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Home My WebLink About4-28-12Name Unit_ Block Lot _ Date of Mark -out d Date of Burial // // Time f Name of Funeral Home— Authorized by i r s III illill s October 9, 1920 - July 31, 2013 Paasch, Robert, of Sebastian, FL, passed away peacefully at age 92 after a short illness. Beloved grandfather of Christopher and Stefanie Paasch, uncle to niece Renee (Harold) Worrell, grandnieces, Danielle and Melissa Worrell, nephew, Matthew Palma and grandnephew, Nicholas Palma, uncle to niece, Deborah Robinson, Charlotte Thorgerson, Charlene Poulson. Preceded in death by wife, Ruth and son, Wayne. Retired from NBC in Miami where he was Chief Broadcast Engineer. Served in Army Air force during WWII and worked on the Manhattan Project. -ti Fioxio }� riaret�vr of State of Florida, Department of Health, Bureau of Vital Statistics HELT BURIAL TRANSIT PERMIT DATE PRINTED: August 5, 2013 TRACKING NUMBER: 2013110501 1. DECEDENT INFORMATION Name of Deceased Date of Death ROBERT HENRY PAASCH July 31, 2013 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH PALM GARDEN OF VERO BEACH Name and Address of Funeral Home /Direct Disposal Establishment Fla. Lic. No. /Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589 -1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director /Direct Disposer Fla. Lic. No. /Reg. No. WILLIAM B. WHITTAKER F026900 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2013- F041870 -5113 Q G / 7 T Date Issued: August 1, 2013 4, ..J t Meade Grigg, State Registrar J 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY Method of Disposition: BURIAL Date of Disposition: l 20 d' EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E, 10/12 64V- 1.011, Florida Administrative Code CITY OF SEBASTIAN CITY CLERKS OFFICE 4790 RECEIPT Name )Cs�r u n K / ea a.50, Date s z 13 No. 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies /Bid Specs. ❑ Cash /,, 1�VCheck# (v5_ Amount Paid 001501 341910 LDC /Code of Ordinances _ 001501 341930 Election Qualifying Fees _ 601010 343800 Cemetery Lots _ Lot/Niche / Z , Block, Unit 001501 343805 Cemetery Fees _ �ti(l✓1 Total Paid 2 a oo Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY 11- SE T HOME OF PELICAN IANiD For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8215 or 388 -8214 STRUNK FUNLRAL'HU dAEMATORY FUNERAL HOME: 1623 No. GentralAve. SEBASTIAN, FL 32958 ADDRESS: (772) 589 -1000 PHONE #: (Check One) 9f! OPEN BURIAL LOT Lot 2 Block � Unit �T !X OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: FOR DECEASED: -f Qb(f+ Renri Name NAME AND SIGNATURE OF LOT OWNER OR R SENTATIVE: (Must provide proper documentation of ownershi Name nature Da e certify that I have determined the ownership of the above described site, that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIR C Name Signatur Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office an that all fees have been paid: e to Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion Jj l y�. THIS INDENTURE a NO• September 98 day of .... ine under the laws of the Stale of Florida, as Grantnr and between the City of Robert H., and %or'r!tR�h. .. Paasc........ ... ............... 219 Cedar Street x ........ P...O.•.. BON :'R3 ". 32958 ............................. . . Sebastian, • • • • • • .. of the County of ... Indian• River ........................ an' 1 State of ......... , .Florida... • ..................... . as Grantee, WITNESSETH i to it in hand paid, the receipt whereof is herewith ac- That the Grantor for and in consideration of the sum of $ ....1, �0- Qr • • • ' ' ' ' m unto the Grantee knowledged, does by this instrument grant, bargain, sell, release, convey and confirY�lel.r .. , heirs, legal representatives and assigns the following property situated in Sebastian , Indian River County, Florida, to -wit: eof recorded in Pint 11 &12 UNIT ..... , of Sebastian municipal cemetery as per Plat Number 1 ther Allof Lot(s) ....... , Block, ........ , Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. Florida, hereto - To Have and to Hold the same forever; provided that said he rules and egulafions,sordin n es and resolutoons of the City of Sebastian, arr dead and spa be used, kept and maintained at all times in accordance with t fore, now and hereafter adopted or provide) for rho government n the event of the failure ofrtherowner of any conditions, roperty situated awithin requirements aid cemetery for ob in this instrument shall be covenants running with the land. serve and comply with such rules, regulations, resolutions and ordinances 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 first part has "caused this instrument to be executed in its name and on its behalf by its Mayor and he fa attested by its City Clerk and its corporate seal to be hereto•aff. ecj;,the day and year first above written. CITY OF SE11A.STIAN, FLORIDA I NEIiEBY CERTIFY, Tool ull and .................... Ruth Sullivan ................... personally appeared • • • • . • • • • . ' ' ' ' . of . Scbastinn, a municipal corporation under the laws of the State of Florida to me known before me P Clerk of the City respectively Mayor end City ance o or Ruth A. Paasch • • ............. . to be the individuals and officers described in unadna/ executed tire. foregoing cuavi .. .......................... Robert H. ...•.••........ :n ^E execution thereof to be their free act and deed ,and severally ack duly affixed` thereto, and the said conveyance as such ,., thert the'O;fficiai soil of sa eunto duly authorized; and t the net and deed of said corporation• ver nd State f Florida, the day and year is WITNESS my signature and official seal :4t Sebastian, la t last aforesaid. - LINDA vM« — '.. •