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HomeMy WebLinkAbout4-46-14Name G-/O L / R . Unit Y Block Lot y Date of Mark -out 7- 3 J l-iJ Date of Burial Name of Furneral Home rLA-rt V1 Authorized by �— Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian Municipal Cemetery Contact Information: City Clerk's Office Bridget Eakins City Hall, 1225 Main Street Sebastian, FL 32958 Phone (772) 388-8216 bea kinsCacitvofsebastia n.ore Funeral Home:Strunk Funeral Home Address:_1623 N. Central Ave, Sebastian FL 32958 Phone: 7725891000 (Check) _X_Open Burial Lot Unit-4— Block_46_ Lot_14_ Open Cremains Lot Unit_ Block_ Lot_ Open Columbarium Niche Unit_ Block_ Niche_ Burial Date and Service Time: _August 1, 2025, Friday I 1 AM Deceased Name: _Holly R. Bingham Name and Signature of Lot Owner or Representative: (Must provide proper documentation of ownership) Print Name Signature Date Address Phone Number I certify that I have determined the ownership of the above -described site that all site fees and administrative fees have been paid and opening of same. Name and Signature of Licens u 1 Dire Sandy Mastrando 77/�"_X �_ _ Print Name /`nature Date I certify that I have checks�ership information by viewing the owner's deed and confirming with Clerk's Office and that all fees have been paid: Cemetery Certification: Cemetery r Date This form is to be provided to Clerk's Office for permanent record upon completion. Strunk Funeral Home - Sebastian HOLLY R BINGHAM ( June 10, 1934 - July 20, 2025 ) In Loving Memory of Holly R. Bingham June 10, 1934 —July 20, 2025 With grace, strength, and unwavering faith, Holly R. Bingham of Jasper, Georgia peacefully passed away at the age of 91. Born on June 10, 1934 to Edwin and Willie Kate, Holly grew up surrounded by Southern warmth and timeless her throughout her life. values that remained with A devoted wife, Holly married the love of her life, Frank D., on October 28, 1988. Together they built a life filled with kindness, dedication, and quiet joy until his passing. Holly's deep love extended to her family, whose lives she enriched with wisdom, compassion, and tireless encouragement. Professionally, Holly carved out an admirable path as a real estate broker, specializing in residential homes. Her career wasn't just about property — it was about helping others find a place they could truly call home. Faith was the cornerstone of Holly's life. A member of the Kingdom Hall of Jehovah's Witnesses, she carried her beliefs with dignity and shared them through acts of selflessness and love. Her faith served as a steady light for those around her, especially during life's most challenging moments. Holly is preceded in death by her beloved husband Frank; her parents; her daughter Kathleen Diane ; and Michael . Her legacy continues through the hearts of her surviving children, Lyn ( Bart ) and Evelyn ; 7 grandchildren; 9 great-grandchildren; and 3 great -great grandchildren. Each generation carries pieces of Holly's strength, charm, and steadfast faith. Her presence was like the Southern sun —warm, reliable, and radiant. Holly will be deeply missed, but her story will live on through the family she so dearly loved and the many lives she touched. CITY OF SEBASTIAN 17062 `F`INANCE DEPARTMENT RECEIPT Name L]t Y1 11 f��� ❑ Cash /vt—r l "' �2 Date �IQ5 _ IXCheck # yC.t_Vyp J 1 ❑ Credit Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001 208001 Sales Tax 450010 369900 Airport Badge 450010 362521 AP Shade Hangar Rent 450001 208045 Airport Sales Tax 001501 347557 Community Center Revenue 001501 341920 General Fund Copies 001501 354100 Code Enforcement Fines 601010 343800 Cemetery Lot Sales 1 Fees 001501 343805 Cemetery 480010 341920 Bldg Dept Copies PD Shop with a Cop PD COPE PD Cadets PD SRT Total Paid IniU s White - Dept. of Origin • Yellow - Finance Dpt. • Pink - Applicant State of Florida, Department of Health, Bureau of Vital Statistics —' — BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: July 23, 2025 TRACKING NUMBER: 2025135278 1. DECEDENT INFORMATION Name of Deceased Date of Death HOLLY BINGHAM July 20, 2025 Place of Death -County City, Town or Location Name of facility, or street address if not a facility CLAY ORANGE PARK HAVEN HOSPICE Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lie. No.lReg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director/Direct Disposer