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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 .......................................... 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