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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 U) 0 �o N 8 C W V O � Q m a A 1� Y V rn w c') > Q LL W�0Q c? 8 0LOa W =Nw t7 n.r.<n qQE Uzi N 0 w A .- L N 1 Cr ru rM .-4 O cc O ru •. Ir iT a l N LB ru ., }"Y 7P.Y•:. 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 x U •r� Q 7 W w °z 00 4J N C7 x b U O R1 r-I PQ W � M N M w O r-4: O: ; un: P3 r-4: & v� z � b � a � z co: ,M O z a O; O; 04 O• O• >� O. O: a O: O: H v1: If',, W a a h � a a z 0 CU w c° 8 a