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
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001501341910 LDC/Code of Ordinances
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001501362100 Community Center Rent
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001501362100 Yacht Club Rent
001501362150 Non Taxable Rent
001501343800 Cemetery Lots
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001501369400 Interment Fee
001501369400 Weekend Service
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