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HomeMy WebLinkAbout4-18-010 0 ~„~~ ~~~~~ ~.~. HOME O~ PELiUN 15WVD :Certificate No. 2044 Certificate of interment Rights IN` ACCORDANCE with .provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that:- Howard fDunphey, Jr. & Howard Dunphey, Sr: 1082 Croquet Ln., Sebastian, Fl 32958 (name) (ad`dress) in and for consideration of the sum `of 2$ ,500.00 has purchased and is entitled- to full. interment rights in the Sebastian Municipal Cemetery for the following plot: Unt_4_ Block _18_ Lot(s)/Niche(s)_l, 2,19 & 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 19th.day of September, 2005.. CITY O SE . TIAN, FLORIDA` ATT c ~ r ~~~_ 1 inner S Maio, MMC ity anager 'City Clerk;' O: O C[IY OF ~~~ ~_~...~. ~~ u~. ~_ HQME OF PELICAN ISLAND 1225 Main Street, Sebastian, F132958 Telephone (772) 589-5330 -Fax (772) 589-5570 September 19, 2005 Howard Dunphey, Jr. and Howard Dunphey, Sr. 1082 Croquet Lane Sebastian, Fl 32958 Dear Mr. Dunphey: Enclosed is City of Sebastian Certificate 2044 for the purchase of Cemetery Lots 1, 2, 19 & 20, Block 18, Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sin , ~~ Sally Mai , C City Clerk SAM:ar enclosure City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Name(s) ~~>~~ Cc~~c~ ~,~~~t ~,c~.l~~ 5el~c~St;~n F~ ~3z~5~ Address `~ Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser .Office Use Only Receipt is acknowledged in the sum of: ~~ ~ /d0 Dollars ($ ;,2~~C~, C~C~ ) on this , t~1 day of :~'~ ~11'I , 200.5 for the purchase of the following described Cemetery Lot(s) and or Niche(s). Unit ~_, Bloclc ~_, Lot(s) ~ ~~ Z ' I ~ ' ZC Niche(s) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. Additional Fees paid at time of purchase: Corner Markers (set of 4 - $20) Opening & Closing Vase and Ring for Niches (cost) Interment W O H Circle One Disinterment TOTAL $ 0 l ~ .~C1 .c~~~ Signature of Purcha r I of Sebastian Service fees are to be paid at time of need only I:\W W-DATA\Ms-Cemetery\RECEI PT.doc ~'~~~ any ~E;A5T1~ HOME OF PELICAN ISLAND Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me ~~ c vva.l~d pu.ln,~ h e.u S~ r . , (please print name and ddress of purchaser) LU+s I-Z-I~-Z~, ~31k, I~, l~.ni~ ~- (lot/niche, block, unit description) are intended for interment of the following individuals: Please print name(s): L ~ f ~ ~~~ ~ L~~f Z Loft ~ c,-f Z~ ~~.cc nv- -e ~ t i oufa rC'X l~ ~h Interment lots/niches are not to be transferred without written approval of the City of Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be passed on to heirs but the City requires a certified copy of a will or other probate documents. I ha a rea and derstand the terms of this agreement. ~~b_ ~~ i nature ate ~~~t~~(,,1 Sub cribed and sworn to before me t~'~~1sff~~i~ry~i..dav of U ln.'Ct r d U h ~~ ~ ~ ~e G~ 510~L~ slolt.~s otary Public, State of Florida ttn ~~eL Jr. >° ~ ~' `~ ~' eta J~ known Sep ~r ~ ~~~'S by to me, or has produced OWARD G. DUNPHEY ss-ss/z~z $ 5 O 1 REGINA K. DUNPHEY 5001147802 1082 CROQUET LN. ~~~ SEBASTIAN, FL 32958 DATE 9 ~ ~.$©d y! g DOLLARS 8 m~ BankofAmerica ~~ ~~~® 96637 Egg Harbor, New Jerae - •~ MEMO _-_ ~ ~:0 2 L Z00 3 3 500 ~ L 4 78 211' 3 50 L CITY OF SEBASTIAN CITY CLERK'S OFFICE 3 4 0 9 ~~ RECEIPT ' Name 1 I ~ W ~- rte'` ~ ~ ~ ~" ' ~Y ^ Cash Date I J ~ ~ ~ ®~ f~Check# No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales , 001501341920 CopiesBid Specs. ~, 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots ] Q~ LotMiche + Z f ~..~lock 1 V ~ c ~ I' .Unit 001501 343805 Cemetery Fees Total Paid ~"~~ Inftials White - De of Origin • Yellow -finance • Pink • Applicant t~.., ~~~~ ~. ~ ~, •-•,... u~+ -~ ,... -., N _I ~ m •~ ~ • Z ~ C~ -- !