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Home My WebLink About4-31-46eName C 6�-ro `e Unit L/ Block 3 / // Lot Date of Mark -out / — 1 Z- J C-- C O Date of Burial /— -2— 6 '- 7 6 Name of Furneral Home Authorized b Y � FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: City Clerk's Office — Cathy Testa City Hall, 1225 Main Street, Sebastian, FL 32958 Office (772) 388-8209 ctesta0citvo1sebastian.orq FUNERAL HOME: Sebastian Funded Pre ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) OPEN BURIAL LOT Unit Block Lot OPEN CREMAINS LOT Unit Block Lot' X OPEN COLUMBARIUM NICHE Unit 4 Block 31 E Nlche 46 BURIAL DATE AND SERVICE TIME:"' Monday Janusry 26, 2026 @1:00pm DECEASED NAME: Carole Marie Britto Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Anne -Marie Jov Britto AK,".,-1-AriI.P,lam $Atto- 1-22-26 Name Signature Date 12520 83rd Street, Fellsmere, Florida, 3294832948 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: Sandy Mastrando Name 5arid%maeDuuud& Signature 1-22-26 Date Cemetery Sexton Certification: 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: Cq,yhetery Sex Date Tl5is form to be provided to Clerk's Office by Sexton for permanent record upon completion. J State of Florida, Department of Health, Bureau of Vital Statistics F-fo`wriaa BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: January 9, 2026 TRACKING NUMBER: 2026003624 �- DECEDENT INFORMATION Name of Deceased Date of Death CAROLE MARIE BRITTO January 6, 2026 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE 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. NodReg. No. SANDRA ASSUNTA MASTRANDO F764131 Medical Verification Statement Jessica We at the certifying physician's office, was contacted on 0110612026 by the funeral director listed above; he/she Indicated that MICHAEL ANTHONY VENAZIO, certifying physician, will complete and sign the medical certification of cause of death within 72 hours. 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: 2026-F041870-5005 -- Date Issued: January 6, 2026 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: C26-19-01-STRK11 4. CEMETERY OR CREMATORY Place of Disposition: VERO BEACH CREMATORY Method of Disposition: CREMATION Date of Disposition: 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. Flonda Administrative Code CITY OF SEBASTIAN 17779 FINANCE DEPARTMENT RECEIPT Namel n� ��_ 11,i1�E�L Cash Date �� °�' 0 ),Check # ❑ Credit � l + 31 E — L1(o Amount Paid 001501 362150 Non -Taxable Rent 001001 220000 Security Deposit 001501 362100 Taxable Rent 001001 208001 Sales Tax 450010 369900 Airport Badge 450010 362521 AP Shade Hangar Rent 450001 208045 Airport Sales Tax 001501 347557 Community Center Revenue 001501 341920 General Fund Copies 001501 354100 Code Enforcement Fines 601010 343800 Cemetery Lot Sales 001501 343805 Cemetery Fees 480010 341920 Bldg Dept Copies PD Shop with a Cop PD COPE PD Cadets PD SPIT _ J _ S Total PaidV— Initials � White - Dept. of Origin • Yellow - Finance Dpt. • Pink - Applicant @) @) t~~l( Certificate # 1895 aJYor 51_ASTIAN ~ -,ib;;' " . HOME OF PELICAN ISlAND Cln( OF SEBASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Carole M. Britto P. O. Box 760, Fellsmere, Fl 32948 (address) (name) (name) (address) . in and for consideration of the sum of $1,150.00 , has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 4 , Block 31e , Lot(s) 46 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 25th day of April , 2003 . ATTEST: ~ cl'n7 f/f;lo, CMC City Clerk --- @ @) aJYor SEBAST~ ~,;J'~ . ;.:~ ..:&.- " ~" / Y /S7J HOME OF PELICAN ISlAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase C-A12-tJ L Z- M _ xS R.. liT 0 Name(s) _ '-p. 0, 't3 0 'x ? 0 0,1 (-eJ /5 m erG.-eJ F I.- Address I \ L 77d--~ 07/ -O/O? Area Code & Phone Number ~~o Residence Address of Intended Occupant if Other Than Purchaser Office Use Only ~Ceipt is acknowledged in the sum of: .' cwJ.! :nvz- - ~/ L/ on this ",~~;t?L day of ' r -~ describeaCemetery Lot(s) and! r Niche(s). Unit -1--, Block 3'1 E I Lot(s) -#O/.. Dollars ($1 / S7J, &} ) " Niche(s) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian, Additional Fees paid at time of purchase: Corner Markers (set of 4 - $20) Opening & Closing W 0 H Circle One Vase and Ring for Niches (cost) Interment Disinterment , ~)J1, ~~ Signature of Purchaser 'I ~,//. JO)AL $ 1/ / S-o, cJ7) / fl~= ~ C' y of Sebastian Service fees are to be paid at time of need only I :\WW-DA T A \Ms-Cemetery\RECEIPT .doc . .A CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 17'19 '~ ~~ ':'--?- . 1001 208001 1501 322900 1501 341920 1501341910 1501 362100 501 362100 1501 362150 1501343800 1010 343800 1501 369400 1501 369400 )800 220681 )800 220682 l800 220683 OR Initials t' o Cash ~# ~,<-)j'/T Amount Paid Sales Tax Garage Sales CopieslBid Specs. LDC/Code of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lots !/iP. dr) LOVNiche~. Block oJ iE . Unit i-/ Interment Fee Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit $ Total Paid /../--.:;21 , (',0 " White - Dept. of Origin. Yellow - FillllncI . Pink. Applicant ~,?It. i$''U'tt/) 05/98 iD. tJ. if 04> 760 ?""--. ?.4 32941-0760 Pay to the Oraer of ~ For 1:0 b 700 5 .581: CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 1720 Nam Amount Pa~ Date o Cash ~c(~rf,~ 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 362100 001501 362100 Community Center Rent Yacht Club Rent 001501 362150 Non Taxable Rent 001501 343800 Cemetery Lots 601010343800 /./Jd-d, d / .j?/ E . Unit-;z:.- Cemetery Lots - .. LOVNiche~. Block Interment Fee 001501369400 001501 369400 Weekend Service 680800 220681 Yacht Club Security Deposit 680800 220682 680800 220683 Community Center Security Deposit Riverview Park Security Deposit ()',) ,;f , , Total Paid j, /-54.{). , Initials White - Dept. of Origin. Yellow - Fillllnca . Pink. Applicant @ 63,515/670 2287 Date ~~~8 e, (J) $~3 (')0. ~ "- '7n.~ :l 2000 L. . L. 7 b II' 2 28 7 @CHECKGAlLERY,1998 STYLE#P38 1.800.354-3540 www.checkgaHery.com PrInted on recycled paper using vegetable-based Inks Kittens OOiordano Art Ltd.