Fla. Lie. No./Reg. No. SANDRA ASSUNTA MASTRANDO F764131 Medical Verification Statement Julie at the certifying physician's office, was contacted on 0712212026 by the funeral director listed above; he/she indicated that KAREN LYNNE LAAUWE, certifying physician, will complete and sign the medical certification 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. Permit Number: July 22, 2025 -5112 �-- Date Issued: July 22, 2025 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: SEBASTIAN 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. DH 326E, 10112 64V.1.011. Fiends Administrative Code Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian Municipal Cemetery Contact Information: City Clerk's Office Bridget Eakins City Hall, 1225 Main Street Sebastian, FL 32958 Phone (772) 388-8216 beakins@citvofsebastian.org Funeral Home:Strunk Funeral Home Address:_1623 N. Central Ave, Sebastian FL 32958 Phone: 7725891000 (Check) _X_Open Burial Lot Unit- 4-Open Cremains Lot Unit_ Open Columbarium Niche Unit_ Burial Date and Service Time: _August 1, 2025, Friday 1 I AM Deceased Name: _Holly R. Bingham Name and Signature of Lot Owner or Representative: (Must provide proper documentation of ownership) Print Name Signature Address Phone Number Block_46_ Lot_14_ Block_ Lot_ Block Niche Date I certify that I have determined the ownership of the above -described site that all site fees and administrative fees have been paid and opening of same. Name and Signature of 7S;na u 1 Dire Sandy Mastrando/cam � Print Name ure Date I certify that I have check�rship information by viewing the owner's deed and confirming with Clerk's Office and that all fees have been paid: Cemetery Certification: Cemetery Date This form is to be provided to Clerk's Office for permanent record upon completion. P~ldhyCEMETERYRe,~e, iptNo.....".~.' ......... D,ited~ ...... Lots 13, · 1~, :' ~t~$.~.~.'.9~ ....... ~N~.~S~..~f:] ....... .... Blk. 46, Un. 4 1 10 Ne~P~d$ '65'0" ..00 M°a~t~tt~ ....................... Holly R. & Frank D. Bingham- 6112 River Run Dr. S. (na~,,~,~ ~ ~ rot al~ ~rd o~) Sebastian, Fl. 32958 eme er Deeh NO. 1210 THIS INDE~TVa~ MAnE T~ .... l~h ........... d~y of .. M~Kg.b .................... x. D., ~8.~..., between thc City of Seb~s~n, a munlcip~ ~ratlen exist~g ~der t~ I~ws of ~e State of Florld~ as Gran~r and Frank D. and Holly. R. Binabam ............... 6112 River Run Dr. S., Sebastian, Florida 32958 o~ the ~.~ of Indian River au-I State of .... ~.~9~$.~ .......... ~r:.' ......................... ~ Grant~ WITNESSETH~ . 6 5.0..'0 0 ...... T~t t~ Or.to, roi ~d ~ ~a~fio. of *~ s~ of $ .... ; ..................... to it ~i ~aid, ~c m~lpt whereof ts her~wlth, a~ ~w~dgcd, does by ~ ~ru~nt ~t, ba~ ~, re.g, ~nvcy ~d ~ffum ~to t~ Gr~tce ......... ~ks, ~al repre~ntafives ~d as~s thc fo~nt pw~y dt~l~d ~ Seba~, I~ ~I County, Fin~, to~it: ~ of Lot(s) ~'3 ~-1 ~, Block,. ~ ~ ..... UNIT .. ~ .......... of ~ba~ mu~dp~ ~meic~ as pet P~t Number I ~e~o f Ie~rdad in Pht Book 2, at ~ge 65 of ~e p~c re~ ~ ~ offi~ of thc C~k of tM Ck~t Co~ of St. Luc~ Co~ty of F~tida; ~d ~d now ly~g ~d bcint ~ Ind~ River County, Finfid~ To Have and to Hold the same forever; p~ovidnd that saki property shah he used solely and exdus/vely for the interment of the human dead and shall be used, kept and maintained at all times in accol~lance with the rules and re~uiations, ordinances and ~esointions of the City of Sebastian. Flor/da, hereto- fore, now and hereafter adopted or provided for the government and operation of said cen~tery. Tho conditions, ~est~ictions and fequk~ments conta/ned in this instrument shell be covenants runnin~ with the land. In the event of the f~ilu~e of the owner of any property situated within said cemetery to ob- ser~e and comply with iuch rules, leguhfions, resolutions and ordinances and the conditions of the d~ed of conveyance thereof then the title of such owner in and to sa/d pr opeliy shall terminate and the same shall lovett to the City of Sebastian. Florida. IN WITNESS WHEREOF, The sa/d party of the rust pa~t has caused this instrument to be executed in its name and on its behalf by its Mayo~ and attested by its City Clerk and its col~orate s~al to be hereto affixed, the day and yea~ lust above wr/tten. CITY OF SEBASTIAN, FLORIDA ............ ........ Signed, Sealed ~nd Delivered .... ~ :.~. ................. STAT]E OF FI~ORIDA '~'