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HomeMy WebLinkAbout4-24-12Unit Block Lot Date of Mark -out 134 Date of Burial Time • o D d. Name of Funeral Home Authorized by DANIEL HOLTON ROBB January 5, 1935 -July 29, 2017 Mr. Daniel Holton Robb, 82, died July 29, 2017 at his residence in Sebastian He was born in Tegucigalpa, Honduras and lived in Sebastian coming from South Florida. Dan was a US Army veteran and attended Sebastian United Methodist Church, Sebastian, FL. He was a retired Fire Fighter from the Miami Beach Fire Department. Dan was also a life guard at Haulover Beach, Miami Beach. Survivors include sons Sean Robb (Dana) of Sunrise, FL, Scott Robb of Orlando, FL, and granddaughter Elaria Robb of Sunrise. In lieu of flowers, contributions may be made to the charity of your choice in memory of Daniel H. Robb. Visitation will be held 10:00 AM on Saturday August 12, 2017 Strunk Funeral Home, Sebastian, FL. Services will be held 12:00 PM on Saturday August 12, 2017 at the funeral home chapel, Burial will follow at Sebastian Cemetery. Born: January 5, 1935 Death: July 29, 2017 08/02/2017 12:56 96981 P.001/001 FOR BURIIALpOPENING IN SEBASTIAN NIT COIPALCCEMETERY For information contact: P Kelso, .Cemetery Sean astian Municipal Ceme phone: (772) 589-2545 Fax: (772) 228-9927 city Clerk's Office — Cathy ity Hall, 1225 Main Str Sebastian, FL 32958 Office (772) 388.82 5 or 388-8214 c esfa FUNERAL HOME: Strunk Funerai !i me ana Lremaxor — at+a rrary ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PH ONI=#: 772-589-1000 (Check One) xxxxx OPEN BURIAL LOT OPEN CRFMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME: Saturday, FOR DECEASED: Daniel Halton Roob Lot_12_Block Lot_Block Niche ;(Ick August 12, 201 _24_Unit I 1—Unit— nit VAL for interment w/honors _ 1:00 pm AR I Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTA (Must provide proper documentation of o nership) Sean Robb saw )2/2017 Name Signature ate 11836 NW 38th Place, Sunrise, Florida, 33323 I certify that I have determined the owner hip of the above describe site that all a fees and administrative fees have been paid and authorize openir g of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin TktMWK 2/2017 Name Signature at Cemetery Sexton Certification. I certify that I have checked the ownership information by viewing t owner's dee and confirming with Clerk's office and that all fees have been paid: This form to be provided to Clerk's Office Py Sexton for permanent Word upon 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(a)citvofsebastian.org FUNERAL HOME: Strunk Funeral Home and Crematory–SEBASTIAN ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) xxxxx OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIM Lot-12—Block-24—Unit 4 Lot—Block—Unit Niche Block Unit N S E 9- - Saturday, August 12, 2017 1:00 pm ARRIVAL for interment w/honors FOR DECEASED: Daniel Holton Robb Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Sean Robb Seam. RObb 8/2/2017 Name Signature Date 11836 NW 38th Place, Sunrise, Florida, 33323 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: Tim Marvin Name TK Moja;k Signature 8/2/2017 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. State of Florida, Department of Health, Bureau of Vital Statistics Onaa BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: July 31, 2017 TRACKING NUMBER: 2017121874 1. DECEDENT INFORMATION Name of Deceased Date of Death DANIEL HOLTON ROBB July 29, 2017 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER SEBASTIAN 967 S EASY STREET Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. NodReg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 - Funeral Director/Direct Disposer Fla. Dc. NoJReg. No. TIMOTHY W. MARVIN F022789 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. Permit Number: 2017-1041870-5137 Date Issued: July 31, 2017 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY j r�-�l.R-�2- Method of Disposition: BURIAL Date of Disposition:) 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, 10/12 64V-1.011, Florida Administrative Code CITY OF SEBASTIAN 10734 ADMINISTRATIVE SERVICES RECEIPT Name K 666 v Cash Date% Check# !7 62? U Credit Amount Paid 001001 208001 001001 220000 Sales Tax 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 Subdivision/Plat Review 001501 329100 Zoning Fees noi;Foi 10,- �49 Nf— �j(KA+Lor fA 4& otal Pal a� o` Initials Security Dep Held -Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Ti#u of OrhaS#ian 01831 T r ut r t r r !j B r it b NO. THIS INDENTURE MADE Tlds ..... 