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State of Florida, Department of Health, Bureau of Vital Statistics
-_
Oil _ d BURIAL TRANSIT PERMIT
F1oHEALTH DATE PRINTED: May 10, 2017 TRACKING NUMBER: 2017077380
DECEDENT INFORMATION
Date of Death
Name of Deceased
FILOMENA M MANDARA May 9, 2017
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER VERO BEACH INDIAN RIVER MEDICAL CENTER
Name and Address of Funeral HomelDirect Disposal Establishment Fla. Lic. NO.IReg. 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.IReg. No.
F022789
TIMOTHY W. MARVIN
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-F041670-5013
Date Issued: May 10, 2017
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 fI I i/v'�I
Method of Disposition: BURIAL Date of post
ti6n:
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
J /y CEMETERY Receipt No. .... :'. 44........ Dated .... 1I16 /88.............. Lots 39 & 40 NO.
J 350.00 B1k.45, Un.4
List Price $ .................. Maximum No. Burial Spaces . �.......... .
Net Paid$ .......7.OQ.AO.. Monument permitted..........:. EDWARD & ROCHELLE 1199
NORMAN
7860 94th Ct.,
(Data above this line for City Record only) Vero Beach, Fl . 32967
hiit� of �phtt�zitttt
%�kPItrmtrrg Brpb No. 1199
THIS INDENTURE MADE TWa ....... 16.th........ day of ....... NDVe .IRber ........................ A. D., 19...8.8.
between the City of Sebastian. a municipal corporation existing under the laws of the State of Florida, ac Grantor and
......................... Edward,.and_Rochelle Norman
......................................................... ...............................
7860 94th Court, Vero Beach, Florida 32967
...................................................................................................... ...............................
of the county or Indian River Florida
.............. ............................... aml State of ........................ ...............................
as Grantee, WITNESSETHr
That the Grantor for and in consideration of the sum of $ OO . OO to it in hand paid, the receipt whereof is herewith ao•
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . their heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
40
AB of Lot(s) .... & , Block, 4 5 , UNIT 4 . , of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat
Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being
in Indian River County, Florida.
Rochelle Norman to be interred in Lot No. 40.
To Have and to Hold the same forever; provided that said property shall be.used solely and exclusively for the interment of the human dead and shall
be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob-
serve and comply with iuch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner
in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the first part has mused this instrument to be executed in its name and on its behalf by its Mayor and
attested by its City Clerk and its corporate seal to be hereto affixed, the day and year First above written.
Attest c
City Clerk
Signed, Sealed and Delivered
In the Presence of:
STATE OF
CITY OF SEBASTIAN, FLORIDA
Mayor
Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 2
ROSARIO "GEORGE" MANDARA
IView /Sign Guestbook
ROSARIO
"GEORGE" MANDARA Rosario "George" Mandara, died , June 7, 2008, he was born
February 11, 1918 to Concetta and George Mandara of Hackensack, NJ. Prior to World
War II, George was with the N.J. National Guard. During World War II George served six
years with the U.S. Army's 177 Engineer's division, stationed in Alaska. Upon returning to
the states, he met and married the love of his life, Phyllis Allu. They would have
celebrated their 62nd Wedding Anniversary , July 13th. George and his wife have four
children. Prior to moving to Vero Beach in 1970, George owned and operated "George's
Auto Body Works ". A Jack of all traits and master of all. His creative mind and hands were
always working. He is preceded in death by his Grandson, Christopher R. Norman; his
Brother, Anthony Mandara; Sisters, Josephine Angona, Stephana Dicosmo. Survivors
include his wife, Filomena; Son, George A. Mandara and Wife, Natalia of Vero Beach;
Daughters and Sons- in -law, Rochelle and Edward Norman, Marlene and Albert Sansone
of Vero Beach, Deborah and Benjamin Kendrick of Melbourne Beach; Grandchildren, Mark
Nalewaiski, George A. Mandara, Jr, Danielle Hampton, Michael Sansone, Amanda
Kendrick, Jon Kevin Norman, Hunter Kendrick; Great- Granddaughter, Skyler Hampton;
Sister, Carmella Brancato; and several nephews and nieces of N.J. The family will receive
friends from 1 -2 p.m. June 10, 2008, at the Strunk Funeral Home, Sebastian, FL. A
funeral service will follow at 2 p.m., in the funeral home chapel. Interment will follow in
Sebastian Cemetery with full Military Honors conducted by the Sebastian Area Veterans'
"Honor Guard. The family has requested that memorials may be made to VNA & Hospice
Foundation, 1110 35th Lane, Vero Beach, FL 32960. He will always be remembered for
his love of family. His beloved dog Rex and passion for his doves. "Phil, I love you more
today than yesterday and for eternity ".
