HomeMy WebLinkAbout4-45-14Name
Unit
Block 77
Lot [_!' ,/ CU)
Date of Mark-out—it
All S
Date of Burial �/� Time !I ',D/4 / V e F Y f6 1 D C
Name of Funeral Home
Authorized by -
Terranova Funeral Home: Obituaries
Terranova Funeral Home
Marjorie A. Garvey
(December 17, 1921 - August 20, 2017)
MARJORIE A. GARVEY, age 95,
passed away on August 20, 2017. She
was the beloved wife of the late Thomas
J. Garvey. Born and raised in Chester,
PA, she graduated from Chester High
School. She was a resident of
Brookhaven, PA, for 30 years while
raising her family; then she spent 30
years of retirement in Barefoot Bay, FL,
and in her 90's she lived with her granddaughter, Colleen and grandson -in-
law, Richard Simmers in Burlington, NJ. She dearly loved "her Tommy,"
her children and grandchildren, her nieces and nephews, her dear brother and
sister. She was hostess at the Tea Room in Swarthmore, PA, for 20 plus
years where she learned of the attack on Pearl Harbor while serving Sunday
dinner! Marjorie cherished her summers in Cape May, NJ, hosting family
get-togethers, loved writing notes and keeping in touch with family and her
many friends, "fishing" vacations with Tom up and down the east coast and
Barefoot Bay activities with "the gang" - who are all gone now. Margie's
favorite saying was "I had a wonderful life"! And she WAS a wonder of love
and kindness to all her family and friends. Daughter of the late Eugene A.
and Mabel (nee Williams) Glenney; she was predeceased by her siblings
Eugene (Ooge) Glenney and Mary Glenney Zimmerman. She is survived by
daughter Jean (Salvatore) DeMarco and by son, Thomas J. (Donna) Garvey,
Jr. both of Florida. Also survived by 4 grandchildren: Colleen (Richard)
Simmers, William (Emily) McVeigh, Katie Garvey and Tommy Garvey and
by many much loved nieces and nephews. Interment will take place at
Sebastian Memorial Cemetery, Sebastian, Florida.
Back
Page 1 of 1
https://prod4.meaningf ilfunerals.net/th/print.cfm?type=obituary&o_id=4344876&th id=1... 8/29/2017
:vF
GOOO1 i n"O5
NEW JERSEY DEPARTMENT OF HEALTH
STATE FILE NUMBER
20170046808
CERTIFICATE OF DEATH COPY
la. Legal Name of Decadent (First, Middle, Lad, Suffix)
Marjorie A Rosenblad
LIMB
10. Also known As (AKA), If Any (First, Middle, Lad, Suffix)
ONL
Marjorie A Garvey
2. Sex
3. Social Security Number
4a. Age
5. Date of Bind (MNDayyYr)
Formal.
95 Years
12117/1921
6. Birthplace (City & StaferFomign Country)
Cheater Pennsylvania
7a. Residence -Stale ]b. County
7c. Municipality/City
New Jerse Burlin ton
Riverton Borou h
7d. Street and Number
7e. Apl No.
7t. Zlp Code
7y.. Inside City LMits?
303 Bank Avenue
06077
Yes
Be. Ever in US Armed Forces? Bb. If Yes, Neme of Wer.
Bo. War Service Dales (FmMro):
No
9. Domestic Status at Time of Death 10.
Name of Surviving SpouselPanner (Name given of birth or on blah certificate)
Widowed
11. Father's Name (First, Middle, Last)
Eugene Glenne
12. Mother's Name Prior to First Marriage (First, Middle, Last)
Mabel Willlama
13a. Name of In(mrtlant
13b. Relationship to Decedent
Colleen M Simmers
Grandtlau hter
13c. Mailing Address (Street and Number, City. State, Zip Cede)
12 Ridgewood Way,Burlin ton, NJ 08016
14. Method of Ouq msili0n 15.
Place of Disposition (name of cemetery, crematory, other)
