HomeMy WebLinkAbout4-20-33Unit
Block
Lot
Date of Mark -out j—/? /, I
Date of Burial �/� Time Z oO�ti• S�Q
Name of Funeral Home �! / AP_ IP
Authorized by
ROBERT TROTMAN
February 14, 1953 - May 5, 2017
Mr. Robert Trotman, 64, died May 5, 2017 at Memorial Hospital
West in Pembroke Pines.
He was born in Philadelphia, Pennsylvania and lived in
Hollywood, FL
and Sebastian, FL after moving from Pennsylvania.
Robert retired as a produce manager from Publix Supermarkets
after 35 years.
He was an avid computer geek, building and using them.
Survivors include his wife of 41 years, Deborah Trotman of
Sebastian, sons James Trotman of Sufflok, Virginia and Charles
Trotman of Hollywood, Florida, brother Michael Trotman and his
wife Kim of West Palm Beach, sister Eileen Trotman-Collins and
her husband Tim and grandchildren Robert and Kali.
Memorial contributions may be made to Charity of your choice
Robert's memory.
A graveside service will be held 10 AM on Friday, May 12, 2017
at the Sebastian City Cemetery.
Born: February 14, 1953
Death: May 5, 2017
C �X
SEBA$T"
jo
HOME OF PELICAN ISLAND
1225 Main Street
Sebastian, FL 32958
(772) 589-5330 Phone
(772) 589-5570 Fax
May 9, 2017
Mrs. Deborah Trotman
512 Perch Lane
Sebastian, FL 32958
RE: Interment Rights to Unit 4, Block 20, Lot 33, Sebastian Municipal Cemetery.
Dear Mrs. Trotman:
Enclosed is City of Sebastian Certificate 2536 entitling you to full interment rights in
Unit 4, Block 20, Lot 33 the name of Deborah Trotman.
If you have any questions, please contact our office at 388-8209.
Sincerely,
Cathy Testa
Records Clerk
Enclosure
M OF
Sf:BAST�_ N
HOME OF PELICAN ISLAND
Certificate No. 2536
CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Deborah Trotman
512 Perch Lane
Sebastian, FL 32958
In and for consideration of the sum of $1,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 20, Lot 33
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 8`' day of May, 2017.
CITY OF SEBASTIAN, FLORIDA
III
Y Joseph F. Griffin
City Manager
ATTEST:
anette Williams, MNIC
City Clerk _
05/08/2017 13:05
FUNERAL DIRECT R'S REQUEST TO C
FOR BURIAL OPENING IN SEBASTIAN Ml
For Information contact:
Kin Kelso, .Cemetery Sex
Phone: (772) 589.254
Fax: (772) 228-9927
Cit Clerk'sOffice — Cathy
ity Hall, 1225 Main Stn
Sebastian, FL 32958
Of(ice (772) 388-8 15 or 388-8214 ctesta
FUNERALI
ADDRESS:
PHONE#: _
(Check One)
2 X OPEN BURIAL LOT
OPEN CREMAINS LOT
OPEN COLUM13ARIUM NICHE
BURIAL DATE AND SERVICE TIME
FOR DECEASED:
Name
NAME AND SIGNATURE OF LOT OW
(Must provide proper documentation of
Deborah Trotman
Name
512 Penh Lane, Sebastian, Florida, 32958
1 certify that I have determined the ov
fees have been paid and authorize of
NAME AND SIGNATURE OF LICEN
Tim Marvin
Name
Cemetery Sexton Certification:
I certify that I have checked the owners
office and that all fees have been paid:
#6758 P.001/001
AM 5/12/21117, FgIOAY GRAVq$IDE SERVICE
OR REPRESENTA
Signature
:hip of the above descri site that all s`te fees and administrative
Ig of same.
FUNERAL DIRECTOR:
information by viewing [He owner's d4o and confirming with Clerk's
Cemetery Sexton Date
This form to be provided to Clerk's Offi by Sexton for permaneni ecord 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 ctestana cityofsebastian.org
FUNERAL HOME: Strunk Funeral Home and Crematory
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE#: 772-589-1000
(Check One)
XXXX OPEN BURIAL LOT
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TI
FOR DECEASED: Robert Trotman
Name
Lot-33—Block-20-Unit 4
Lot—Block—Unit—
Niche
otBlockUnit
Niche Block Unit
—
N S E W
10:00 AM 5/12/2017, FRIDAY GRAVESIDE SERVICE
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Deborah Trotman Deborah Tyotvt&nv. 5/8/2017
Name Signature Date
512 Perch Lane, Sebastian, Florida, 32958
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
Twt Mcta ym 5/8/2017
Signature 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.
