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HomeMy WebLinkAbout2-51-011 '.1 0 0 QOM. THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS BEREBY ACKNOWLEDGED OF THE SUM OF: -- dollars ($y36Q._O- ) �9o8/ FROM on this__ _day offt- c/k,F./, 1981 for the purchase of the following described Cemetery (s) upon the terms and conditions as stated herein; Description of Property: Cemetery Lot (s) NT 1,S—,1 Block# s5 / Un 't# Purchase Price: i Dollars ($ f". Terms and conditions of sales This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. N. I, or we, agree to purchase the above described property on the terms and' conditions stated in the foregoing intrument: The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. Cit of Sebastian Wi tness Purchase pvri ce $ DD - D R�CI ��,;�(� ��� j Paid d-- Aat_o� � 41Balance$ 198 PaicQQ DateBalance$, Paid Date Balance$ Paid Date Balance$ Paid Date Balance$ NA, Name /C it / 1l, a ' /`f , & ICS 7 x R, Unit - x Block Lot Date of Mark -out d / Date of Burial Time ...- ...^'ter. C Name of Funeral Home Authorized by - U,tA_'I V-" v ` " ' ,& FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY ma HOME OF PELICAN ISLAND 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 Fax: (772) 589 -5570 FUNERAL HOME: Strunk Funeral Home ADDRESS: 1623 N. Central Avenue, Sebastian, FL PHONE #: 772- 589 -1000 (Ch rk One) OPEN BURIAL LOT Lot 1 Block 51 Unit 2 Addition OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: FOR DECEASED: Ruth Gladys Albee Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: /(Must provide proper documentation of ownership) Name Signature' Date I 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. NAM ND I TURE OF LICENSED FUNERAL DIREC R: Name 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 an that all fees have been paid: Cem e Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. 'n �, � l P K � �� Q � Q ` v� � Z . � C M I �- �%O '1^ vl �i` < �� < � < � I� � � r a� �� � � fi, � ..( �` � � � � � � �0 1 � � � r � o� � � .� � �' Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 RUTH G. "RUTHIE" ALBEE Ruth G. "Ruthie" Albee, 81, died Feb. 1, 2008, at Atlantic Healthcare Center, Vero Beach. She was born in Chicago, III., and lived in Sebastian for 24 years, coming from Hialeah. She was a sales associate and worked for Woolworth's in Hialeah for 26 years. She was Catholic. She was a volunteer with the Sebastian River Medical Center Auxiliary. Survivors include her nephews, David Albee of Naples, Larry Albee of Frederick, Md., Jim Albee of Sunrise; and niece, Linda Wade of Vero Beach. She was preceded in death by her husband, Raymond Albee, and brothers, Bob and Bill Elenz. Memorial donations may be made to the Humane Society of Vero Beach, P.O. Box 644, Vero Beach, FL 32961. SERVICES: Visitation will be from 1 to 2 p.m. Feb. 6 at the Strunk Funeral Home in Sebastian. A service will follow at 2 p.m. in the funeral home chapel. Interment will follow at Sebastian Cemetery in Sebastian. A,A❑ Published in the TC Palm on 2/5/2008. Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Powered by Legacy.com. obituaries nationwide Back http:// www .legacy.com/tcpalm/Obituaries. asp? Page= LifeStoryPrint &PersonlD= 102680... 2/6/2008 5. Check a. LJ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box / b. ,{L J, Ashley was contacted on 2/4/08 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Silverman will complete and sign the medical certification of cause of death within 72 hours. C. rI was contacted on He/she verified that Medical Examiner, will complete and sign the me0qI certfflIca§6n of cause of death within 72 hours. 6. Funeral Director/ n re F.E. No. /Reg. No. Date Signed Diroct-e;sposer -* 44048 2/1108 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228- 08-0060 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. E]No extension of time for filing the death certificate has been requested. Rpgist.- rar nr , n o A Date Date Certificate Subregistrar Signature I ✓+` (- 7✓� --�C Issued: 211/08 Due: 2/6/08 r ► - 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 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. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition S ' 61_1mF BURIAL STORAGE Date of Disposition 1,6 X g . OCREMATION OTHER (Specify) Signature of Sexton or Person -in- Charge 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. DH' 328, 8/97 (Obsoletes all previous editiion&) Dutr�bkrtion. VYVehils: at: le Director wtDrced Disposer (Stock Number. 5740. 000-03262) Pink: Local Registrar FLORIDA DEPARTMENT OF HEALT State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Ruth Gladys Albee Death Feb. 1 2001 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. AtlantiF Health Care Center 3. Name of Medical Address Phone Number Certifier Gary Silverman, M:D. - -- 1-26s 36th- Street -- - Medical Examiner r jPhysician Vero Beach, FL 32960 772- 567 -6340 4. Name of Funeral Home/[iWO Bispolal Address 1623 N. Central Ave. Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Strunk Funeral Home Sebastian, FL 1228 772 - 589 -1000 5. Check a. LJ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box / b. ,{L J, Ashley was contacted on 2/4/08 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Silverman will complete and sign the medical certification of cause of death within 72 hours. C. rI was contacted on He/she verified that Medical Examiner, will complete and sign the me0qI certfflIca§6n of cause of death within 72 hours. 6. Funeral Director/ n re F.E. No. /Reg. No. Date Signed Diroct-e;sposer -* 44048 2/1108 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228- 08-0060 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. E]No extension of time for filing the death certificate has been requested. Rpgist.