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
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- : : I EXPIRES: June 18,2002
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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,.,.,