Published in the TC Palm on 6/10/2008.
Notice • Guest Book • Flowers • Gift Shop • Charities
http: / /www. legacy. com /tcpalm/Obituaries.asp?Page =Life StoryPrint &PersonID= 11126... 6/10/2008
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
r
HOME OF PELICAN ISLAND
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME: Strunk Funeral Home
ADDRESS: 1623 North Central AYenue, Sebastian, FL 32958
PHONE #: 772 -589 -1000
(Chec,lc One)
if OPEN BURIAL LOT Lot d1O Block Unit
OPEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
N S E W
BURIAL DATE AND SERVICE TIME: June 10, 2008 2 P.M.—
FOR DECEASED: Rosario George Mandara
Name
0- 4-
13 - �5
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of owners:
o A c..1 % L /%?• c> rrn ate,
Name Signature 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 authorize opening of same
NAME AND IGNATURE OF LICENSED FUNERA T .
Name Signa re 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 thayall es have been paid:
/t I
AR 16
Cemet Sex n Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
FLORIDA DEPARTMENT OF
HEALT
A. (TYPE)
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
1. Name of First
Middle Last
Date
Month Day Year
Deceased
of
Rosario
George Mandara
.tune 7 2008
2. Place of Death City, Town or Location
Name of
__]Death
(if neither, give street address)
County
Hosp. or
Indian River
Inst.
1076 41 st Avenue
3. Name of Medical
Address
Phone Number
Certifier Michael Venazio, M.D.
8005 83rd
Avenue
Medical Examiner Physician
Sebastian,
FL
772- 388 -2110
4. Name of Funeral HomeQ0e&5isp m&-
Address
1623 N. Central
Ave.
Fla. Lic. No. /Reg. No.
Phone No. (Area Code)
Establishment
1trunk Funeral Home 6 Cremat
y
Sebastian, FL
1228
772 - 589 -1000
5. Check
Appropriate
Box
a. U The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. A Liz was contacted on 6/9/08
He /she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Venazio will complete and sign the medical
certification of cause of death within 72 hours.
C. ❑
was contacted on
death within 72 hours.
He /she verified that
Medical Examiner, will complete and sign the
6. Funeral Director/ Sin ure F.E. No./Reg. No. Date Signed
Bireel-Bifss6l;'�r g �/J 44048 6/8/08
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228 -08 -286
A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within
72 hours.
No extension of time for filing the death certificate has been requested.
Regietferor-• Date Date Certificate
Subregistrar Signature Issued: 6/7/08 Due: 6/12/08
C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL- AT-SEA
Approval Number: Date
Medical Examiner, , gave authorization by telephone to
Funeral Director /Direct Disposer. 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 is
required for all cremations.
D. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition Sebastian Cemetery
BURIAL STORAGE Date of Disposition G � /(%
CREMATION OTHER (Specify)
Signature of Sexton 1
or Person -in- Charge 1)
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.
DH 326, M7 (Obsoletes all previous editions)
(Stock Number: 5740- 000 -0326 -2)
Distribution: White: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar sew J& P-r-