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Home My WebLink About4-36-26CRY OF SIERAS HOME OF PELICAN ISLAND Certificate # 1963 GI T Y OF SEBBASSTI AN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Everett & Norma Cave 6220100 Street, Sebastian, F132958 (name) (address) in and for consideration of the sum of $1,400.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit _ 4_ Block _36_, Niches_ 25 & 26_ of the Sebastian Municipal Cemetery, . as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 7th day of June, 2004 CIT OF SEBASTL,kN, FLORIDA T ce R.,,m6ore City Manager ASST 54ly A. Maio, CMC City Clerk O Name Unit Block Lot Cf Date of Mark -out Date of Burial % l Time / r r! r ) r Name of Funeral Home e� Authorized by I CITY OF SEBASTIAN CITY CLERK'S OFFICE 4554 RECEIPT J`i�" w1�•i�- tor Name— e y C, ❑ Cash Date 5 — t I Check# Lf3 ( I No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 CopieslBid Specs. 001501341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots /_ LotlNiche o2,t Block Unit 't 001501343805 , K,1 Cemetery Fees / 5 y JCAI� W � Total Paid 160," Initial White - Dept. of Origin • Yellow - Finance a Pink . Applicant Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 NORMA CAVE Norma Clayton Cave, 84, died May 14, 2009, at Sebastian River Medical Center in Sebastian. She was born in Springfield, Mass., and lived in Sebastian for 22 years, coming from East Hartford, Conn. Before retirement, she worked as a secretary for Dun & Bradstreet for 20 years. Survivors include her husband of 62 years, Everett Cave of Sebastian. SERVICES: Visitation will be from 1 to 2 p.m. May 19 at the Strunk Funeral Home in Sebastian. A service will follow at 2 p.m. in the funeral home chapel with the Rev. Dexter Goude officiating. Burial will be in Sebastian Cemetery. Published in the TC Palm on 5/16/2009 Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Powered by Legatt'y.Gom obituaries nationwide Back http : //www.legacy. comltcpalmlObituarie s. asp?Page=Life StoryPrint&PersonID=1273 3 ... 5/18/2009 FLORIDA DEPARTMENT OF DEALT A (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of First Middle Deceased Norma Clayton 2. Place of Death County Indian River City, Town or Location Sebastian Last uate Iwonrn uay cai of Cave Death May 14 2009 Name of (If neither, give street address) Hosp. or Inst. Sebastian River Medical Center 3. Name of Medical Address 1-" "� '" ...— Certifier Nasir Rizwi, M.D. 13885 U.S. #1 Sebastian FL 772-589-6844 F-jMedical Examiner F-APhysician • 4. Name of Funeral Home/�iceei:-Bis'pQSal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) 1623 N. Central Ave. Establishment itrunk Funeral Home 8 Crematory Sebastian, FL 1228 772-589-1000 5. Check a. E] The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b r -ti fan was contacted on 5/15/09 L� He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Rizwi will complete and sign the medical certification of cause of death within 72 hours. ® was contacted on He/she verified that G. Medical Examiner, will complete and sign the medic ertific " n 9rcause of death within 72 hours. 6. Funeral Director/ -77� ig ur F.E. No./Reg. No. Date Signed 44048 5/14/09 Q"et�2ispo88i B. C. D Permission is hereby granted to dispose of this body. BURIAL -TRANSIT PERMIT Permit No. 1228-09-0227 ❑ 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. j--jNo extension of time for filing the death certificate has been requested. Date Date Certificate Subregistrar Signature Issued: 5/14/09 Due: 5/19/09 Approval Number: AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA 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. Method( of Disposition: AI BURIAL ❑CREMATION Signature of Sexton or Person -in -Charge CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery ®STORAGE Date of Disposition ®OTHER (Specify) 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 226, 8/97 (Obsoletes all previous editions) (Stock Number. 5740-000-0326--2) Distribution- White. Cemetery or Crematory Yeiiow: Funeral Director or Direct Disposer Pink: Local Registrar ■�x� r.�e Sep 26 2008 2:45PM HP LASERJET 3200 i FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SEBAST nowt a P0.KAti iSLMD Fo. informatior contact Kip Kelso - Cemetery Sexton Se.jastian M;anicipat Cemetery (772) 539-2545 I City Clerk's UtGce iry Nell, 1225 Main Street Sebastian, FL 32958 OJh'cO (772) 398-8215 or 388.8214 MUNK FUitmmif -z'CREMATE F u N E RAL HOIVE 16123 No. CentraI Ave. rffiw a—.. ADDRESS: PHONE #� (Check One) ,OPEN BURIAL LOT OPEN CREMAINS LOT _OPEN COL'JMBARIUM NICHE BURIAL DATE AND SERVICE 71ME: FOR DECEASED: Norma C. ivarrte 26 ,Block 36 Unit 4 ._Block Unit he Block Unit ,DAME AND SJGNATuRE OF LOT OWNER OR REPRESENTATIVE: ("Aust provide proper documentation of c wnership) Name 5ignatJre Date I I certify that I have determined the ovvne�ship of the above described site Ihat all site fees and adrninislrative fees have teen paid and uthorize opening of same NA-�,1E AND SIGNATJ Name OF LICgNSE0 FUNE)f#L JOj 4r - TOR. Date ------------------------- -------------------------...-_..------_t--..-.----_-------------- ------------------------------------ Cemetery Sexton, Certification: 1 certify that 1 have checked the ovinersr�ip inforr.ation b� viewing the owner's deed and confirming with Clerk`s office -,.Ind that all fees Have (been paid / D e ter Se on Dat This form to be provided to Clerk's OfCc by Sexton for permanert record upon coMpietron. i 1 I City of Sebastian Sebastian Cemetery Ph. # 1(772) 589 - 2545 Fax # 1(772) Note This is for iurormational purposes reguarding Monuments at Sebastian Cemetery . Note D.O.B. D.O.B. 1925 D.O.D. D.O.D. 2009 Legal Description Unit: 4 Blk.: 36 Lot : 26 Approved By: K. G . K. K. G. K. Checked By: Date : 12/2/09 By : strunk, a.b.c. vaults, Example 4 "deep 12" Dry Mix Please return to Sebastian Cemetery Foundation poured 1921 North Central Ave. 32958 by : ben date: 12/1/09 Attention Cemetery Sexton stone installed by , ben 1 - 0 x 2 - 0 x 0 - 4 standard grey granite flat grass marker date : 12/1/09 Size : ' Names & Dates: His Her : Norma C. Cave D.O.B. D.O.B. 1925 D.O.D. D.O.D. 2009 Legal Description Unit: 4 Blk.: 36 Lot : 26 Approved By: K. G . K. K. G. K. Checked By: Date : 12/2/09 By : strunk, a.b.c. vaults, Example 4 "deep 12"