HomeMy WebLinkAbout4-10-02Name!% /✓1X /o -
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Block /a
Lot 1
Date of Mark -out
-3. 9
Date of Buri=i
A/,.�iq•
Name of Funeral Homel/
Authorized h, /l/J
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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