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HomeMy WebLinkAbout4-29-18Name If. Q va ood I -A a N Unit 4 Block Lot Date of Mark -out ) / O's - CC Date of Burial Time Name of Fune Authorized by BUD GOODMAN BAREFOOT BAY Myron "Bud".Goodman; 79, of Barefoot Bay, FL, died November 23, 2005 at his resi- dence after a brief illness. He was bom January 15, 1926 in Jamaica, New York, and moved to Barefoot Bay in 1992 from East Greenwich, RI.. Mr. Goodman was a Manager at New England Telephone in Providence, RI for 4Zyears. He was a mernberof St. Sebastian Churoh,'Sebastian, FL; a mem- bar of the Knights of Columbus and Was a, 4th Degree Knight; a veteran of World War II, hav- ing served in the U.S. Navy and participated in the Battle of Oki- l nawa aboard the U.S.S. Pondera; a ..memberof VFW Post #10210, Sebastian, FL; a member of the Telephone. Pioneers; and was active in politics in East Green- wich„RI, where he was a mem- ber of and on the Board of Di- rectors of the State Democrat- ic Committee. Surviving are his daughter, Christine G. Siiro of Satellite Beach, FL; sister, Joan Hansen of New London, NH; grand- daughter, Jessica Siiro of Satel- lite Beach, FL; grandson, Ray- mond J. Siiro of Barefoot Bay, FL; and nephew, Michael.J. , DeStefanis, of. Barefoot Bay, FL. He was predeceased by his wife, Mary Goodman and his sister, Geraldine DeStefanis. The family will receive friends from 5 to 7 p.m., November 28, . 2005 at the Strunk Funeral Home, Sebastian, FL.. . A Mass Of Christian Burial will'be celebrated 11 a.m., _ November 29, 2005 at St. Sebastian Catholic Church. Interment will follow in Sebas- tian Cemetery, with full military honors conducted by AFnerican Legion Post #189, VFW Post #10210 and P1.A.V #210, all of Sebastian, FL. ,f ' W.UY Ul J:l'ruu.t*uuu ~ , .... t m t t try II t t h. , 1668 NO. THIS INDENTURE MADE TIaII ...... ..3.1. ~ t: .. .. .., day ot '................ .D.e.cemher... .. .. .. . ..' A. D., 19..9 B., between the City ot SebllStlan, a municipal corporation existing under the laws of the State of Florida, 8S Grantor and Myron Goodman ,....,...,.........,...................... 45'2" Aru:b~' 'Ct......................... , ..,....................................... ...... '........... ........................... ~.~.~~~~.~.~~..~.~~~~.~. .~~...~~~~.? "...,.,... ...., ... ... ........ ........ ...... of the County of Xn9,~,~n..R~:Y~J:'........................ an:l State of .... ..:E'lR+.idA...........:......................... aa Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ .. ~ .'. ?Q 9. : R 9. . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, doee by this instrument grant, bargam, sell, release, convey and confirm unto the Granteel:!:]..~ . . ... heirs, legal representativea and assigns the following property altuated In Sebudan, Indian River County, Florida, to-wit: All of Lot(s)~ ?~ ~.~ ,Block, .?~. . .. ,UNIT .. ~. . . . . . . . .. ,of Sebastian municipal cemetery as per Plat Number 1 theIeOf recorded in Plat Book 2, at page 6S of the public records in theoffl.ce of the Clerk of the Circuit Court of SI. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the SIUI1e 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- tore, now .tkl her..fter adollled or provl4ed for the loveriUnent IUId operation of aaid cemetery. The conditione, restrlctlone and requirementa contaJJ\ed In thie instrument shall be covenants runnina with the land. In the event of the failure of the owner of any Jlfoperty situated within ~Id cemetery to ob- serve and comply with Such rules, regulations, resolutions andordlnances 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 rlIst part has caused this instrument to bo 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. Au..,~IrJD/~.......H. City FJ.~f CIT:I~.................. , Mayor (O!:it\! ~l!al) 'r~..J'..,~........................... STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEUEDY CERTIFY, That on this .~ ~.~.t................ .day of .............. .O.~~~,IP>>ek......................, 19.98, b~fore me pereonaIly appeared .....