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Home My WebLink About4-30-15Name u Unit_ Block Lot Date of Mark -out I— Date of Burial / A2'/"Ie Time Name of Funeral Authorized by ofl,4 , CG/-/ct ie -G l6 : CC, %4, Ifo I'-- - H - SUSAN THERESA HENRY KELLY June 2, 1929 - September 15, 2017 Susan Theresa Kelly, 88, formerly from Brooklyn, NY, passed away on September 15, 2017 in Sebastian FL. Predeceased by her husband Fred Kelly of 46 years, her brother Sam and sister Rosemary, as well as her two daughters, Kathleen and Elizabeth, she will be buried beside them. Susan was survived by her two beautiful daughters, Mary and Theresa and her son Frederick Thomas Kelly Jr. Susan was a proud grandmother of 6 and a great grandmother of 3, all of which loved her dearly. Susan played a vital part in keeping her family together and touched the lives of everyone she met. Her laugh and smile were infectious so it's no surprise that she made friends wherever she went. Susan's family and friends will miss her greatly, but the impression that she made on them will live forever. Susan lived a long and fruitful life, she will be missed but never forgotten by her family and her friends. Her light, her legacy and her spirit will continue on with great bliss and laughter by her loved ones. So for all who knew Susan, keep laughing, live life with joy and have yourself a margarita, because she wouldn't have it any other way. Services will be held at Strunk Funeral Home located at 1623 North Central Avenue Sebastian, FL 32958. There will be a Viewing on Wednesday, September 20th, 2017 from 5pm to 7pm, as well as a Vigil on Thursday, September 21st, 2017 from Spm to 8pm. A Requiem Mass will be held Friday, September 22nd, 2017 at the St. Luke's Catholic Church, located at 5055 Micco Road Sebastian, FL 32958, with a burial to follow at the Sebastian Cemetery. Born: June 2, 1929 Death: September 15, 2017 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery ;. Phone: (772) 589-2545 Fax: (772) 228-9927 City Clerk's Office – Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 ctestaocityofsebastian.org FUNERAL HOME: Strunk Funeral Home and Crematory —SEBASTIAN ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) xxxxx OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE Lot -1 5Block 30 Unit 4 Lot—Block—Unit Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 9/22/2017, Friday– 10:00 AM @ St. Luke CC then to Sebastian Cemetery FOR DECEASED: Susan Theresa Henry Kelly Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Ma�T. LongLong Mare 9/18/2017 Name Signature Date 558 Breakwater 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: William B. Whittaker, Jr. Name 'Wiffia l R cittow, it. 9/18/2017 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. State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT 14FALT 4 DATE PRINTED: September 18, 2017 TRACKING NUMBER: 2017147737 1. DECEDENT INFORMATION Name of Deceased Date of Death SUSAN THERESA HENRY KELLY September 15, 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 Home/Direct 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./Reg. No. WILLIAM B. WHIT -FAKER F026900 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-FSeptember er 18, 5158 Date Issued: September 18, 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 - 1 C (/ I Method of Disposition: BURIAL Date of Disposi on: ✓ vim' I 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, 10112 64V.1.011, Florida Administrative Code CITY OF SEBASTIAN 10748 ADMINISTRATIVE SERVICES RECEIPT Named{ur%L j�1� ❑Cash Date 9 a �- 1'7 Check #77* U 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 60is61 1-47 3RoT Urtlr � PIk3U Lsr/s I 'Len `-f- Total Pal Initials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant FUNERAL[ FOR BURIAL Ofce (772) FUNERALI ADDRESS: PHONE#: _ (Check One xxxxx OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COWMBARIUM NICHE BURIAL DATE AND SERVICE TIME:_ FOR DECEASED: Susan Theresa Name NAME AND SIGNATURE. OF LOT OWN (Must provide proper documentation of a Ma T. Lona. Name 55a Breakwater Terrace, Sebastian, Florida, 328: 1 certify that I have determined the owns fees have been paid and authorize open NAME AND SIGNATURE OF LICENSE William B. Whittaker, Jr. Name Cemetery Sexton Certification: I certify that I have chedked the owner office and that all fees have been paid: This form to be provided to R'S REQUEST TO CI G IN SEBASTIAN MU For information contact: Kelso, .Cemetery Sextl astian Municipal Ce►ne Phone: (772) 5892545 Fax. (772) 228-9927 Clerk's Office – Cathy' Ity Hall, 1225 Main Stre Sebastian, FL 32958 15 or 388-8214 cteSta < G Lot— A17, Friday –10:00 Kelly OR REPRESENTA Signature hip of the above descrik g of same. FUNERAL DIRECTOR: CwMaK E cl+iflitt Signature OF Q St. site that JL p information by viewing he owner's by Sexton for S nit cc then to Sebastian Cemetery fees and administrative and confirming with Clerk's ~ .. or it 11 'rmrtrry of !trba.attan m r r ~. (i 1'; J 2 NO, THIS INDENTURE MADE TII1s .....,.,... 