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HomeMy WebLinkAbout4-10-11M OF Now HOME OF PELICAN ISLAND Certificate No. 2179 CITY OF SE'B A STIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Althea Williams 111 Alameda Avenue, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $1,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4 Block 10 Lot 11 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 14th day of May, 2008. C7'i OF S STIAN, FLORIDA YAI\Minner /city Manager ATTEST: y m,- Sally A. Maio, MMC City Clerk Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 Lornette Natalie Bennett, 38, died on May 5, 2008, at Indian River Medical Center in Vero Beach. She was born in Clarendon, Jamaica, and lived in Sebastian since 2004. She was a pharmacy technician at Sebastian Medical Center in Sebastian and was an employee of Medical Data in Vero Beach. She attended the Wabasso Church of God in Wabasso. She attended primary school and graduated from St. Catherine's High School in Jamaica. She also attended Art Academic in Kingston. Survivors include her mother and stepfather; Althea McDonald Williams and Don Williams of Sebastian; and sister, Merlena Ellis of Jamaica. SERVICES: Visitation will be from 5 to 8 p.m. May 16 at the Wabasso Church of God. A "service of memory" will be at 3 p.m. May 17 at the church, with Bishop John A. Thorne officiating. Burial will follow in Sebastian Cemetery, Sebastian. Arrangements are by Thorne's Mortuary of Stuart. A guest book may be signed at ; ww,mornesmortuary.com. Published in the TC Palm on 5/15/2008. Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.coni • Terms of use obituaries nationwide http:// www .legacy.com/tcpalm/Obituaries. asp ?Page LifeStoryPrint &PersonID= 10971... 5/22/2008 CITY OF SEBASTIAN CITY CLERK'S OFFICE 4508 RECEIPT Name beik J Cash Date U 1 Check # 3 3 No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501341910 LDC /Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots LotlNiche_,Block /© Unit 001501 343805 Cemetery Fees v Total Paid I "I White - Dept. of Origin • Yellow - Finance • Pink • Applicant affOF s HOME OF PELICAN 9S aD -'2-'5 Main Street, Sebastian, 3'958 May 14, 2008 Ms. Althea Williams 111 Alameda Avenue Sebastian, FL 32958 RE.- Interment Rights to Unit 4, Block 10, Lot 11 Sebastian Cemetery Dear Ms. Williams: Enclosed is City of Sebastian Certificate 2179 entitling you to,full interment rights in Unit 4, Block 10, Lot 11. Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Singerely, Sally A. aio, MMC City Clerk SAM:dc enclosures City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time,of purchase rn Name(s) /VU�SI Lq R- Address( Area Code & Ph ne Nurpb r l -®rl k ^ n` Residence Address of(l6tended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: lars $ �� on this 'i day of , 20 for the purchase of the following described Cemetery Lot(s) and /or i he(s). Unit, Block �, Lot(s) _Niche(s) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. Additional Fees paid at time of purchase: c� c� Corner Markers (set of 4 - $20) Opening & Closing $-3 (3C3 W O H Circ One Vase and Ring for Niches (cost) Interment Signature of Purchaser Cky of Sebastian Disinterment r `0 TAL $a J Service fees are to be paid at time of need only I: \W W- DATA \Ms - Cemetery\RECEI PT.doc a- ZW aLL a °n~. m N W LL NLUO V W U U Thorne's Mortuary Inc. 420 Martin Luther King Jr. Blvd. Stuart, FL 34994 Ph. 772 - 223 -0900 FaX 772 -223 -0159 x thornesmortuary @bellsouth.net