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 '~'