Loading...
HomeMy WebLinkAbout4-28-26Name Unit t/ Block �L 5 Lot � b '7 r �� Date of Mark -out i r Date of Burial Time 3. }O pm (C-4 fily Ell Name of Funeral Home Authorized by t s i✓ �"� �C ��' y�� �� N 1• M LF SEBASTIM HOME Of vPELICAN ISLAND Certificate No. 1997 Ct"Y Of S,EBASTJAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Ruth A. Paasch (name) 219 Cedar Street, Sebastian, F1 32958 (address) in and for consideration of the sum of $700.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 4 Block 28 Lot —26— of 6 of the Sebastian Municipal Cemetery, as maintained on Tile in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS OF City day of December, 2004. FLORIDA I:1 q v , A Maio, City Clerk 0)_ 1 1 MY Or SEISASTMN Z , v HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, F132958 Telephone (772) 589-5330 —Fax (772) 589-5570 December 30, 2004 Mrs. Ruth A. Paasch 219 Cedar Street Sebastian, Fl 32958 Dear Mrs. Paasch: Enclosed is City of Sebastian Certificate 1997 for the purchase of Cemetery Lot 26, Block 28, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sincerely, Sally A. 'o, MMC City Clerk SAM:ar enclosure Cr0 HOME OF Pr1KAN GLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be at time of purchase Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only acknowledged in the sum of: Dollars ($ 1 -- - - on this , day of 20e_�l for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit , Block_, Lot(s) Niche(s) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. I—j Additional Fees paid at time of purchase: Corner Markers (set of 4 - $20) Opening & Closing Vase and Ring for Niches (cost) Interment Signature of Purchaser of Disinterment Service fees are to be paid at time of need on ly I:\W W-DATA\Ms-CemeterylRECEIPT.doc W O H Circle One FWIM"�� Q1Y OF SE KN HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FI 32958 Telephone (772) 589-5330 —Fax (772) 589-5570 December 30, 2004 Mrs. Ruth A. Paasch 219 Cedar Street Sebastian, Fl 32958 Dear Mrs. Paasch: Enclosed is City of Sebastian Certificate 1997 for the purchase of Cemetery Lot 26, Block 28, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sincerely, Sally A. Maio, MMC City Clerk SAM:ar enclosure t CITY OF SEBASTIAN CITY CLERK'S OFFICE 3201 ?i i - ❑ Cash m Name Dale,Check 0 �0. No. Amount Paid 1,r,J a -.p r -,W - - 001001208001 Sales Tax 001501322900 Garage Sales 001501 341920 CopieslBid Specs. 001501341910 LDC/Code of Ordinances - - 001501341930 Election Qualifying Fees- 6010103438DD Cemetery Lots- LoVNiche&,—, Block Unit� - 001501343805 Cemetery Fees - - Total P�,d 7 d .od Initials Whito-Dopt. of Origin • Yellow -Finance •Plnk-Applicent t �a III �Q m t y�a06. a? -C APPLICATION AND PERMIT FOR DISPOSITION OF HUMAN REMAINS COP USE BLACK INK ONLY—MAKE NO ERASURES, WHITEOUTS OR OTHER ALTERATIONS IA. NAME OF DECEDENT—FIRST (GIVEN) 1B. MIDDLE j 1C. LAST (FAMILY) 2. DATE OF BIRTH 3. -DATE DEATH 4. Wayne Charles Paasch MONTH, DAY, YEAR MON DAY, YEAR 5A. CITY OF DEATH 07 26 1951 12 23 2004 M 5B. COUNTY OF DEATH —OUTSIDE CALIF., 6. NAME, RELATIONSHIP, FULL MAILING ADDRESS AND ZIP CODE Mill Valley ENTER STATE OF INFORMANT Marin Russell & Gooch Funeral Chapel V V Vu 270 Miller Ave., Mill Valley, CA 94941 ACKNOOLEDO IRITOFAPPUCANT IG hereby anaMMp ss applicant Mat the Papamd daPMaMM staled herein laana al Ne altlx H.MI wal S.Nty Cade. and was auNMaad pursuant b. SaMW 710001 Na NeaIN PERMIT THIS PERMIT IS ISSUED IN ACCORDANCE WITH PROVISIONS OF 9A. AMOUNT OF D. SCIENTIFIC USE © D. TRANSIT TO OUTSIDE OF CALIFORNIA THE CALIFORNIA HEALTH AND SAFETY CODE AND IS THE AUTHOR. AUTHORIZATION OF LOCAL REGISTRAR ITY FOR THE DISPOSITION SPECIFIED IN THIS PERMIT NOTE: THIS PERMIT GMES NO RIGHT OF DEPOSAL OUTSIDE OF CAUFORNM 13..00 MY ANv cxgrvcE IN Dtspost- 9D. ADDRESS OF REGISTRAR OF DISTRICT OF DEATH — PFRMII IF DEATH OCCURRED IN CALIFORNIA 20 N. San Pedro Rd., Ste. 2006, SPOSH0WRNAL San Rafael, CA 94903 10 AUTHORIZED DISPOSITIONS C Ruth A. Paasch - Mother 3. CIF APPICABENUMBER 219 Cedar St. —IF APPLICABLE FD 633 Sebastian, FL 32958 BA. GNATURE OFAPPUCANT—Pe MbntNMDpmmal8B. DATE SIGNED asHaMs authambd by Oman loins SalayC.M. ► ;12/23/2004 E PAID 98. DATE PERMIT ISSUED 