HomeMy WebLinkAbout4-24-32My OF
SIERASTIAN
HOME OF PELICAN ISLAND
Certificate # 1974
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
John D. McAlhany
(name)
465 Fleming Street. Sebastian, Fl 32958
(address)
in and for consideration of the sum of $700.00 has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plots:
Unit 4 Block 24 Lot 32
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 20th day of July, 2004.
OF SEBASTIAN, FLORIDA
City
A
T7 I
S A. Maio, CMC
City Clerk
O
Name
Unit
Block
Lot
9 RA I-
uaLe o ar o ---------------
o Food - COOK
Date of Burial Time
Name of Funeral Home-
A"
Authorized by
I
i
I.
s
r
0
e
•
s
z
i
T
Y
0
v �
v .o
$ SL �
y � �
R
T
to
c
RE
0 1
0
ED
� a
g>
C
d
A A
m o C5 m
ba
Ms
mZ
W
C)
c
-
-
-
-
—
w
v�www
§ 88x91
,
$ SL �
y � �
R
T
to
c
RE
0 1
0
ED
� a
g>
C
d
A A
m o C5 m
ba
Ms
mZ
W
C)
OBITUARIES
FROM B4
James McA1hany,
Vero B�acf�
James 'q i gfish" McAl -,
hany, .67, died May 21; 2005, i
at Raulerson Hospital 'in
Okeechobee.
He was born in Macon,
Ga., and moved to Vero
Beach 15 years ago from, Fort
Lauderdale.
Before retirement, he was
a plastering contractor.
Sprvivors include so' ns;
James McAihany of Okee
chobee, John McAlhany of
hany of Clermont; -three
daughters; 14 grandchildren;_
and six great' grandchildren.
He was, preceded In death
by his wife, Delores; and his
son, Joe.
SERVICES: Visitation will
be,2,to 4 p:m ':an d 6 to 8 p.m.
May 27 Seawrids Funeral
Home, Sebastian. A funeral
service willbe`at 10 a.m..May.
20`at the funeral home.cha-
pel. Burial will follow mi Se-
bastian Cemetery, Sebastian.
Condolences may be regis-
tered at;www.sea-
windsfh.com.
y -a y - -3A
Fi��i � D
Sta te 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
JAMES MCALHANY Death 05/21/2005
2. Place of Death City, Town or Location Name of (If neither, give street address)
County OKEECHOBEE, OKEECHOBEE Hosp. or RAULERSON HOSPITAL
Inst.
3. Name of Medical Address Phone Number
Certifier JAY BERGER
MMedical Examiner MPh ysician
4. Name of Funeral Home /Direct Disposal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code)
Establishment SEAWINDS FUNERAL 735 FLEMING STREET
HOME SEBASTIAN, FLORIDA 32958 2617 772- 589 -1933
5. Check a.
Appropriate
Box
b.
The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
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.
c. F-1 was contacted on
He /she verified that
Medical Examiner, will complete and sign the
medical certlloation of cause of death within 72 hours.
6. Funeral Director/ ature F.E. No. /Reg. No. Date Signed
Direct Disposer 2617 S -Z S -'A6
g. BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 05- 2617 -103
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. n 1
}
®No extension of time for filing th deat c rtificate has been requested.
Registrar or Date Date Certificate
Subregistrar Signature f Issued: S-a -,1r Dye:
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 Examiner's 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.
CEMETERY OR CREMATORY
Methods of Disposition: Place of Disposition SEBASTIAN CEMETERY
®BURIAL FISTORAGE Date of Disposition MAY 28, 2005
®CREMATION
Signature of Sexton
or Person -in- Charge
DOTHER (Specify)
nls 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
rithin 10 days to the local County Health'Department in the county where disposition occurred.
-1326, 8/97 Obsoletes all previous editions Distribution: White: Cemetery or Crematory
p ) Yellow: Funeral Director or Direct Disposer
tock Number: 5740 - 000.0326 -2) Pink: Local Registrar R -F� PNo
CITY OF SEBASTIAN
CITY CLERK'S OFFICE � n n p�
Date
1
40.
Amount Paid
)01001208001
Sales Tax
)01501322900
Garage Sales
)01501341920
Copies/Bid Specs.
)01501341910
LDCICode of Ordinances
)01501341930
Election Qualifying Fees
101010 343800
Cemetery Lots
LoNNIcha-Aq Block
Unit.
)01501 343805
Cemetery Fees
Total dd
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
L
CIN OF
�f� t
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, F132958
Telephone (772) 589 -5330 — Fax (772) 589 -5570
July 20, 2004
Mr. John D. McAlhany
465 Fleming Street
Sebastian, Fl 32958
Dear Mr. McAlhany:
Enclosed is City of Sebastian Certificate 1974 for the purchase of Cemetery Lot 32, Block 24,
Unit 4. Also enclosed is a copy of your receipt and the Rules and Regulations governing the
Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sinc y,
Sall A.�Glaio, CMC
Y
City Clerk
SAM:ar
enclosure
an or xp ,
,E�TIAN
4;�
NOME OF MICAN WAND
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
John 'D.
Name(s)
Address
772- 338 -PSIS
Area Code & Phone Number
S£I A S #%O. F1 52,956
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
�- w 4" P-3�4 c Y`
($ ? 00. 0- )
on this U-)- day of 7v , 20 QAL for the purchase of the following
described Cemetery Lot(s) and /or iche(s).
Unit 4 , Block 2_, Lot(s) Niches)
Y .• '
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 W O H
Circle One
Vase and Ring for Niches (cost) Interment �� Disinterment
,,4 ri d
Signature of Purchaser
of Sebastian
Service fees are to be paid at time of need only
I AW W- DATAWs- Cem8WMECEIPT.dx