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ClIY OF
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HOME OF PELICAN ISLAND
Certificate No. 2101
CITY 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:
Sharlene Ann Frame
(name)
1477 Bevan Drive, Sebastian, FL 32958
(address)
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in and for consideration of the sum of $700.00 is entitled to full interment rights in the
Sebastian Municipal Cemetery for the following plot/niches:
Unit 4
Block 18
Lot 23
- -
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 21st day of September, 2006.
.
CllYlr
SEBAST!AN
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HOME OF PELICAN ISLAND
City of Sebastian Municipal Cemetery
Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery
rate regulations, residence of purchaser or person for whom lot is intended for interment must be
provided at time of purchase
S~. ~ FflovVtU
Name(s) 6 ~ ~~ F
~l ~ ') " ) :L3d-q5'~
Address
-]"7 d- .- 5~ I-QUQ q
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
o Jt. . L ~ ~I~
0~~~ Xx.. "-
th' 'It S+-d f~.L.o" '
on IS~ ay 0 ~XJeL
described Cemetery Lot(s) an or Niche(s).
Unit 4 ,Block J 8' ,Lot(s)~ :3
Dollars ($ 7 W"DO )
,20~ for the purchase of the following
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:
J 15(.")0
Opening & Closing -
Corner Markers (set of 4 - $20)
0. 0 H
Circle One
Vase and Ring for Niches (cost)
Interment
Disinterment
Signature of Purchaser
Cit~
TOTAL $715 00
~~
Service fees are to be paid at time of need only
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Date of Burial I G> /:;/06" '
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Time
Authorized by
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
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FLORIDA DEPARTMENT OF
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
A.
(TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased of
Richard Eugene Paschall Death Sept. 29 2006
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
I ndian River Vero Beach Inst. VNA Hospice House
3, Name of Medical Address Phone Number
Certifier Richard Penly, M~: 901 37th Street
nMedical Examiner Physician Vero Beach, FL 772-987-5600
4. Name of Funeral Home/9il~~t El;"...~1 Address Fla. Lic. NoJReg. No. Phone No. (Area Code)
Establishment 1623 N. Central Ave.
Strunk Funeral Home Sebastian, FL 1228 772-589-1000
5. Check
Appropriate
Box
a, D
The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. c!J
Mickey was contacted on 9/29/06
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Penly will complete and sign the medical
certification of cause of death within 72 hours.
c. D
was contacted on
He/she verified that
, Medical Examiner, will complete and sign the
[Meet :JiSlleser
Date Signed
9/29/06
6, Funeral Director/
B,
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-06-0377
o 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.
ONO extension of time for filing the death certificate has been requested,
~;~l,t!l,o,
Date
Issued: 9/29/06
Date Certificate
Dlje: 10/3/06
Subregistrar Signature
C.
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Al?proval 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.
Method of Disposition:
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
D.
rBBURIAL
DSTORAGE
Date of Disposition
/O/3/0b~
.
DOTHER (Specify)
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This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectorlDirect Disposer when there is no Sexton) and returned
within 10 days to the local County Health Department in the county where disposition occurred,
DCREMATION
Signature of Sexton
or Per<;')n-in-Charge
}
DH 326, 8/97 (Obsoletes all previous editions)
(Stock Number: 5740-000-0326-2)
Distribution: White: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar
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Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1
U.if B/8 LX3
RICHARD EUGENE "RICH" PASCHALL
Richard Eugene "Rich" Paschall, 68, died Sept, 29, 2006, at VNA Hospice House, Vero
Beach, He was born in Richmond, Va" and moved to Sebastian 7 years ago, coming from
Vera Beach. He was a copier technician and a former member of the Moose Lodge in
Sebastian. He served in the Naval Reserve, Survivors include his companion, Sharlene
Frame of Sebastian; daughter, Charlotte Ann Edmonds of Richmond; son, Richard David
Paschall of Richmond; daughter, Carla Craig of Deltona; son, Michael Frame of Warsaw,
Ohio; brothers, Gordon Paschall and Bill Paschall, both of Richmond, and two
grandchildren, Memorial contributions may be made to the Shriners Hospitals for
Children-Tampa, Donation Department, 12502 Pine Drive, Tampa, FL 33612. SERVICES:
Visitation will be 10 to 11 a.m. on Oct. 3 at Strunk Funeral Home, Sebastian, A funeral
service will follow at 11 a,m, in the funeral home chapel, with the Rev, Gary Isner
officiating, Masonic Honors will be conducted after the service by the Sebastian Masonic
Lodge. Burial will follow in Sebastian Cemetery, with full military honors by the Sebastian
River Area Veterans "Honor Guard."
Published in the TC Palm on 10/1/2006,
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