~.~.~~..~~~~.~~~~..,.........................," and ~.~.~~;-X?..~~..~.'.?.~.~~?.;-.~?.. resp~ctively Mayor and City Clerk 01 the City of Sebastian, a munlclpol corporation under the laws of the State of Florida to me known to be the IndlvldulIls ..",I office.. deac:rlbed In IInd who executed the foregollll CORveYllnce to . . . . . . . . . . .. . . . . . . .. . . . . .. . . . . . .. . . .. . . . .. .. ..~.y;r; P.:tl. . .GP. P. dIPJ:Hl. .. .' . .. . . .. .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. .. .. . .. .. . .. .. . . . .. .. . . . . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledled the execution thereol to be their Iree aet and deed as snch officers thereunto duly authorized; and that the Official seul of said corporation Is duly alf ereto, and the sold conveyance is the oct and deed of said corporation. WITNESS my signature lInd official leal at Sebastian, In the last aforeaald. , ..... UNO" M. OALLEY i. . ~Z\ MYCOMMISSION.CC740478 - : : I EXPIRES: June 18,2002 llGnded ThN NolItY PuIllic \lndIIlIIllIII ......................... -"'/'~ "-.",/: ,,--"/~\)./<<"j<<~\ /- \)./~-i.;,,";.-'.f'<\ ).i/'~ '\>-:.. :'/".~<"-,.// \"']./l~'-\t/ \.."'.;/- "'.; "~'>/~~ "1./'" '\\/~ \."'<[/ ~'->~/>c ",~'-://",- \/",\,"-~~. , , r;I' "'/ i r-M~-- __~~~ _ ~~___ ._m_~__=_~_ +-----------------i- ( ~ r-~~~~.:...w--=== i ,___ r-- _______M ----------(t\l< ~ ----~-7-1 ~ +--__m___~_~-L__________ ____ 9-'--________________ T~---- j -~~-"~~-~- ~""'-A' '"-1l. __on.. _ ______.' ___ __,________~._..._______ -r----- T~---' t-- t____ 1 t i , CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT Name#~ ~ 46-e..~Cash ....- *~ ' ~S~ No. Amoun~ Paid 3517 001001208001 Sales Tax 001501322900 Garage Sales 001501 341920 CopieslBid Specs. 001501341910 LDCJCode of Ordinances 001501341930 EIectfon Qualifying Fees 601010343800 Cemetery Lois LolINiche . Block .)~ Unit_ 7..5-:110 001501343805 Cemetery Fees ,~~ L/ ~ P ;;2.9' - ~/ t? fl/ White - DlIpt. of Origin. Y"low - Finance . Pink. Applicant 9/- , Total Paid ;:r~ t:fI~ FLORIDA DEPARTMENT OF HEALT A. 1. Name of Deceased (TYPE) 2, Place of Death County Brevard Y./~7-/Jg State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT C,of i First Middle Last Date of Death (If neither, give street address) Month Day Year Myron Goodman Nov. 23 2005 City, Town or Location Name of Hosp. or Inst. Blvd.- Barefoot Bay Address 508 Barefoot 3, Name of Medical Certifier Noor Merchant, Medical Examiner Physician 4. Name of Funeral Home/D;""'..ll:>lsposaT Address Establishment 1623 N. Central Ave. Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5, Check a. D The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate 'application. Box Permission is hereby granted to dispose of this body. Permit No. 1228-05-01182 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, ~s!lietf8r sr b. ~ c. D 6. Funeral Director/ l)irAM ,",i~p^~9r B. Subregistrar Signature C. A{lproval Number: Phone Number .D. 13060 U.S. 11 Sebastian, FL 772-589-0879 Fla. Lic, No,/Reg, No. Phone No. (Area Code) Sukyana was contacted on 11/28/05 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Merchant will complete and sign the medical certification of cause of death within 72 hours. was contacted on He/she verified that , Medical Examiner, will complete and sign the Date Signed 11/23/05 BURIAL - TRANSIT PERMIT Date Issued: Date Certificate Dlle: 11/28/05 11/23/05 AUTHORIZATION for CREMA-TION, DISSECTION, or BURIAL-A T-SEA Date Medical Examiner, , gave authorization by telephone to Funeral DirectorlDired 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 Place of Disposition Sebastian Cemetery Method of Disposition: ~BURIAL DSTORAGE DCREMATION Signature of Sexton or Per'.l':ln-in-Charge ill:;.?)!) ~-: Date of Disposition DOTHER (Specify) } ~f .t~ ;Jt' 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. OH 326, 8/97 (Obsoletes all pravioos ed~ions) (Stock Number: 57~326-2) Distribution: White: CemetOfy or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar -6,.,.,