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Home My WebLink About4-09-19J am of ~ ~~~~ ~~ 11 f -- _~- HOME OF PELICAN ISLAND Certificate No. 2105 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: John H. Brown (name) 626 Fleming Street, Sebastian, FL 32958 (address) in and for consideration of the sum of $2.100.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plots: Unit 4_ Block 9_ Lots_18,19, 20_ 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 30th day of November, 2006. OF " A~[ Minner City Manager FLORIDA ATTEST: r------ Sally A. Maio, MMC itv Clerk .U. ~ ~ . v ~ `ice ' ~< ~ 8 S e c' u''r i t i r n h n c d'' d a e u m e ri` 6, ~,5 e e,-F n~ k f p'-r 1 t o ,i~ f ., 8~~ - STRUNK ~UN~RAL HOMES; R A°~~ ` ~ 5893 .` r CASH ADVANCE ACCOUNT-SEB~iSTtAN ;,. 916,17TH ST.. VEFiO BEACH, FL 32960 ss-t2a5/67o; , PH. 772-562-2325 DATE I' ~ I I ~ ~ Ot PAY 5 ~ 0./1M Q/1.~ ,`ORDER OF ~ , ~ S'. Q~ DOLLARS ~ ~' ~~~ 9se zan Plr.ca - - -_ -_ _- ~ V ro BaaM,.FI 32960 - - - - ~ ~ www.IFiN9.cwn. Indian River National Bank ~?z) 669-9200 j~, ~~ ~ FOR ` <~'~-1~-.~.t/''ti _ ~ ~ 11'005893h' 1;0670 L 2057f: D 206 L 2D L11' CITY OF SEBASTIAN CITY CLERK'S OFFICE 3 6 9 O RECEIPT Name Strunk ^ Cash n,~• NOV. 30, 2006 [~Check# 5893 No. 001001 208001 001501322900 001501341920 001501 341910 001501 341930 601010343800 001501343805 Amount Paid Sales Tax Garage Sales CopieslBid Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots LotlNiche 19 . BbdC 9 .Unit 4 Cemetery Fees 75.00 i Total Paid 75.00 Initials White -Dept. f Origin • Yellow -Finance • Pink -Applicant Ubituar~es ~ lleath Notices ~ Newspaper Ubituanes ~ Unhne Ubltuaries ~ Newspaper ll... Yage 1 of 1 70AN BR®WN Joan M. Brown, 78, died Nov. 26, 2006, at Sebastian River Medical Center. She was born in Reading, Pa., and lived in Barefoot Bay since 1987, coming from Shilington, Pa. She was a homemaker. She was a member of the Mid-Atlantic Club and the German Heritage Club, both in Barefoot Bay. She was a member of Concordia Lutheran Church, Barefoot Bay. Survivors include her husband of 58 years, Howard E. Brown of Barefoot Bay; and son, John H. Brown of Sebastian. SERVICES: A memorial service will be 11 a.m. Dec. 4 at Concordia Lutheran Church with the Rev. Grant Kilps officiating. A graveside service will follow at 1:30 p.m. at Sebastian Cemetery. Arrangements are by Strunk Funeral Home, Sebastian. Published in the TC Palm on 11/29/2006. Tod..a....Y's TC .Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terrns_of u.s...e rtituaries nationwide Back http://www.legacy.coln/tcpalm/Obituaries.asp?Page=LifeStoryPrint&PersonID=2008... 11 /29/2006 FLORIDA DEPARTMENT OF HEALT 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 Joan Marie Brown Deatn Nov.. 26 2006 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number certifier Pedro Espat, D.O. 8005 83rd Avenue Medical Examiner Physician Sebastian, FL 772-589-5600 4. Name of Funeral Home/Diriee~BieryesaF Address 1623 N . Central Ave Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment . Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5. Check a. ~ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ~ Lisa was contacted on 11 /27/06 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. ESpat will complete and sign the medical certification of cause of death within 72 hours. c• ~ was contacted on He/she verified that Medical Examiner, will complete and sign the me ' Ice ' c of cause of death within 72 hours. 6. Funeral Director/ a e F.E. No./Reg. No. Date Signed Direct eispe~r 1862 11 /27/06 B• BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-06-0460 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. ~No extension of time for filing the death certificate has been requested. +`~ Date Date Certifcate Subregistrar Signature ~ M ~",'.~-'"~-'r,. Issued: 11 /26/06 pye. 12/1 /06 Approval 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. Awaiting period of 48 hours after death is required for all cremations. D• CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery BURIAL STORAGE Date of Disposition ~ /z~ /fj 6 CREMATION OTHER (Specify) Signature of Sexton or Person-in-Charge fl~~~f This permit must be endorsed by the Sexton orperson-in-charge (or by the Funeral Director/Direct Disposer when there is no within 10 days to the local County Health Department in.the county where disposition occurred. and returned DH 326, 8/97 Obsoletes all revious editions Distribution: White: Cemetery or Crematory ( p ) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-000-0326-2) Pink: Local Registrar Fs,dN ~~ Pye c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Name ~,'~-~ ~i .j Unit ~ ~ ~-'~ Block G-~ Lot Date of Mark-out Date of Burial ~-°, f Time ~-` u~ i,~, y'""~, ~~ Name of Funeral Home t~ Authorized btv i i B4 SCRIPPS TREASURE COAST NEV Obituaries BAREFOOT BAY .Joan Brown Joan M. Brown, 78, died Nov. 26, 2A06, at Sebastian Riv- er Medical Center. She was born in Reading, Pa., .and lived in Barefoot Bay since 1987, com- ~~ ~ 4~ ing from. Shiling- 3 ton, Pa. -~ She was a -.~ homemaker. She was a ~ member of the Mid-Atlantic ~ • Club and the German Heritage Club, both in Barefoot Bay. She was a member of Con- cordia Lutheran Church, Bare- foot Bay. Survivors include her hus- band of 58 years, Howard E. Brown of Barefoot Bay; and son, John H. Brown of Sebas- tian. SERVICES: A memorial serv- ice will be 11 a.m. Dec. 4 at Concordia Lutheran Church with the Rev. Grant Kilps offi- ciating. A graveside service will follow at 1:30 p.m. at Se- bastian .Cemetery. Arrange- ments are by Strunk l~.ineral Home, Sebastian. r _L "f 1~ ~ f