complete and sign Me medical codification of cause of death within 72 hours. 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. 2019-F 43 Permit Number: Seplem erg 2019 �-- Date Issued: Septembers, 2016 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authadtation given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place of Dlspositlow SEBASTIAN CEMETERY Method of Disposition: BURIAL Date of Disponfillicial EDRS maintains all statutorily required information regarding the death record ane 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,10112 MV -1.01 1, Fonda Aunumi ea w, Code CITY OF SEBASTIAN 11881 ADMINISTRATIVE SERVICES RECEIPT Name fnAGA0JA I l:EA11,E.TA' Date 13-10 "f 9 ' ❑ Cash %Check# %G(6 ❑ Credit Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001208001 Sales Tax 450010 369900 Airport Badge 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Panting Citation 001501342100 Police Security Services 001501 220030 PDSHOP 001501366602 PD SAFE 001501 366603 PO COPE &01010 .3 TOO ALcTs 14occ.00 Octal .3 906 ciG IS6.00 1!N 3 palKart L -Ts l3t) - � Total PAW, Iso' r_o InWals Whhe - Dept. of Origin -Yellow-Admin. Svcs. - Pink -Applicant