^~ V '~::~ ~ _. ~-'a a~ t ~ ,t a~ ~ ~' '~ ~ i ~ °~~.. O Y c0 O C T d ~ ~ ~ m ~ ~ ~ ~ O N O O ~ ~ ~ ~ p t R m p p ~ Z ~ Q HOWARD GROVES DUNPHEY Howard Groves Dunphey, 90 died Peacefully on December 18,200$ at'his Home with his Family by his side. He was born in Haddonfield, NJ in 1914 and 4ived most of his adult life in Sweetwater, New Jersey. From the Time of his '~ retirement as Head of Maintenance,' Security and Grounds for Oakcrest High School in Mays Landing, NJ, he spent his winters at his. residence at Saddlebag Lake. Resort `in Lake Wales, ~L and° his summers in Sweetwater. He and,-:.his wife -J.eagne:- moved"permanently to"Vero' Beach; FL earlier this year.. , He was one of the founding fathers of -the Sweetwater Fire Dept. and was the Chief of that department for ' almost 25 years, He is a member of the Atlantic County Firemans Assoc. and the New Jersey State Fire Chiefs Assoc. He Was a member of the first Boat Club on the Historic Mullica River in the 1930's, called the "Mys#ic Knights of the Mullica", He was a char- ter member of the Mullica River Ski Club which put on several Ski Shows in the 1950's and is a lifetime member of the American Water Ski Assoc. He is a member of the .Artisans Order of Mutual Protection and a Veteran of World War II, serving in the US Army. j Survivors include his wife of 60 years, Jeanne Dunphey of Vero Beach; sister, Ida Cox of .Haddonfield, NJ; daughter,. Deanna Shepherd (Richard) of Haddonfield, NJ; son, Howard G. Dunphey (Regina) of Sebastian, FL; son, Glenn H. Dunphey (Carol) of Vero Beach, FL; Grandchildren; Stephen, Jennifer, Benjamin, Kristen, Sarah, Alyssa, Mason, Chris- topher and Kaitlyn. Great Grandchildren; Glenn, Allison, Kaitlyn and Kylie.. A viewing will be held at the Seawinds Funeral Home at 735 Fleming St., Sebastian, ' FL 32958 orr Wednesday, December 21st from 9:30 - 10-30am followed immedi- ately with a service at the Funeral Home Chapel Burial will follow at Sebastian Cemetery. Paid Obituary y_~~- a~ ~~2 9L L L ~ L t OOOOt :~9L 0900E 90:F •~~00'~h00.~~ ~iaudunQ ow~w ~ ~~_ _~~ 8S6Z£ 73 `~~~qa5 •~s u~~y~ SZZi uzt~segas ~o ~T~ .; g satn~oa tre anti-~uanas ***********~~*~x**************************************~******~*OOT/00 P crerXse a o ~i ~o d3a~o ~} S ~ ~ ~Hl Ol J.`dd 00'SL** ~ SOU~IBZ/Z1 osszE ~~ `HOV~s o~3n oLS/G09-e9 .133ti1S HlOZ 0561 ~~-~7~~H~3aod~A 3woH ~ea3Nn~ sc~Nrnnvss-ado~~io xo~ OOSi~ ~ CD /~ ~~/ Z W a~~a m H LL! N ~ W 0 ~ C r V~ a c 0 E a ik L A V 0 ~o I U O N m C p~ C ~ p '_~ Y3 m N ~ ~ J ~ V ~, ~ ~ ~ z ~ m ~ n U ~ m ° ~ u~ t7 U ~ w U ~ U g °°h ~ ~ p ~, rn ~ rn ~ a°Oi v G ~ cvn ~i m M c~ cv o 0 c ~ ~ ~ ~ o ~ 0 a 'C w W Li d a O ` F c d v C W 0 C .~ I • 0 w I O 0 r \ t {r _3 z c FLORIDw DEv~MENT OF ~ ~~4~ ~~ ~~ uL' A T T State of Florida, Department of Health, Vital Statistics ` ~~ 11j,y,LyL 1 APPLICATION FOR BURIAL -TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of HOWARD GROVES DUNPHEY Death 12/18/05 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or INDIAN RIVER VERO BEACH Inst. 7976 101ST AVE 3. Name of Medical Address Phone Number Certifier FREDERICK W. BAKER, MD 1265 36TH ST Medical Examiner Physician VERO BEACH, FL 32960 772-567-6340 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 735 FLEMING ST SEAWINDS FUNERAL HOME SEBASTIAN, FL 32958 2617 772-589-1933 5. Check a. ® The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b• ^ was contacted on He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that 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 medical certification of cause of death within 72 hours. 6. Funeral Director/ Signature F.E. No./Reg. No. Date Signed Direct Disposer 2294 12 2 0 0 B. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 05-2617-193 XO 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 de ert~ lcate has been requested. Registrar or Date Date Certificate SubregistrarSignature Issued: 12/20/05 Dye: 12/30/05 c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA 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 l,., ,~- Metho~tof Disposition: Place of Disposition SE~i~.$ ~A~w ~ ~;~ ~ ~ ~G~Y BURIALSTORAGE Date of Disposition ~ aZ - ~~ - ~ ~ ~~ CREMATION OTHER (Specify) Signature of Sexton 1 oPerson-in-Charge J! j -' 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 focal County Health Department in.the county where disposition occurred. Distribution: White: Cemetery or Crematory DH 326, 8/97 (Dbsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-000-0326-2) Pink: Local Registrar Rn~~a iI r.oe