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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 � ,