16. Location- City & Stale/Foreign Country
Cremation
Allied Crematory, LLC
Bensalem, Pennsylvania United Stales
17. Name and Complete Address of Funeral Facility
Terranova Funeral Home Inc 402 White Horse Pike Haddon Heights. NJ 08035-1707
18. Electronic Signature of Funeral Director
19, NJ License Number
Leonard7erranova
23JP00404600
20. Decedent Education
21. Decedent of Hispanic Origin?
22. Decedent Race
High school graduate or GED completed
Not Spanish/Hispanic/Latino
White
23. Omupalion of Decedent (Type of work done most oflife, even ifmdred)
24. Kind of Busvtesdlndusby
Hostess
Restaurant
25. Name and Address of Last Employer
The Towne House Media, PA
26. Dale Pronounced Dead (McvID y1Yr)
28. Name of Person Pronouncing Death
0812012017
lenniferSimone
27. Time Pronounced Dead (24 -hr) 29. License Number 30. Dale Signed (MmDayYYr)
1210 26NR12926500 06/20/2017
31. Date of Death (MamDey/Yr)
32. Time of Death (24 -hr)
33. Was Medical Examiner Conladed?
34. Place of Death
08/20/2017
1210
No
Hospice Facility
35a. Facility Name (It not institution, give street and number)
Samaritan Hospice
35b. Municipality 35c,
County
Voorhees Township
Camden
CAUSE OF DEATH: 36a' PART I -IMMEDIATE CAUSE -final disease or condition resulting in death. Subsequently list conditions, if any, leading to the
cause listed on Linea. Enter the UNDERLYING CAUSE disease orirVury that initialed the events resulting in deathLAST.
Immediate Cause
Interval Between Onset and Death
a.
-1 weeks
Due to (oras a consequence ot):
b.
Due to (ores a consequence ot):
G
Due to (oras 8 consequence of):
d.
35b. PART II - Enter other significant conditions contributing to death but not resulting N 37.
Was an Autopsy Performed?
underlying muse given in PART I.
No
38.
Were Autopsy Findings Available to Complete Cause of
Acute Renal Failure
Death?
N ofApplicable
39. Date of Injury (MaVayYyq
q0. TMa of Injury (24 -hr)
41. Place of Injury (e.g. home, consframon sire, restaurant)
42. Injury at work?
43a. Location of Injury (Number and Street, Zip Code)
43b. Municipality qac. County
43d. Slate
44. Describe How Injury Occurred 45,
If Transportation Injury:
46. Manner of Death
47. Did Decedent
48. Did Tobacco Use
49. If Female, Pregnancy Stale
Have Diabetes?
Contribute to Death?
Natural _ _
No
No
I Not pregnant within thepostyear - -
so, Certifier Type
51. Name, Address, and Zip Code of Certifier
Codifying Physician or APN
Jennifer Elaine Chiesa
6 Eves Drive Suite 300, Marlton, NJ 08053
52. Electronic Signature of Certifier
53. License Number
54. Date Codified (Ma/DaylYr)
tenni er Elaine Chiesa
26MB09246400
08/20/2017
55. Electronic Signature of Local Registrar
56. District No. 57.
Dale Received
Case ID Number
MarianYCauser
VW]s 0812212017
1 1939196
DATE ISSUED: August 22, 2017
ISSUED BY:
Haddon Heights Borough
Marian Hauser, Local Registrar
This is to certify that the above is correctly copied
from a record on file in my office.
Certified copy not valid unless the raised Great
Seal of the State of New Jersey or the seal of the
issuing municipality or county, is affixed hereon. - Vincent T A
. rns)
RE las 111111 I1III VIII III (III Office of Vital itis
JUN
Registry
CITY OF SEBASTIAN 10742
ADMINISTRATIVE SERVICES RECEIPT
Name CVt irn
Q ova Qt -Q -I ❑
runCash
Date D 'ZN - Cl O'Check # 3i20_
Gol_Vcy q-145-13 U Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
r,)pI5nj 3143800 U/G 250-o6
L Total Paid 250,()0
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow -Admin. Svcs. - Pink - Applicant
400.00
List Price ~ ..................
..... ....
