HomeMy WebLinkAbout4-45-28Name / �/�[ ik!c� r" o GCS_/ A X 15 XAI-< .
Unit
Block r
Lot
Date of Mark out %G
Date of Burial / �� Time
Name of Funeral Home S Ae. X
Authorized by
FRANCES TITELLO SOCCI
January 14, 1945 - August 10, 2017
Frances Titello Socci, 72, of Sebastian, passed away August 10,
2017 at her home.
Fran was born in Brooklyn, NY, on January 14, 1945 to Rose
and Joseph Titello. She went to high school at Stamford High
School in Stamford, CT and graduated in 1962. Fran worked as a
Teacher's Aide for Fairfield County Schools and she retired from
the United States Postal Service. She enjoyed everything in life
but she especially loved swimming, movies, games and spending
time with her family and friends.
Fran is preceded in death by her parents Rose and Joe Titello.
Survivors include her husband Peter, daughter Rosanne Socci,
daughter Lisanne Randolph, Granddaughter Hannah Rose Bums,
and her beloved Dachshund, Louie.
Visitation will be held at Strunk Funeral Home in Sebastian on
Friday, August 18, 2017 from 5:00 - 7:00 pm.
Funeral service will be held at St. Sebastian Church on Saturday,
August 19, 2017 at 11:00 am.
In lieu of flowers, memorial donations may be made to the
American Diabetes Association, 1101 N Lake Destiny Rd # 415,
Maitland, FL 32751or online at www.diabetes.org in her
memory.
lk,
Born: January 14, 1945
Death: August 10, 2017
CITY OF SEBASTIAN 10740
ADMINISTRATIVE SERVICES RECEIPT
Name nk I &cc-/
❑Cash
Date 2.111V 17
)`heck #7700 700
Ll 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
001501 3437067- O/L Aca4=Do
IJAf I r 4 Al K 45- /�-Ta8 -- O
�- L14 Total Pa d -
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
r_ For information contact:
Kip Kelso, .Cemetery Sexton
�j Sebastian Municipal Cemetery
j 11 1 Phone: (772) 589-2545
qFax: (772) 228-9927
City Clerk's Office — Cathy Testa
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388-8215 or 388-8214 ctesta(a)cityotsebastian.org
FUNERAL HOME: Strunk Funeral Home and Crematory—SEBASTIAN
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE#: 772-589-1000
(Check One)
XXXX OPEN BURIAL LOT
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TI
Lot-28—Block 45 Unit 4
Lot—Block—Unit
Niche Block Unit
N S E W
Saturday, 8/19/17 @ 12:00 Noon PRIVATE Graveside interment
after Mass at St. Sebastian CC
FOR DECEASED: Frances Titello Socci
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Peter Frank Socci 'Peter 1=ravuk socc'& 8/15/2017
Name Signature Date
126 Midvale Terrace, Sebastian, Florida, 32958
1 certify that I have determined the ownership of the above described site that all site fees and administrative
fees have been paid and authorize opening of same.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
Tim Marvin
Name
TK MCtrtthK 8/15/2017
Signature Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's
office and that all fees have been paid:
Cemetery Sexton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
09/15/2017 11:11 97008 P.001/001
FUNERAL DIRECTOR'S
FOR BURIAL OPEN
REQUEST TO C
NG IN SEBASTIAN MU41CIPAL
I rY OF SE
B
STIAN
ETERY
For information contact
Sebastian
pKelso, .CemeterySe
Municipal Cem
Phone: (712) 589-254,4
n
t ry
Pax: (772) 228-9927
Cit
Clerk's Office -- Cathy
fty Hall, 1225 Main tree
sta
t
Office (772) 388-82
Sebastian, FL 32958
5 or 388-8214 ctesta
it ofseba
n.or
FUNERAL HOME: Strunk Funeral H
me and Crematory—
13ASTIA
ADDRESS: 1623 North Central Avenue. _ebastian,
Florida, 32958
PHONE#: 772-589-1000
(Check Ones
XXXX OPEN BURIAL LOT
Lot_28—_BIo
Unit
OPEN CREMAINS LOT
Lot Block
Unit
OPEN COLUMBARIUM NICHE
Niche
ck
it
BURIAL DATE AND SERVICE TIME: Sa
urday, 8/19/17 @ 1t:00
Graveside interm
PRI
ATE
FOR DECEASED:
L[
ah
Br
at St. Sebastia
Name
NAME AND SIGNATURE OF LOT OWNEI
Z OR REPRESENTATIVE,-.
(Must provide proper documentation of owl
iership)
Peter Frank Socci
aw
5/2017
Name
128 Midvale Terrace, Sebastian, Florida, $2858
Signature
to
1 certify that I have determined the owners
fees have been paid and authorize openin
ip of the above describec
of same.
ite that all
i
fees and administr
NAME AND SIGNATURE OF LICENSED
UNERAL DIRECTOR:
Tim Marvin
Tk jutmLu
Signature
8'15/2017
to
Name
Cemetery Sexton Certification:
I certify that I have checked the ownership
office and that all fee have been paid:
nformation by viewing th
owner's de
nd confirming with
e /7
Cem ery exton
Date
This form to be provided q Clerk's Office b
Sextan for permanent r
c rd upon
pletion.
ent
&TICS]
ative
Clerk's
State of Florida, Department of Health, Bureau of Vital Statistics
— ---- BURIAL TRANSIT PERMIT
HFALT'H DATE PRINTED: August 15, 2017 TRACKING NUMBER: 2017128336
1. DECEDENT INFORMATION
Name of Deceased Date of Death
FRANCES TITELLO SOCCI August 10, 2017
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER SEBASTIAN 126 MIDVALE TERRACE
Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No./Reg. No. Phone Number
STRUNK FUNERAL HOME-SEBASTIAN F041870 F041870 (772) 589-1000
1623 N CENTRAL AVE
SEBASTIAN, FLORIDA, 32958
Funeral Director/Direct Disposer Fla. Lic. No./Reg. No.
TIMOTHY W. MARVIN F022789
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: 2017-Fo41870-6144
�=— Date Issued: August 11, 2017
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number:
4. CEMETERY OR CREMATORY
Place of Disposition: SEBASTIAN CEMETERY lotMethod of Disposition: BURIAL Date of Dispos_itiion:
1 21 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, 10/12
64V-1.011, Florida Administrative Code
;emelerg
NO.
"1622
llth F~y ......
THIS INDENTURE MADg ~ ...................... day of ............................................. A. I)~ 19 98 ,
.......................................... f~au¢~s..T,..Soac~ ....................................................................
126 Midvale Terrace
.......................................... Sebes~iau,..FL. 3Z9~8 ...............................................................
t~c County of ... ~..~...~i.'.v.~.r. ......................... n'{ State of ..... ~.P.~.~ ........................................
Tlt~t the 6t*nntor for ,~ in COnlgdetaflo, of II~e *urn Of ' ...~.0 ** .0.0. ................ to it ~hand p~ld, the wceipt whereof h hetewt,h ac*
26,27,28 45 4
I HRItEBY CEltTII~Y, Tlmt on this ............ ~],[;~ ...... tiny of ........ ~ ....................................... 10.98,
Ruth ~liv~ ,,d~. ~t..9.'.~?E~ .........
befo~ me p~onnlly ap~n~d ...........................................................
Fr~ces % 5~9~$ .........................................