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HomeMy WebLinkAbout2-48-09 f... (~ "1 J:: U) '- o :2: f... ~ ::l o () j ~ \ ~~l'~w ~ ~ ~ jet , <:) ,..j """ \ ~ j.-='- ..---' ,<:\ \ ~ V\ \r, ::J .......1 -.J ,,\ '''-.J} " J_ k~~- m '\\i\ ~~ --. - - ~ <:$i l"I r-. <!:.. \-=- \~. ~<::!'.:t.'-l' ~ <t ~~\.:. > ~ , :i ~~ ~ c) \.. '>...... " "' ? -..1 I ,?: "---" I ;;c, "\ 'J' ,'., i ''1 rf) " ---..;;:-;;;------r------ ~-~-\ ('\ '~ ~\ "--1- ,~ ~ - \ ~ ..::::,,~,'- i I' I, I" I ! I I i 1.--'---'--- I - -- I '-\1 j'I,4 /11 ~JJ-3 " --;:7-- I y:j~111(JrJ l.,~ i il' i>. ,/ ~ " '" Qc:> >J "j Cl- J)i ,/ '\. '< ~ ""-.y...... , ;,. )'" /' /, : ../ ' .. ,.<..... .... .;. '",''' ...,t~~l'jW~":'i9l"'~;'':~~,-,:~::,i'.~,~.---c:',::';,',~~~;~',.~.~;-.: :'::":':;:;;;:-::"':v. ',~~. --;::-~'" l;LA 5dY\e~ Name V\ Unit :t\ ~ Block 1\ L\ 8 Lot ~.% 9 (WcPol-1-K'f Id-/<</ow J \ .\ l' (- Date of Mark-out -- 0' - 2 ro u Dale 01 8u,'al l \ - d fr: ~0 Time I. CD Name of Funeral Home r-0j:~.{'\' ) '/ ,~ \, .." 0 1J' .0ij A. l. f ( c~eYr&\(\s) \ ~17- 2000> p.m. 6(A0Pj10-e -",. Authorized by . STATE OF FLORIDA . PARTMENT OF HEALTH & REHABILlT E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT !3JfJ . u' 1/ /7 J-.. 1 v c,z /"'1 A. 1. Name of Deceased (Type or Print) First Middle Last DATE OF DEATH May 28, 1982 (If neither, give street address) Month Day Year BUDD M. SIMES 2. Place of Death County City, Town or Location Indian River 3. Name of Medical Certifier Kip Kelso, M.D. 4. Funeral Home/ Direct Disposer 5. Check Appro- priate Box Name of Hosp. or ,Inst. S b t. R' M d. 1 CEnter e as Ian Iver e Ica t9Physician Address D Medical Examiner P.O. Box 28, Sebas t i an, F lor i da Name Address Strunk Funeral Home., 734 North CEntral Avenue., Vera Beach. Florida 32960 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this appl ication. Dr. Ke 1 so was contacted on 5/?R . He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that he will complete and sign the medical certification of cause of death. Sehrlc;tirln b>€J cD medical certificati on. was contacted on . He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ Direct Disposer Fla. Lic. No./Reg. No. Date Signed 2088 Ma 28 1982 B. BURIAL-TRANSIT PERMIT Permit No. 1228-036 Permission is hereby granted'to dispose of this body. xfXI A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the, County in which death occurred. Registrar or .>II/' / C-~ Date Sub- Regi)itrar Signam:rY---l Issued May 28, 1982 C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT -SEA Signatu re or Medical Examiner, . Medical Examiner Date . 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: 1J BURIAL 0 STORAGE o CREMATION 0 OTHER (Specify) CEMETERY OR CREMATORY Place of DiSPositio~'54utf\ C!.em . Date of Disposition :s -::!:O -~ D. Signature of Sexton ) or Person-in-Charge ) SEBASTI This permit must be endorsed by the Sexton or and returned within 10 days to the local County ..L2 .,/son-in-charge (or by the F~neral Director/Direct Disposer when there is no Sexton) ealth Department in the County where disposition occurred. HRS Form 326, APR. 81 (replaces previous editions which may be used.) , SEBASTIAN Lila Salmela Simes Lila Salmela' Simes, 89, died Nov. 23, 2006, at her home in Sebastian. . She was born in Grant and lived in Sebastian for 85 years, , coming ,from Grant. , SU,rvivors include ( her daughters, Phyllis Baker of Ve- ro Beach I;ll1d Marty Pyke of Sebastian; sisters, Saide Nash Sumrall of Tupelo, Miss., and Edna Gould of Orlando; Leon Jack Salmela of Sebastian; two grandchildren, and four great~grandchildren. She was preceded in death ' by her husband, Budd M. Sim- es; sisters, Tyyne Regan and Martha' Hall; and brother An- drew Salmela. ' Memorial Contributions may be made to. the March of Dimes Foundation, 11443rd Ave. S.W., Vero Beach, FL 32968. ' .SERVICES: Burial will ,be 1 p.m. Nov; 28 at the Sebastian Cemetery. Arrangements are by Seawinds Funer8IHome & . Crematory, Sebastian. A guest book may be signed, at seawindsfh.comJ obit.php. ( \ "--.. "--." -.