9C. SIGNATURE OF LOCAL REGISTRAR ISSVING PERMIT E. ADDRESS OF REGISTRAR OF DISTRICT OF DISPOSITON — IF DISPOSITION IS TO OCCUR IN ANOTHER DISTRICT IN CALIFORNIA O HECK APPLICABLE ITEMS FOR COgONOq'S USE ONLY 71 A. BURIAL (INCLUDES ENTOMBMENT) E. TEMPORARY ENVAULTMENi D. CREMATION DISINTERMENT I. I. DISPOSITION PENDING — REMAINS LOCATED AT !Name and Address) C THAN DISPOSITION A CEMETERYMATED REMAINS OTHER G. SHIP IN TO CALIFORNIA D. SCIENTIFIC USE © D. TRANSIT TO OUTSIDE OF CALIFORNIA 11 A. NAME AND ADDREBS OF CALIFORNIA CEMETERY 11B. DATE BURIED 11 C. SIGNATURE OF PERSON IN CHARGE OF BURIAL BURIAL CREMATION 12A. NAME AND ADDREBS OF CALIFORNIA CREMATORY 1128. DATE CREMATED: 12C. SIGNATURE OF PERSON IN CHARGE OF CREMATION SCIENTIRC 13A. NAME AND ADDRESS OF CALIFORNIA FACILITY RECEIVING REMAINS t13B. DATE RECEIVED , ,C. SIGNATURE OF PERSON IN CHARGE OF FACILITY USE 14A. NAME AND ADDRESS IN RECEIVING STATE OR COUNTRY WHERE 148. DATE SHIPPED ,C. ADDRESS AND SIGNATURE OF PERSON IN CHARGE REMAINS OR CREMATED REMAINS ARE TO BE SHIPPED TRANSIT Strunk Funeral Home, 1623 N. Central Ave OF PLACING WITH THE CARRIER Sebastian,R FL 32958 10, -NE SCATTERING/BURIAL ISA SUFFICIENT O IDENTIFY FINAL PLACE AND CA DISTRICT OF DRS OS TION.i DDRES—S, 9T DINT ON SHORELINE, OR OTHER DESCIPTION158 DAIE OF15C OF PERSONN 150. UCEE NUMBER OF AT SEA OR DISPOSITION OTHER THAN INA CEMETERY DISPOSITION CHARGE OF D SPOS17IONSIGNATURE CREMATED REMAINS D13 - IF BURIAL AT SEA, ONLY ENTER LATITUDE AND LONGITUDE /, ^, :POSER—IF APPLICABLE ri�� f nE 1) - CF `C OF THE G AND FORWARDING T THEREMAINS)PERMIT HI THE STATED PLACE OF DISPOSITION. THE PERSON C ARG OF DISPOSITION IS RESPONSIBLE FOR COMPLETING AND FORWARDING THE PERMIT WITHIN 1 D DAYS OF DISPOSITION TO THE REGISTRAR OF THE DISTRICT IN WHICH DISPOSITION OCCURRED OR DUPLICATE PERMITAFTER ONE YEAR FROM ISSUE DATE. OR THE DISTRICT NEAREST THE POINT WHERE THE CREMATED REMAINS WERE SCATTERED AT SEA. THE LOCAL REGISTRAR MAY DESTROY ANY ORIGINAL COPY 1 STATE OF CALIFORNIA, DEPARTMENT OF HEALTH SERVICES, OFFICE OF STATE REGISTRAR VS9 (REV. 3/03) CITY OF SEBASTIAN CITY CLERK'S OFFICE 3200 RECEIPT Nam Cash Date eckI'6� No. Amount Paid 001001208001 Sales Tax _ 001501322900 Garage Sales _ 001501341920 CoplesfEld Specs. _ 001501341910 LDCICodeofOrdinances _ 001501341930 Election Qualifying Fees _ 601010343800 Cemetery Lots _ Lot/Niche Block . Unil 001501343805 Cemetery Fees . Total Pald ,V a Qa White - Dept. of Origin • Yellow - Finance • Pink - Applicant M � ( S.CL4 w -�, wa-g/)e— c. P0.aSc,K _ A4, 131k d t, "-r z<. . 92 r-&,L� 12- Nt)ay- r ss8 g��� w0.•., e e iao-4t�w (3 tic za, U -A, z L� CITY OF SEBASTIAN CITY CLERK'S OFFICE 3201 QW..Mor Name 0 Cash Date heck# 993 No. Amount Pald 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC/Code ofOrdinances 001501341930 Election Qualifying Fees IF 601010343800 Cemetery Lots �G%JO•dl� LoYNlche a&— Block Unk 001501 343805 Cemetery Fees II Total Pald 7 Initials J White— Dept, of Origin • Yellow — Finance • Pink - Applicant WAYNE CHARLES PAASCH Wayne Charles Paasch, 53, of San Rafael, CA, died December I 23, 2004 at his residence after a prolonged illness. He was born July 26, 1951 in Doylestown, Pennsylvania. Wayne was a Computer Specialist and worked for various companies for 30 years. He was a graduate of Archbishop Curl- ey High School in Miami, FL, and graduated with an M.B.A. de- gree in Business from the University of Florida, Gainesville, FL. He moved to California where he worked and was a Vice -Presi- dent of Bank of America, San Francisco, CA. He left there to go to work for Charles Schwab as Director of Internal Auditing. He will be missed by his children, Christopher Wayne Paasch and Stefanie Nichole Paasch, his parents, Ruth and Robert Paasch of Sebastian, FL; and the mother of his two children, Wanda Paasch; his aunts; uncles; and cousins, to whom he was very close. The family will receive friends from 1-3pm., December 31, 2004 at the Strunk Funeral Home Sebastian, FL. A funeral service will follow at Spm in the funeral home chapel. Interment will follow at Sebastian Cemetery, Sebastian, FL. Wayne was a very loving and beautiful son and father he will be missed by all.