Thomas J. Oarvey, Sr.,
interred 3/11/88
Lots 13 & 14 NO~
No. Bm~ Smces...2. ..... Blk. 45, Un. 4
1163
Manum,ntmm"tt~ ....................... Marjorie A. Garvey
1112 Indigo Dr.
(ua~abo~mmu,~fo, C~eo~o.,y) Barefoot Bay, Fl. 32958
· .f ebastian
( emetery
NO.
1163
THIS INDENTUR]~ MADE ~ .... 3.3.~.~1 .......... day of ......... Manch ........................... A. D, 19..~8.,
~tween the City of Seb~a~ m m~inJp~ ~nt~ ~lat~g ~r the l&ws of the Sta~ of Flor~ as Order a~
y.
1112 Indigo Dr., Barefoot Bay, F1 32958
~ ~ G~W~ fo~ ~ ~ ~ra~ of ~. anm of $,......,.........800, O0 ......... re i~ ~ ~4 paM, ~ m~p~ w~f le hemw~ ~
~°fL°~{s)l~-~- , ,4.5 ...... UN~ ~ ........... of Sch~m~p~in~a~p~N~
Book 2, a~ ~ 6~ of ~ pub~o ~r~ ~ ~ uf~ of ~ C~k uf ~ ~ Co~ of SL Lu~ ~ of F~ ~ ~ now 1~ ~ b~
~ ~ Riv~ County,
To Have and to Hold the same forever; prey/dud that said p~openy she~ be.used solely amt exclus/vely for the interment of the hun~ dead and shell
be used, kept and maintained mu all times in accordance with the rains and ~egulations, ordin3nce$ and resolutions of the City of Schassia~, Finrida~ hereto-
fore, now and hea~afte~ adopted or provided for the govmmmont and operation of sit/d cemetery. The conditions, rest~ict/ons and te.q,,iromcnte conta/ned
in this instrument shall bo covertures runn/~ w/th the land. In the event o£ the faihu-e o£ the owner of any property situated within ~ cemetery to
sen, e and comply with iuch niles, xegulasions, tesolnt/ons and ordinances and the cond/t/ons of the deed of conveyance the~of then the title of such owner
in and to said property shah te~'mleate and the same shall revert to the City of Sebastian, Fletida.
IN WITNESS WI/EREOF, The sa/d pa~y of the fl~st part hem mused this instnuuent to be execuind in its name and on its behelf by its Mayor and
attested by its City Clerk and its collocate sanl to be hereto affixed, tho day and year fi~st above v~/tten.
Signed, Sealed and Delivered
STATE OF FLORIDA
CITY OF SEBASTIAN',
By
Mayor
~ STATE OF FLORIDA Z ////
VITAL STATISTICS ///~ ~/'~'
......... "~'"'~ APPLICATION FOR BURIAL-TRANSIT PERMIT ~/' <
A. (Type or Print) '
1. Name of First Middle Last DATE Month
Deceased Day Year
· H0tlRS j. GARV~Y EOAFT,,,H ~LM~CH-8~ 1988
D
2. Place of Death City, Town or Location
County Name of (if neither, give street'"a, ddress)
IHOI,4R l~I1/t~ ~ BFJ%CB Hosp. or ~ ~
Inst. ~ ~[~ ~T~ ~0S~ *
3. Name of Medical ~Physician Address Phone Numar
Certifier G~ R. E[~.T.~ D.0. ~ Medical Examiner [3855 ~.S.~ [ S~[~ ~R[DR 589-8992
4. Funeral Home/ Name Address Phone Numar (Area Code)
~ STRUNK FUNERAL HC~C~-SE~ASTiJ~ 1623 N. CENTRAL ALrg. S~TIAR, FLO~LtDA 305-589-1000
5. Check
Appro-
priate
Box
6. Funeral Director/
a [] The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
b [] 8 ~lff~
was contacted on 3/8/88 within 48
hours after death. He/she verified that this death was from natural causes, that there was no accident nor
other external cause of death, and that DR. N[~OmT.T.
will complete
and sign the medical certification of cause of death.
c []
medical certification.
was contacted on., . He/she verified that
, Medical Examiner, will complete and sign the
/__ Fla. Lic. No./Reg. No.
1672
Date Signed
3/8/88
S, BURIAL-TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No~.~.28'88-]-3!