FIB) ay to tke Orfer of 1467 Date C r`. oc Dollars L tJ VOID AFTER 90 DAYS L N a J G i i V E a v: x a a a J (; ! m IU- (6 C O C v c � N fn O J U- ° 1� _ ~ N UJ m 2 CD aNi , U �? U o N W Z N O U a� � U m C t m r J 00 m O cl) O CD oo Cam') cc �✓ 1 O N m M c7 cn O_ U O O O O � O d m m a 2 2 O O C. 2 ti 0 cA 0 !9 0 0 O o Thorne's Mortuary Inc. 420 Martin Luther King Jr. Blvd. Stuart, FL 34994 Ph. 772 - 223 -0900 FaX 772 -223 -0159 x thornesmortuary @bellsouth.net FIB) ay to tke Orfer of 1467 Date C r`. oc Dollars L tJ VOID AFTER 90 DAYS L i CD CD O CD CD LO C. M 04 O CO CO CD 000 00 04 M M CD C14 04 I L O C) C C> C) CO CD pill 1 C) yy//�� CD C> C=) C) C> CD C. CD C> CO TF rr LU F_ rIeN ❑ 1, 1 r", Z U I—) 5_ U U� 0 COO CD 0 se 'D 0 Uj LL LU Name Unit Block Lot — Imo{ C) 0 2 4) U_ (D CO 0 x CO CM 0 E CD E CD 0 0 (D a) 0 C-) _j M 0 _5 0 Date of Mark-out Date of Burial- '31 Time ""3 Name of Funeral Home Authorized by 77 9 cc 1 10 1 0-. 19 I CIL CD CD O CD CD LO C. M 04 O CO CO CD 000 00 04 M M CD C14 04 O C) C C> C) CO CD 6 C. C) C) CD C> C=) C) C> CD C. CD C> CO Date of Mark-out Date of Burial- '31 Time ""3 Name of Funeral Home Authorized by 77 9 cc 1 10 1 0-. 19 I CIL LORIDA DEPARTMENT OF SALT (TYPE) Jame of First Middle — Last Date Month Day Year )eceased � of May 5, 2008 � ornette Natalie Bennett Death State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT dace of Death City, Town or Location Name of (If neither, give street address) 'ounty Indian River Vero Beach Hosp. or Indian River Medical Center linst. Jame of Medical Address Phone Number ;ertifier 1) er E. Mittleman 2500 South 35th Street (772) 464 -7378 X Medical Examiner Physician F' O r t P i e r c e F' 1_. 3 n< 9 8 1 Jame of Funeral Home /Direct Disposal Address Fla, Lic. No. /Reg. No. Phone No. (Area Code) :stablishment 420 SE MLK Jr. Blvd F119002342 ( 772) 223 -0900 - fhorne's Mortuarv, Inc. ;heck appropriate Sox a The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. 1:1 was contacted on He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death within 72 hours. ME] was contacted on medical certification of cause of death within 72 hours. He /she verified that Medical Examiner, will complete and sign the =uneral Director/ SignaW a F.E. No. /Reg. No. Date Signed )irect Disposer F04 2 6 3 7 5/6/2008 BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. Fz 3 08-U23 trrn 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 or ling the death certificate has been requested. Registrar or Date Date Certificate Subregistrar Signat �- � ��-� Issued. 5/6/2008 Due. \pproval Number: AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Date vledical Examiner, , gave authorization by telephone to Funeral Director /Direct Disposer. Date Fhe Medical Examiner's approval must be obtained before disposal by any of the above methods A waiting period of 48 hours after death is squired for all cremations. ICEMETERY OR CREMATORY vlethod of Disposition: Place of Disposition ]BURIAL ]CREMATION >ignature of Sexton >r Person -in- Charge ❑ STORAGE OTHER (Specify) Date of Disposition Ipermit must be endorsed by the Sexton or person -in- charge (or by the Funeral Director /Direct Disposer when there is no Sexton) and returned n 10 days to the local County Health Department In the county where disposition occurred I Distribution wnda: Cemetery or Crematory 6 aN7 (Obsoletes all previous adit x s) Yellow. Funeral Director or Direct Disposer 4s Number 5740 -000- 0326 -2) Pink Local Registrar —� gym „