CITY OF SEBASTIAN 10443
ADMINISTRATIVE SERVICES RECEIPT
Name aCash
Date S'g—��)Check #7 X37
0 Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 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
rr)oIsar 31f3 805- O"ICG tiSD °a
,jt.r q 6W ao Lar 33 00
`9t Total Paid
dials
Security Dep Held - Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant
arc OF
sE TKN
HOME OF PELICAN ISLAND
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.
Name(s) � X95 2`� SIA Pr2C.t-1 L•itr�f e C l CBft�Tlf� >�
Address
RL�-
Area Code &Phone Number
6 r- `TRITTI�A el -\J
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
C)O1- Dollars
on this (Z� day of Y r ` 20 1 for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit 4- , Block 690 , Lot(s) 33 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
Vase and Ring for Niches (cost)
Temporary Marker Preparation & Installation
Signature of Purchaser
I:\W W-DATA\Ms-Cemetery\RECEIPT.doc
Interment
/W O H
Circle One
Disinterment
TOTAL $ t 4 1 occ . DO
City
The following documents were provided as Proof of
Residency:
State of Florida, Department of Health, Bureau of Vital Statistics
F O= BURIAL TRANSIT PERMIT
HETM DATE PRINTED: May 8. 2017 TRACKING NUMBER: 2017075832
1. DECEDENT INFORMATION
Name of Deceased Date of Death
ROBERT TROTMAN May 5, 2017
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
BROWARD PEMBROKE PINES MEMORIAL HOSPITAL WEST
Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No./Reg. No. Phone Number
STRUNK FUNERAL HOME. SEBASTIAN F041870 F041870 (772) 589-1000
1623 N CENTRAL AVE
SEBASTIAN. FLORIDA. 32958
Funeral DirectorlDirect Disposer Fla. Lic. 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: 1870-5090
MayB.
20
�— Date Issued: May a. 2017
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District Approval Number:
4. CEMETERY OR CREMATORY
Place of Disposition: SEBASTIAN CEMETERY rim—I 1Q a
Method of Disposition: BURIAL Dat of Dispositiorf. I�
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 Flonda Admmistrabve Code
CITY OF SEBASTIAN 10442
ADMINISTRATIVE SERVICES RECEIPT
Name R t rmA4 ❑ Cash
Date Jr" g - "I ❑ Check #
LRCredit
Amount Paid
001001 208001 Sales Tax
001001 220000 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
(aoioie 343gcn. Lor ,{ Iwo,cD
dory iKAO LOT- 33
Total Pa (acD.
00
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant
G� Si
CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date 7/31/2006 Fiscal Period
Document # Entered By
Document Amount # of Lines
Total HC Hash
Due Date
To Be Completed By Department
8/4/2006 Single Check Y / N Y
Vendor Number
IN
TC
Reference
Organization
Code
Object
Code
Project
Code
. Amount
601011
534959
$500.00
Description
Number of Lines Amount $500.00
Sell back to City, cemetery Lot described as Unit 4 Block 20 Lot 33.
Copy of Deed #1792 attached.
ISSUE CHECK TO
NAME
Irene B. & George C. Myrick
ADDRESS
725 Doctor Avenue
My
Sebastian State Fl
ZIP CODE 32958
DRAW CHECK FROM SEE BELOW
APPROVED BY
DATE
7/31/2006
BUDGET APP
MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach
a copy of documentation along with the original)
OTHER INSTRUCTIONS
Please make copy of check for Clerk records - Thanks
Tifu of #rhaatian
TemptPrIj DPPb NO,
THIS INDENTURE MADE This .......15.th........ day of ..... Ma. Y .... ............................... A. D., W ..2001
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
Irene B. Myrick and Ge.orge..G.,.. Myrick ..............................
5.b.
Doctor Avenue
........................................ .Seba.s.tiam.,.. Florida_ . X29. 5.8 ....... ............................................
of the County of .... Indian.. River ............ am] State of ..... Florida
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of $ 5 Q Q ; 0 0 ,,,,,, , , , , , , , , , , 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: A
All of Lot(s) , , 3 ?, , , Block, , , 2 Q, , , , UNIT ... A , , , , , , , , , of Sebastian mu ' ' al cemetery as p t �umber 1 thereof recorded in Plat
Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Cost. Lucie Coty f lorjda; said land now lying and being
in Indian River County, Florida. ��
To Have and to Hold the same forever; provid t Ed property s*theions y and exclusively for the inter �It of t human dead and shall
be used, kept and maintained at all times ' n with the rules and ' noes and resolutions of the 'ty Se a , Florida, hereto-
fore, now and hereafter adopted or provid government and opertery. The con lions, restri ements contained
in this instrument shall be covenants running with the land. In the event he owner of an pro ty 't a thin said cemetery to ob-
serve and comply with such rules, regulations, resolutions and ordinances s of the deed f nvey ce he of then the title of such owner
in and to said property shall terminate and the same shall revert to the City rida.
IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be execu d it ame and n its behalf by its or d
attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written.
( /
v
CITY OF SEBASTIA FLORIDA
Attest: ... .......................
the
and
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
By f V. ....� ..... ... .....
Mayor
(Citg �$exl)
I HEREBY CERTIFY, That on this ......1.5 th ...........day of ......... May ...... ............................... $tox. .2001
before me personally appeared ... Walter ..W. Barnes Sall A,..Maio
...... .. and ..... .. y.... ....................
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
Irene B. Myrick and George.. �.. ..Myrick . ...............................
......................... ............................... 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. JOANNE SANDBERG �i� MY COMMISSION # CC 725942 N!2Z]sslon blic, State of Fl/a&rge.
. EXPIRES: April 30,2M M expires:
ink,.` Bonded Thru Notary Public Underwriters
Ti#v of #rhas#ian
NO.
THIS INDENTURE MADE Tkis ....... 15th........ day of May .... ............................... A. D., 4..2001
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
........ ............................... Irene B. Myri.ck..and..GeorSe C..., Myrick ..............................
725 Doctor Avenue
......... ............................... SP_ba.s.tian., ..F1.ozida.. 829. 5. 8.................... ...............................
of the County of ....Indian.. Riyer Florida , , . _ .,,
and State of ....... ..............................
as Grantee, WITNESSETHs
That the Grantor for and in consideration of the sum of $ 5.Q Q .. 00 ... . 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) .. 3 ?.. , Block, .. 2 Q... , 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.
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By Y V. .... 6.l.A Arr .:..P ..................
Mayor
...... (Titg '*gZtQ
I HEREBY CERTIFY, That on this ..... ,15th ...........day of ......... May ..................................... )a. .2001
before me personally appeared ...Walter W. Barnes ....., and . sa11y...Ar MalO
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
............ ......................... Irene B . Myrick and George C . Myrick
......................... ............................... 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. JOANNE SANDBERG
MY COMMISSION # CC 725942' Not a ubllc, State of Florid at Large.
EXPIRES: A ril 30 2002
..... P My c ission expires r
?,p6 . Bonded Thru Notary Pubk Underwriters
CRY OF
Sl i As1_77
"�
HOME OF PELICAN ISLAND
May 17, 2001
Irene B. and George C. Myrick
725 Doctor Avenue
Sebastian, Florida 32958
Dear Mr. & Mrs. Myrick:
Enclosed is Cemetery Deed number 1792 for Lot No. 33, Block 20, Unit 4
A copy of the receipt is enclosed for your records.
If you have any questions, please contact our office.
Sincer ,
11
City Clerk
SAM/j s
Enclosures
The Sebastian Cemetery
City of Sebastian, Florida
Receipt is acknowledged in the sum of:
Dollars ($ - " c5� -O 0 )
on this /S-Z� day of 20_L / for the purchase of the following
described Cemetery Lot(s)/Ni pon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)/Niche(s) Block rZe Unit
Purchase Price: W, Dollars ($ ��. IJY,) )
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:
Purchaser signature
Purchase ignature
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.
ity of Sebastian
Witness
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT '
Name /� i
0 Crib
Date fi y ft 1
Ch
f eck t
No. } �] ''Q
AmountPal
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDC /Code of Ordinances
001501362100 Community Center Rent
001501062100 Yacht Club Rent
001501362150 Non Taxable Rent
001501343800 Cemetery Lots
601010 343800 Cemetery Lots
LMiche 1 `
ot Black
Unit
001501 369400 Interment Fee
001501369400 Weekend Service
680800 220681 Yacht Club Security Deposit
680800 220682 Community Center Security Deposit
680800 220683 Riverview Park Security Deposit.,`
i /
l
Total Paid
r,
InMals
Whit — Dept. of Origin • Yellow — Fimnco • Pink:. Appliard
MYRICK, IRENE B. AND GEORGE C.
725 DOCTOR AVENUE
SEBASTIAN, FLORIDA 32958
DEED #1792
LOT 33, BLOCK 20,
UNIT 4
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