- rar nr , n o A Date Date Certificate Subregistrar Signature I ✓+` (- 7✓� --�C Issued: 211/08 Due: 2/6/08 r ► - 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 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. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition S ' 61_1mF BURIAL STORAGE Date of Disposition 1,6 X g . OCREMATION OTHER (Specify) Signature of Sexton or Person -in- Charge 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. DH' 328, 8/97 (Obsoletes all previous editiion&) Dutr�bkrtion. VYVehils: at: le Director wtDrced Disposer (Stock Number. 5740. 000-03262) Pink: Local Registrar Cemetery .id by 199mYMMeceipt No. 00.1......... st Price $. 700.00 scount $..... -0' +t Paid $700.40 ...... _ . Dated, June 11, 1981......... Maximum No. Burial spaces ...4....... Total area in, square Monument permitted , f1 a t R. issued with deed (Data above this line for City Record only) DEED# 453 William L, Sr, & Velma Wade P. O. Box 115 (micco) Roseland, Florida 32957 Unit #2 Add. Block# 51, Lots # 1,2,15, & 16. WADE, William L., Sr. WADE, Velma F. P. O. Box 115 (home in Micco) Roseland, Florida 32957 DEED # 453 UNIT # 2 Addition BLOCK # 51 LOTS# 1,2,15, &16 UNIT # 2 ADDITION BLOCK # 51 William L. Wade, Sr. Velma F. Wade P. O. Box 115 (Home in Micco) Roseland, Florida 32957 LOTS# 1,2,15, & 16 DEED # 453 • .ire , .�..L•.- of*- �- .S" oS 1225 Main Street, Sebastian, FL 32958 • (772) 589 -5330 — Fax 772 - 589 -5570 June 2, 2005 Mrs. Ruth Albee 321 Fleming Street Sebastian, Fl 32958 Dear Mrs. Albee: I hope you and your family are doing well during this very sad time in your lives. I have enclosed two (2) copies of the signed transfer of interest form for your records. I have also forwarded a copy of the form and a copy of this letter to Mr. Wade at his address in Fort Pierce. If you have any concerns or questions, do not hesitate to call me at 388 -8212. ncer FeZau nn Ro Enclosures (2) Cc: Mr. William Wade 6032 Indrio Road Fort Pierce, A 34951 MY OF SEB`SV HOME OF PELICAN ISLAND SEBASTIAN MUNICIPAL CEMETERY TRANSFER OF INTEREST IN BURIAL RIGHTS CONSENT FORM 1/We, W IL.I.-, A,-A L w Ana= 5(1 , Grantee(s) of City of Sebastian Cemetery Deed # y 5--� or City of Sebastian Cemetery Certificate No. !J I A , do hereby transfer my /our interest in the following: Lot(s) /Niche(s) 1 aE , Block 51 Unit a of the Sebastian Municipal Cemetery to: 6 QLQ E FLEm\u6 ST , F: L_ in accordance with Section 34 -13 of the Code of Ordinances of the City of Sebastian which states: "Sec. 3413. Sale of interment sites. No interment site owner shall allow interments in their interment sites for a remuneration, nor shall any transfer of interest therein be valid except by written consent of the city. No interment sites shall be bought or sold for speculation." I hereby certify that 1 have received no remuneration for this transfer. I request the consent of the City of Sebastian. Signature of Original Grantee Signature of Original Grantee State of P/ County Before me, on thisX6- t� � v of ' , 0 personally appeared and known to me or who produced - identification, who acknowledged to me that he /she/they executed the same for the uses and purposes herein set forth: EVELYN BENNETT ARMSTRONG MY COMMISSION # DD 171749 Nota -Public Signature G — Printed Name: �o� EXPIRES: January 30, 2007 l/ My Commission Expires: 1400,3-NOTM' FLMWySWce61m&V,inc. Notary Stamp: The City of Sebastian hereby consents to the transfer of burial rig for hich no remuneration has been received accordance with ection 3443 of the City of Sebastian of Ordi es: By: ATTES . tenm City an , James A. Davis Sally A. Mai 5^C - City Clerk to ggrm and Legal Sufficiency: Rich Stringer, City • Paid in full 7HE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUN OF: V J ^o 11 ars FROM: L� Ll!1!�.�r�s.. A / - 2- on this / flv day of �Z' , 1981 as a deposit on account of the purchase price of the following described property upon the terms and conditions as stated herein: Description of Property: ' C� tery Lot (s) # I X 3 /-r14 Block i S % Unit M Purchase Price: L' b ((d v" ,rte-, Dollars (6 ) -1 n� Terms and conditions of sale: -40F 3 This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: It The City of Sebastian agrees to sell the above mentioned property to the above named purchases(s) on the terms and conditions stated in the above instrument. Upon completion of this contract, the seller agrees to issue a warranty deed. City of ebastian Cc� Witness Purchase price '� �, o Ste'`' U w Paid 3 o .e n Date 5 / Balance %5Z 5 ' Paid Date Balance r Paid Date Balance Paid Date Balance Paid Date Balance THE SEBASTIAN CEICTERY• CITY OF SEBASTIAN SEBASTIAN, FLORIDA RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: DEED # Paid in full 00 _Ilars (s_ 3 on this day of vD , 1981 as a deposit on account of the purchase price of the following described property upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)#.I,.2- 3 µ /.r 16 Block # .S l Uni t # oZ Purchase Price: / �.�. �� a ((d x/7-7• �o ,-., Dollars (& ) Terms and conditions of sale: .41 3 0 �- This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: ,,Y Q - The City of Sebastian agrees to sell the above mentioned property to the above named purchases(s) on the terms and conditions stated in the above instrument. Upon c6mpletion of this contract, the seller agrees to issue a warranty deed. City of geo&astian Witness Purchase price 'f // o -5-10 - C' o Paid 3 oo.e o Date .5-/? Y& Balance ?5'a- 00 Paid Date Balance Paid Date Balance Paid Date Paid Balance Date Balance