HomeMy WebLinkAbout4-11-02C(iY OF
~~ ~~~~~~
HOME OF PELICAN ISLAND
Certificate No. 2186
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Mr. Frank DeJoia 11625 Roseland Rd, Sebastian, FL 32958
(name) (address)
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4 Block 11 Lots 1 & 2
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 2nd day of July, 2008.
CI OF BASTIAN, FLORIDA ATTEST:
~; i
1(/ ~ ~ /
AI Minner _ Sall .Maio, MMC
ity Manager City Clerk
__ ~.~ [~
_.__ ~ ~~
HOME QF P ELIC,AP3 ISL1iN~
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase.
((``~~~
X12 L~N~ ~~~
Name(s)
Address I i j „ ~ ~~~ ' ~~~~/vl ~ ~-- ~~15 `7
Area Code & Phone Num
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
~1~fl ~~Q~~ -Dollars ($ 0~-000 -°~ )
~~11 N~
on this. o~ day of , 20~ for the purchase of the following described
Cemetery Lot(s) and/or Nich ).
Unit ~ ,Block ~, Lot(s) ~ ~i o2 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:
_®~_
Corner Markers (set of 4 - $20) Opening & Closing O H
ircle One
Vase and Ring for Niches (cost)
Interment
Temporary Marker Preparation & Installation
Disinterment
TOTAL $c~.-~~ ~
Signature of Purchaser
The following documents were provided as Proof of
Residency:
!:\wW-DATA\Ms-CemeterylREGEIPT.doc ' and
City of Sebastian
Name
~~
Unit
Block ~
Lot
Date of Mark-out ~' / -~ ~ / °
Date of burial ~ °~ e ~ Time
..~° /
Name of Funeral Home `~ u ~'~ ~
(~
Authorized by ~" ~" `~" '~ ~"'
N
W
.C'
W
Name ~ s
Unit !
Block,
Lot
Date of Mark-out G ~ 3 a ~~ 8
Date of Burial l / ~ /O S Time ~l ~ 00 /¢. < ~ yf SS , ,~
~_
Name of Funeral Homy 5 ~Kuk +~
Authorized by
Obituaries ~ Death Notices ~ Newspaper Obituaries ~ Online Obituaries ~ Newspaper D... Page 1 of 1
JOYCE DEJOIA
Joyce De]oia, 81, died June 28, 2008, at VNA Hospice House in Vero Beach. She was born
in Bowling Green, and lived in Roseland for 28 years, coming from Boca Raton. She
received her bachelor's degree in education from Florida State University. She taught in
Tallahassee, San Juan, Puerto Rico, Tokyo, Japan, and Venezuela. Survivors include her
husband of 52 years, Frank DeJoia; sons, Thomas DeJoia of Boca Raton, and Stephen
DeJoia of Sebastian; daughters, Mary Ramsay of Virginia Beach, Va., and Diana Ferry of
Montrose, N.Y.; brother, Archie Harris Jr., of Lake City; sisters, Martha Spence of
Nevarre, Mary Heintz of Montecello, and Carol Miller of Deland; and seven grandchildren.
She was preceded in death by her brother, Peter Harris. Memorial contributions may be
made to the Friends of St. Sebastian River, P.O. Box 284, Roseland, FL 32957.
SERVICES: Visitation will be from 5 to 7 p.m., July 1 at the Strunk Funeral Home,
Sebastian. A Mass of Christian Burial will be celebrated 11 a.m., July 2 at St. Sebastian
Catholic Church, Sebastian. Burial will follow at Sebastian Cemetery. Arrangements are
by Strunk Funeral Home and Crematory, Sebastian.
Published in the TC Palm on 7/1/2008.
Today's TC Palm obituaries and death notices
Questions about obituaries and death notices or Guest Books?
Contact Legacy.com • Terms of use
Pai~r~red b~ LC~;t1t~'.GOCII
obituaries nationwide
Back
U
~~ ,~( 3Zg57
~~~ -~9~~
http://www.legacy.com/tcpalm/Obituaries.asp?Page=LifeStoryPrint&PersonID=112575... 7/8/2008
A.
FLORIDA DEPARTMENT OF
HEALT
(TYPE}
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL -TRANSIT PERMIT
1. Name of First Middle Last Date Month Day Year
Deceased Joyce DeJoia Death June 28 2Q~08
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
Indian RiYt?C Vero Beach Inst. ~lN~e HOSI31Ce House
3. Name of Medical Address Phone Number
Certifier Richard Penly, .D. 901 37th Street
Medical Examiner Physician Vero Beach, FL 772-978-5600
4. Name of Funeral Home/Giraet-Bifies~l Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1623 N. Central i~lYe.
trunl< Funeral i•lome ~ Greimat0 y Sebastian, FL 3228 772-589-1000
a. ~necx a. LJ t ne medical certmcanon has been completes and signed. A completed certificate of death accompanies this
Appropriate application.
Box
b. ~ Sonya was contacted on 6 /28 /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. Penly will complete and sign the medical
certification of cause of death within 72 hours.
c. ~ was contacted on Helshe verified that
Medical Examiner, will complete and sign the
medical certification of cause of death within 72 hours.
6. Funeral Director/ Signature F.E. No./Reg. No. Date Signed
DiFeetBisposeT 22789 6 / 30 /08
B. BURIAL -TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-08-0318
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 filing the death certificate has been requested.
F~eejl5tT~1'>SF ~ Date Date Certificate
Subregistrar Signature ~, Issued: ~ /2$ /08 Due: 7 /2 /0$
v - - --
c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-ATSEA
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. Awaiting period of 48 hours after death is
required for all cremations.
D. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition SeljaStt~f-t Ce~t;i!-, ; x• ~,;
BURIAL STORAGE Date of Disposition ~~2 ~p S
CREMATION 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 90 days to the local County Health Department in.the county where disposition occurred.
Distribution: White: Cemetery or Crematory
DH 326, 8/97 (Obsoletes all previous eddans) Yellow: Funeral Director or Direct Disposer
(Stock Number X740-060-0326-2) Pink: Local Registrar ~~ i~ ,~