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STRUNK FUNERAL HOMES, P.A. 6051
CASH ADVANCE ACCOUNT-SEBASTIAN
916 17TPI ST.
VERO BEACH, FL 32960 +� I � 0,�, 63-1205/670
PH.772-562-2325 DATE �J Ot
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95820[hPlaca
-- - — — = Vero Baach, FI 32960
_� ��- ��� www.IqNB.com
Indian River National Bank ��z) sss-9zoo
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Donald S. Vickers
�, ! � Donald S. "Don" Vick- .
ers, 86, of Vero Beach,
died March 29, 2007 at
his residence.
He was born Dec. 26,
1920, in Sebastian, and
was a lifelong resident of
Indian River County.
Mr. Vickers was a
prominent citrus leader,
and grove and packing
house owner in Indian
Riuei�'County. He vvas a
member of Sebastian
':.iJnited Nlethodist
Cliux.c�a. He sat on the
boards� of Southeast
Bank, Sebastian River
Medical Center, and the�
C,c�uncil on Aging. He was
�-inember of the Sebast-
ia� Volunteer Fire
Departm�nt, the Sebast-
ian`E1ks Lodge #1774 and
tt�e Scouts. He was>a vet- I
eran of World War II,
serving in the U. S. Army,
and was amember of
American Legion Post
#189, located in Sebast-
ian.
He is survived by his
wife of 64 years, Alice C.
� Vickers, of Vero Beach, a;
°` daughter and son -in-
law, LisaV. (Jim) R�clia ds
of Okeechobee; a sis�r,
Betty V. Salrne`l�, of
` Sebastian, a brother,
Jack K. Vickers, of Wolf
Laurel, N.C.; �hree grand=
children; and one great-
granddaughter.
Mr. Vickers will be
buried in Sebastian
Cemetery, Sebastian, FI.,
Memorials may be
made to one's favorite
chariry in memory of
Don.
�
FLOR[DA DEPARTMENT OF
HEALT
A.
1. N
Deceased
First
Donald
u I-� g_ �, � 9�
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
Middle Last Date Month Day Year
S. Vickers °f March 29 2007
2. Place of Death City, Town or Location
County
Indian River Vero Beach
3. Name of Medical
Certifier �ry Silverman, M,.D.
Name of
Hosp. or
Inst.
Death
(If neikher, give street address)
551 6th Street
1265 36th Street
Medical Examiner ,% Physician Vero BeaCh, FL 772-567-6340
4. Name of Funeral Home/DireeWiop�,p�I Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1623 N. Central Ave.
Strunk Funeral Home Sebastian FL 1228 772-589-1000
5. Check a. � The medical certification has been completed and signad. A completed certificate of death accompanies this
Appropriate application.
Box
Phone Number
6. Funeral Directod
B.
b. � Ashley wascontactedon 3/30/07
He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death,
and that Dr. Silverman will complete and sign the medical
oertification of cause of death within 72 hours.
��I
was contacted on He/she verified that
, Medical Examiner, will complete and sign the
cause Qf death within 72 hours.
F.E. No./Reg. No.
� 1862
BURIAL - TRANSIT PERMIT
Date Signed
Permission is hereby granted to dispose of this body. Permit No. 122$y07-0139
� A five (5) day extension of time for filing the death certificate (exGusive of weekends) has been requested and granted since the physician has
been contaded by the funeral director and will not be able to complete the medical certification of cause-oftieath section of the death certficate within
72 hours.
�No extension of time for filing the death certificate has been requested.
�9�+ Date Date Certificate
SubregistrarSignature Issued: 3/29/07 Due: 4/2/07
�. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Approval Number. Date
Medical Examiner, , gave authorization by telephone to
Funeral DiredodDirect Disposer. Date
The Medical Examiners 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.
�� CEMETERY OR CREMATORY
Methodof Disposition: Place of Disposition Sebastian Cemetery
�► BURIAL �STORAGE Date of Disposition 6 r•
�CREMATION
Signature of Sexton
or Person-in-Charge
�OTHER (Specify)
�
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.
oisvibutior,: wnite: ce�„e�ery a c�ematar
DH 326, 8/97 (Obeobtes all previous editions) Yelbw: Funeral Dvectw or Dired Disposer
(Stodc Numbsr. 5740-000-0326-2) Pink: Local Registrar �� `� �