[] A five day extension of time for filing the death certificate (exclusive of weekends} has been requested and granted. If it ~:annot be filed
within this time limit, a "Funeral Director/Direct Disposer Report!' will be fiJed with the Local Registrar of the County in which death oc-
curred.
[] No extension of time for filing thin, th certificate reque~ed.
Reglstrar or zv~,.J~ ~,n,,~. ~ ~7 ) r
Sub-Registrar Signature /~ ~7~f_.~,//'/~,~-,~y/~_~ Date Date Certificate
' '--- ~..--~r Issued:,, 3/8/88 Due:
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA
Signature Medical Examiner Date
or
Medical Examiner, ; gave authorization by telephone to
, Funeral Director/Direct Disooser. Date
The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after
death Js required for ali cremations.
~_~thod of Disposition:
,~, BURIAL r-I STORAGE
~] CREMATION [] OTHER (Specify)
Signature of sexton ) ~
or Person-in-Charge ) ~.
CEMETERY OR CREMATORY
r
pi ace o f D ,sposJtio n.~<'"'-/~-~"~-~ ~
Date of Dispoaition ~'//~-oC~oc~
This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton)
and returned within 10 days to the local County Health Department in the County where disposition occurred.
HRS Form 326, May 86 IReplaces Apr 81 edition which may be used}
(Stock Number: 5740-000-0326-2)
Name
Unit
Block ~'/
Name of Funeral Home -'~'~
Authorized by
05.111 REV. 4/06 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
VITAL RECORDS
REC,I )IDIOR INTERMENT OF CREMATED REMAINS
Full Name of Decede.Majorie A. Rosen
Sex Female RaXhite Age 95 Cause of Death
Place of Death
Voorhees -Camden
8/20/2017
Date Of Death
Township, Borou h or City - C unty
Name and Address Terranova Funeral Home, mc.
of Person to Whom
Remains are Given 402 White Horse Pike Haddon Heights NJ 0803
or Sent
Name of Crematory
Allied Crematory,LLC.
Address
Address of Crematory 854 Bristol Pike Bensalem, Pa. 19020 '
8/22/2017,����/�
Date of Cremation Signature of Crematory Official
This record will be completed by a crematory official in all cases where cremated remains are to be interred in a cemetery. It will be attached
in an envelope to the outside of the receptacle containing the remains, but inside the shipping wrapper if any, and be retained by the
cemetery as part of its records.
;tc,5.tfr REY.41N COMMONWGALTH OF PENNSYLVANIA.
0CPARTMENT OF HEALTH
VITAL. RECORDS
R€CORp FOR INTERMENT OF CREMATED REMAINS
Full Name of Decsc;Xrie A. Rosen.bla
�jd-.-
SexFie RacfNlute-_ Age 95 - Caus;e of Death, _
Place of N I Voorhees-Cainden — pate Of Death 8/20/2017
Tovwisfrp, BO-c;u rh or Cily - ,'r_Urity
Name and Address Terranov4 Funeral Horne, Inc.
or Person to Whom -
Remains are Given ,402 White Horse Pike 1-iaddon Heights NJ 08A8'me
OrSent - �._4 - -- -
Allied iemato L.LC. � Adtlre;>
Name of Crernatony—
Address of Crematory 854 Bristol Pike Bensalem, >?a. 19020
i/22/2017
Data v" Crembtirn/ 5i8nature of ,mmalory Official
This record will bo completed by a crematory official in all cases whore cremated remains are to be interred in a cemetery. It will be ettached
in an envelope to the outside of the receptacle containing the remains. but inside the shipping wrapper if any, anc ba retainer by the
cemetery as part of its records.
---------------------------------------
Certificate of Cremation
This Certifies that the remains of
Majorie A. Rosenblad
Who died on : August 20, 2017
Was Cremated on : August 22, 2017
at Allied Crematory, LLC
Case number: :i
17-10736
S
Crematory Official
1 ..
Certificate of Cremation
This Certifies that the remains of
Akriorie A. Rosenblad
Who died on : Auzust 20, 2017
if -'as Cremated on : Auffust 12, 1017
at Allred Crernatory, LLC
Carse ntamber:
17-10736
Cretnu+ory Official � ,