7TH ..... I ...... day of ........ ..FEBRUARY ..................... A. D., 2W . 2Q,02 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ................................. I ...... DANIEL HOLT. W. R. 4$ R................................ ............................... 8725 99TH AVENUE ........................................ V.ERO..B•EACH,..FL.O•RIDA. 3296. 7................... ............................... of the County of .......INDIAN RIVER an] State of ...... FLORIDA ..... ............................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ , , , , 95000 . . ... . , .. , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , ... .... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) ... 1?. , Block, ..? 4 ... , UNIT .. 4......... , 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 deed 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. Attest: .l 1L �.t• • • ..ry /� ........................ City Clerk Signed, Sealed and Delivered in the resence of: STA'T'E OF FLORIDA T OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By ..V`!. ..!"!,.).4?VvX. .............. Mayor (Ctv end) CU[,NfY 7th.......... day of .......... February ............................ W..Z002 I HEREBY CERTIFY, That on this .............. before me personally appeared Walter W . , . $ a x112 S ......................... and .... S.al ly . A...Ma.i O ............ respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individuals and officers described in and who executed the foregoing conveyance to Daniel Holton Robb ............................................. ............................... . and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid. ' H. , ERti . . ............... .__ RY COMMISSION # CC 725842 Notary tic, State of Florida at Large. EXPIRES: April 30, 2W2 My co Ission expires r Bonded Thru Notary Pu61k Undenrritera February 11, 2002 Daniel Holton Robb 8725 99" Avenue Vero Beach, Florida 32967 Dear Ms. Badgett: Enclosed is City of Sebastian Cemetery Deed No. 01831 for Cemetery Lot 12, Block 24, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. Si r , 4�' m A. Ma' , CMC City Cle SAM:js enclosures ` The Sebastian Cemetery City of Sebastian., Florida Receipt is acknowledged in the sum of: Dollars ($Sd, Dd ) From: on this � day of 20 � for the purchase of the following described Cemetery Lot(s)/Niche(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) / Block Unit Purchase Price: Dollars ($ Terms and Condition of Sale: 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: Al � Purchaser signature Purchaser signature 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. City of Sebastian Witness ROBB, DANIEL HOLTON DEED #01831 8725 99TH AVENUE VERO BEACH, FLORIDA 32967 LOT 12, BLOCK 24, UNIT 4 x 0 r•-1 F-3 0 0 td td In CD C7 M -11rvp" "0 CRY OF SEP&M M* OFFICE V429 Mpr" C) A Clmk#. 001001208001 Safes Tax 001501322900 Garage Sales CD 001501341920 Copies/Bid Specs. CD z 001501341910 LDC/Code of Ordinances P tz 001501362100 Community Center Rent : CD 001501362100 Yacht Club Rent 001501362150 Non Taxable Rent 001501343800 Cemetery Lots 601010 343800 Cemetery Lots Z' a. -�Lz LotlNiche 1,2 Block Unit 001501369400 Interment Fee 001501369400 Weekend Service 0 680800 220681 Yacht Club Security Deposit 680800 220682 Community Center Security Deposit 68=220693 'Rhwoiew Psk Secuft Deposit (D C- CID % P0 .Too' W F kM rm- #h* x 0 r•-1 F-3 0 0 td td