3()tl1, day of .........,.... May. .. . .. .. .. .. . .. .. .. . .. .. ... A. D" :tt2QOO between the City of SebllStian, a municipal corporation existing undcr the laws of the State of Florida, os Grantor and ,."...... .................................," ~175~\~j~aY Ct.....................".'..'.....................................' . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . . . .. .. ,~Q$~laod, . .F1. .329.58 . . . . . . . . . . . .. ",..,.'.................................... Indian River . Florida of the County of ,............................................ an 1 Staie of .."....'......,.,..,................................... as Grantee, WITNESSETH, 1 00 That the Grantor for and in consideration of the sum of $ " ~ . . .~: ~~ . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . ~~~. . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ~ ?~.~? ,Block,.,.. ~? '. ,UNIT ... ~ . . . . . . .. ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 6S of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Fiorida; said land now lying and being in Indian River County, Florida. 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 shail 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 such rules, regulations, resoiutions and ordinances and the conditions of the de'ed 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 lUst part has caused 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 fust above written. CITY OF SEBASTIAN, FLORIDA ,..,..,....C):d~~. By .vv,~..w.'!?~...".."..... Mayor (cn:ity ~eaI) /' STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this........ ..~9.~~....... .day of .. ..... ..~~...............,................, Hx~~PO before me personally appeared.... .Walt;e~. W,. .:6aJ;"ne~.........,.., and Kq~m::m .M,. .Q.'H?.JJp:rf!~........ respectively Mayor and City Clerk of the City of Sebastian, a municiplII corporation under the laws of thc State of Florida to me known to be the Individuuls lllld officers descrIbed In und who executed the foregoing COAvey"nce to Susan Kelly ....................................................................................................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severlllly acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorlzed; and that the Official sell I of said corporation Is duly aff' thereto, and the said conveyance is the act and deed of said corporation. UNDA M. GALLEY MY COMMISSION t CC 740 EXPIRES: June 18, 2002 Bonded Thtu NoIllry pubrlC UndorWIftot1 and year WITNESS my signature and official seal at Sebastian, In the last aforesaid. -1, \ KELLY, SUSAN 8275 133rd CT. ROSELAND, FLORIDA 32958 DEED 111732 LOTS 15,16, BLOCK 30, UNIT 4 FREDERICK KELLY INTERRED LOT 16 - 8/21/2000 KATHLEEN KELLY MOVED FROM LOT 15 TO LOT 16 - 8/21/2000 o ocvn (lL.- ( Ij' . G\:) . / ~:u; f/1? ~~~ ~~~~~ ~ ~ {) 30.-).!pi _IS- '\.>-- 1 - I J .... (\ A\\ ^ v,JCVO ~ CUr' (}. ~ ~ ~ ~,-. # ~jcJ 1;.)J><v t1 1 {Q ~ II -ok! ~J?~~.~. 7'. .f ;;>,<\ f 5 Lj-./v-,_ Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated List Price $ .. ..~ ,!:~qQ...QQ.. .. Net Paid $ ... .~~9.q9...q9.... 5/26/00 .................... .......... NO. Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Monument permitted ..... ........... ....... , 1';32 (Data above this line for City Record only) . . 41'~ YO" \ IJ1tJ ~ . ~ ~~'. .."'. ,~" ..yo 11 S' .."Q "'~" ", ,,' ,s'-'" ,.Of:.pElIC~" . .- City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 June 2, 2000 Susan Kelly 8275 133rd Ct Roseland, FL 32958 Dear Mrs. Kelly: Enclosed is Cemetery Deed No.1732 for Lots 15 & 16, Block 30, Unit 4. OAIso enclosed is a form - Return for Transfers of Interest in Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, p, O. Box 1028, Vero Beach, Florida 32960 or you may call or call the Department of Revenue at (904) 488-9487 for more information regarding the completion of this form, We are enclosing two copies of each the receipt and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. S~m. 01/tU6JA.- Kathryn M, 0 'Halloran, CMC/ AAE City Clerk KOH:lmg Enclosures ". .e Sebastian Cemet~ City of Sebastian, Florida ~'Pt is acknowledged in the sum of: - I ~ ) Dollars ($ / () I~,? ) From: , 20.?t) for the purchase of the following pon the terms and conditions as stated herein: Description of Property: Cemetery Lot(S)1t~ ! J~ Jl1/10ck S1 ~:~t ~ Purchase Price:~/ Dollars ($ , eJ(J. ) Terms and Condition of Sale: ~/~f!?-~/~/jnl/6~ . This contract shall be binding upon both parties, the sellL~the purchaser, when approved by the owner of the property above described: I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: ~~J~ Purchaser signature (j-- Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named pur aser( s) on the terms and conditions stated in the above instrument. Witness