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HomeMy WebLinkAbout2-37-12m Name Unit_ Block Lot Date of Mark-out Date of Burial Time Name of Funeral Home Authorized by IL ccco CJD • *k C. 0 rn 1 4--- CY) 01 -p- IA 4 ET 0 0 2L C n C. 0 rn 1 4--- CY) 01 -p- Edith Rose Geller Edith Rose Geller, 96, died Nov. 30, 2009, at Consulate Health Care of Vero Beach. She was born in New York City and lived in Sebastian for 23 years, coming from Tamarac. She worked as a retail clerk for Abraham & Strauss Co. in Brooklyn, N.Y., for 10 years. Survivors include her daughters, Andrea Lee Scarpa and Elissa Bonet, both of Sebastian; six grandchildren; and four great - grandchildren. She was preceded in death by her husband, Irving Geller; and brother, Herbert Goldberg. SERVICES: A private graveside service was at Sebastian Cemetery, Sebastian. Arrangements are by Strunk Funeral Home and Crematory Sebastian. A guest book may be signed at tributes.com. Published in the TC Palm on 12/1/2009 Z 37 /z FLORIDA DEPARTMENT OF HiX A. (TYPE) 1. Name of First Deceased 2. Place of Death County Indian River Edith State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT Middle Last Date of Rose Geller Death City, Town or Location Vero Beach Name of Hosp. or Inst. (If neither, give street address) Month Day Year 11/30/2009 Consulate Healthcare of Vero Beach 3. Name of Medical Address Phone Number Certifier Melissa Dean 3745 11th Circle Suite 105 Medical Examiner hysician I Vero Beach, FL 32960 772/567 -1500 4. Name of Funeral Home /Direct Disposal Address Fla, Lic. No. /Reg, No. Phone No. (Area Code) Establishment Strunk Funeral 1623 N. Central Avenue Homes 6 Crematory Sebastian, FL 32958 F041870 772/589 -1000 5. Check a. F� The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b• ® Janice was contacted on 11/30/2009 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that I Melissa Dean, M.D. 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 Directori Sign tune F.E. No. /Reg. No. Date Signed • � UA*ik,,, F044048 11/30/2009 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -09 -0540 ® 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 ' ath ificate has been requested. •registrar or cert Date Date Certificate Subregistrar Signature Issued: 11/30/2009 Due: 12/04/2009 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. A waiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery BURIAL STORAGE Date of Disposition CREMATION OTHER (Specify) Signature of Sexton 1 or Person -in- Charge 1j This permit must be endorsed by the Sexton or within 10 days to the local County Health Depal 1 -in- charge (or by the Funeral Director /Direct Disposer when there is no Sexton) and returned in the county where disposition occurred. DH 326, 8/97 Obsoletes all previous editions Distribution: White: Cemetery or Crematory ( P ) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740 - 000 -0326 -2) Pink: Local Registrar PIP- /Paid by CEMETERY Receipt No..... 1 ........ Dated. � 1.3 /86 ... ... , . NO. List Price $ ...300 :00 ....... Maximum No. Burial Spaces....—.2- paces .....2 ......... . i Net Paid $ .. ,300.00 ....... Monument permitted .... , Fla t ........... 1 U 7 3 Lots 11 & 12, Block 37, Unit 2 Joseph Scarpa 124 Englar Dr. (Data above this line for City Record only) Sebastian, Fl. 32958 Iiitu of Othastian wrwitt�e Pied No• 1G73 THIS INDENTURE MADE This .... 13.th............ day of ........ March .............................. A. D., Is. between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ............ Joseph . Sc ar P. a ....................................................................... ............................... 124 Englar Dr. ..............Sebas tiara.,.. F. i ari da ... 32. 95. 8 ........ ............................... ............................................ of the County of ....Indian, River,,,,,,,,,,,,,,,,,,,,,,, and State of .... Florida,,,,,,.... as Grantee, WITNESBETHt That the Grantor for and in consideration of the sum of $ 300 : 00 . .. , . _ ... . _ , to it in hand paid, the receipt whereof is herewith ao- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , h?S..... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) 11 & 1 2 , Block, .. 3 L.. , UNIT .... ....... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat 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. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with such rules, regulations, resolutions and ordinances and the conditions of the doted 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 the first part has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. CITY OF SEBASTIAN, FL IDA Attests ......r ............... �.-^'� Br .. ....,, �. k ". ..... City Clerk =gi►Qr .. f Signed, Sealed and Delivered in the Presence oft ~ _ ✓$M ,�... a.. -,, STATE OF FLORIDA COUNTY OF INDIAN RIVER�'``��,.,��`"��