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HomeMy WebLinkAbout4-10-02Name!% /✓1X /o - Uni- Block /a Lot 1 Date of Mark -out -3. 9 Date of Buri=i A/,.�iq• Name of Funeral Homel/ Authorized h, /l/J �_W-e s - Strunk Funeral Home - Vero Beach LOTTIE H. MORGAN ( January 14, 1921 -March 09, 2019 ) Mrs. Lottie H Morgan, 98, passed away very peacefully on March 9, 2019, surrounded by her family and dear friends at Solaris Senior Living Center in Vero Beach, Fl. Lottie was bom in Winston Salem, N.C. and lived in Sebastian and Vero Beach for the past 23 years. She devoted herself to her loving husband, Earl, for 62 years, and to her whole family. She was so proud of her "grands" and her "great grands" and loved spending time with all of them. She was a trusted and obedient servant of Jesus Christ, her Lord and Savior, and most recently a beloved member of the First Baptist Church of Wabasso where she served faithfully in many capacities. Lottie was an avid reader, bridge and game player, and a great story teller. At Pelican Pointe she got her first (and only) hole in one playing in the Ladies Golf League at the age of 80! She loved cruising and seeing new places. She was the greatest cheerleader ever for her 4 children through all of their sports and academics. Solaris Senior Living Center was her last home. She loved everone there including the staff and her fellow residents, and expressed her gratitude and love to each of them. She brightened the lives of all around her with her positivity, joyfulness, and uplifting spirit. Lottie was a truly remarkable woman and a faithful child of God. Well done thy good and faithful servant! Survivors include daughter Barbara M. Schwin (Phil) of Vero Beach, sons Earl S. Morgan Jr. (Shirley) of Deltona and Charles M. Morgan of Winter Park, 9 grandchildren, 10 great grandchildren and many beloved nieces and nephews. She was preceded in death by her husband Earl S. Morgan Sr., her son Nickie H. Morgan, and her 5 brothers and 5 sisters. In lieu of flowers, contributions may be made to the First Baptist Church of Wabasso (P. O. Box 246, Wabasso, FI 32970) or to St. Jude Children's Research Hospital (P.O. Box 50, Memphis, TN 38101). Visitation will be held Wednesday, March 13th at loam at the First Baptist Church of Wabasso, followed at Ilam by a "Celebration of Life" service. There will be a private interment service for the family at the Sebastian Cemetery. 01/20/2016 02:20PM 7727788934 STRUNK FUNERAL HOME PAGE 01 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589.2545 Fax: (772) 228.9927 City Clerk's Office - Cathy Testa City Nail, 1215 Main Street Sebastian, FL 32958 Office (772) 388.8215 or 388-8214 ctestal0citvofsebastian.ora FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 91617th Street, Vero Beach, Florida, 32960 PHONE#. 772-562-2325 (Check One) --L-OPEN BURIAL LOT _OPEN CREMAINS LOT Lot 2 Block 10 Unit 4 Lot—Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME; a 9j 7A1�1 �23C?M C/p At�5tnK / FOR DECEASED: LOTTIE H. MORGAN 1 Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Barbara Schwin Barhaya 6nl9WLw 3/11/2019 Name Signature Date 5490 East Harbor Village Drive. Vero Beach. Florida. 32967 1 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 DIRECTOR: itf3iffiffI1.F Name fiW 906 Signature Date 3/11/2019 Cemetery Sexton Certification: I certify that I have checked the ownership Information by vlewing the owner's deed and confirming with Clerk's office and that all fe have been paid: /„/, 9 em Cteryy%ixton Date This form to be provi ed to Clerk's Office by Sexton for permanent record upon completion. Certificate No. 2141 ~~~ Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Lottie H. Morgan and/or Barbara M. Schwin 5780-1 Pelican Pointe Dr., Sebastian, Fi 32958 (name) (address) In and for consideration of the sum of $1.900.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following Lot(s)/Niche(s) Unit_4_Block_10_Lot(s)_i & 2_ 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 11th day of July, 2007. 1'111 II ICI Manager FLORIDA ATTEST: ~, g ICJ , Jeanette Williams, CMC Deputy City Clerk .~- FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, .Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax: (772) 228-9927 City Clerk's Office — Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388.8215 or 388-8214 ctesta(Mcitvofsebastian.ora FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 91617th Street, Vero Beach, Florida, 32960 PHONE* 772-562-2325 (Check One) X OPEN BURIAL LOT _OPEN CREMAINS LOT Lot 2 Block 10 Unit 4 Lot—Block—Unit— OPEN otBlockUnit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 3113)201c1 121 WfM FOR DECEASED: LOT HE H. MORGAN Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Barbara Schwin gaYbaya sohwLW 3/11/2019 Name Signature Date 5490 East Harbor Village Drive, Vero Beach, Florida, 32967 1 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 DIRECTOR: Jeff Gibbs Name 3/11/2019 Signature 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 and that all fees have been paid: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. CITY OF SEBASTIAN 11597 ADMINISTRATIVE SERVICES RECEIPT Name,A�Junll- /AvICRIO-n O :ach Date 3/lll�4 Check#4q � �J 9 Credit Amount Paid 001001208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 SubdivisiordPlat Review 001501329100 Zonln Fees MON I lo L 444;�- Total Initials White - Dept. of Origin - Yellow -Admin. Svcs. - Pink -Applicant State of Florida, Department of Health, Bureau of Vital Statistics �ia BURIAL TRANSIT PERMIT HFLTM DATE PRINTED: March 11, 2019 TRACKING NUMBER: 2019041067 1. DECEDENT INFORMATION Name of Deceased! Date of Death LOTTIE HEMRICK MORGAN March 9,2018 Place of Death -County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH SOURIS SENIOR LIVING VERO BEACH Name and Address of Funeral HomelOirect Disposal Establishment Fla. LIc. No.IReg. No. Phone Number STRUNK FUNERAL HOME AND CREMATORY- VERO BEACH F041804 F041604 (772)562-2325 91617TH ST VERO BEACH. FLORIDA, 32960 Funeral Director/Direct Disposer Fla LIc. NclReg. No. JEFFREY GIBBS F107102 Medical Verification Statement VNA atthe certifying physician's office, was contacted on 031116019 by the funeral director listed above; he/she Indicated that MICHAEL ANTHONY VENA O, cartifying physician, will complete and sign Me medical unification of cause of death within 72 boon. 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. 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY c+r,.�e�.�� Method of Disposition: BURIAL Date of Disposition: ot9 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, 10112 64V-1.011, Florida Administrative Cade Permit Number: March 11, 204-5086 Date Issued: March 11, 2019 State Registrar 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 c+r,.�e�.�� Method of Disposition: BURIAL Date of Disposition: ot9 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, 10112 64V-1.011, Florida Administrative Cade