-----..--.---..... "---.-. ___.__._n__-----._._ "_ ._..___~"...._._ CEMETERY Paid bY~Receipt No. ....:Jl-.J",... "" Dated,fi.-:l-:f3.4.".,.,...,......... List DisCount Net Paid DEED #496 Price SIMES, MRS. 2 BAKER, MRS. Maximum No. Burial spaces .,...".,... 400 _ 18th. Total area in square feet. ,J:lIA..,....... VERO BEACH, Monument permitted F1at......,...,..... UNIT 2 ADDN.,BLK. 48, LOT 9&10 (Data above this line for City Record only) BUDD SIMES INTERRED IN 9 ON 5/3( $3011.110. '. . . . .. $.":"~":". . .. . . , . .. . . . $.30.0..00........ . LILA AND/OR PHYLLIS (DAUGHTER) STREET APT B-8 FLORIDA 32960 R & R ISSUED WITH DEED J DEED # 496 SIMES, MRS. LILA BAKER, MRS. PHYLLIS (HER DAUGHTER) 400 18th. Street Apt. B-8 Vero Beach, Florida 32960 UNIT 2 ADDN., BUDD SIMES INTERRED IN 9 ON 5/30/82 BLK. 48 LOTS 9 & 10 JACK SALMELA OR DEITY V SALMELA P. Q. Box 172 Sebastian, FL 32958 6283 1.1 _ J 63.751/631 /t-U _ ,.:1.1, ;Z"tJ ~ BRANCH 00617 Date .~~.6r......j/ul~fM~~ '. I $91i~~ 'f1~Z .y' ",v ...J ~ / ,... '.' ~,. 0. '''''''' ... -. . - ~-.l ~ ..., ~/ / CrlJ, . ..'~. . .... ... ' ,/ Dollars L.!J ~~:1,~:" :~~ WACHOVIA WaChovia Bank, NA .. . (.A / Po, ~Z- . ~~~ I: 0 b :l ~ 0 ? 5 ~ :ll: . . b . ? L.11 011 a ? ~ 11111 b 2 a " Service:- 1:00 pM /1- 28 -()ftJ ---, . . IJJ THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida " RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:. FROM: d~~V~ri y. I ~. e1" -j)i .,' ex .~ CJ J fifl,S U t-l.( iA.,[<.- .'L. ". . () J!J-l - /!/L ,51, L~d_t 1~(. k, '.0 (u..'- (c (.' ( ,6 - K- f ~ -..J-1. .:3:<9J'J7 I / Dollars ($ 00~. oV /;~.Le ~ / ) on this ;?8 day of )n~ ' 19B~ for the purchase of the following described Cemetery Loi(s) upo the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# '9v /0 Block# 4J Unit# .:( ~~. Purchase pr-::er::JLu1 ~~ V 7l7'7,riJollarS($ .300. o-iJ) J Terms and'conditions of sale: . 0'" j' ,-. '. . ,. /1 ":' t.. .. ~ .I ,I /)tC ~ k. ,"fl / cCO ....? /.J~: l.-(. ::'./ 1:-.-/1,-4,~L/ ,j This contract shall be binding upon both parties, the seller and 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: . The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. <-- -c:;; f~ of Sebastian ~ Witness J~> City Budd Matthews Simes, born February 10, 1913 in Williamstown, SC; died May 28, 1982 in Sebastian, FL. He was the son of 12. Alexander Melton Simes and 13. Annette Matilda ("Nettie") Matthews. He married . Lila Selma Salmela Private. Lila Selma Salmela was the daughter of Jaako Salmela and Saimi Fredrika Alapere. Children of Budd Simes and Lila Salmela are: i. Martha Simes ii. Phyllis Simes, born Private; married George Edward (Buddy) Baker Private. q — °/ l3U.ck 4- Li (a CITY OF SEBASTIAN CITY CLERK'S OFFICE 3685 RECEIPT Name 5(�tt/ ► 1�il Q ❑ Cash Date /1 Z 7-tJ( Check# ( 2X:,3 No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots J Lot/Niche q ,Block 4f s ,Unit 2. /; .v t 001501 343805 Cemetery Fees cr em a I n,s `7J �1r i Total Paid `5.00 Initials White-Dept.of Origin• Yellow-Finance •Pink•Applicant