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Home My WebLink About4-17-34My Of HOME OF PELICAN ISLAND Certificate No. 2083 C1711 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: Dawn Trionfo 922 Laredo Street, Sebastian, Fl 32958 (name) (address) in and for consideration of the sum of $1.400.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot/niche: Unit —4— Block 17 Niche 34 & 35 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 5t` day of May 2006. TIAN, FLORIDA �p Minner City Manager U Name i� Unit `-I Block Lots Aj Date of Mark -out Date of Burial Name of funeral Home Authorized by Time 1 D� ,Ir „✓ / f FLORIDA DEPARTMENT J�, HEALT A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT we"Wla 1. Name of First Middle Last Date Month Y r Deceased of Duffie Oaks Almeida Death May 1 2006 Z Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Palm Bay Inst. William Childs Hospice House 3. Name of Medical Address Phone Number Certifier Michael Melton, D. 381 Medplex Parkway Medical Examiner I jPhysician Palm Bay, FL 321 - 309 -3400 4. Name of Funeral Home /DireehBispv Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Strunk Funeral Home Sebastian, FL 1228 772- 589 -1000 5. Check a. U The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b, Jeannie was contacted on 5/11/06 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Melton will complete and sign the medical certification of cause of death within 72 hours. C. was contacted on He /she verified that Medical Examiner, will complete and sign the meq' cal 96rtifj6ati94fpduse of death within 72 hours. 6. Funeral Director/ Si a F.E. No. /Reg. No. Date Signed Di ser Al? _i 1862 5/11/06 B BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-06 -0181 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. [:]No extension of time for filing the death certificate has been requested. Registrm -or—"' 1\1 Date Date Certificate Subregistrar Signature CJIIAA,,,,, Issued: 5/1/06 Dye: 5/6/06 C. 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. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery JBURIAL FISTORAGE Date of Disposition 5 / 1 A /C OCREMATION Signature of Sexton 1 or Person -in- Charge 1i OTHER (Specify) This 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 within 10 days to the local County Health Department in the county where disposition occurred. Distribution: White: Cemetery or Crematory DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-000 -0326 -2) Pink: Local Registrar RR�a ` ►�rQ CITY OF SEBASTIAN CITY CLERK'S OFFICE 3628 RECEIPT No. 001001208001 Sales Tax 001501322900 Garage Sales Ti Cash Ql•C�eck � `- '7 Amount Pak! 001501341920 Copieald Specs. 001501341910 LOC /Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Nich@:� Block . Unit 001501343805 Cemetery Fees Z"/) Total Paid i �—,z . Intttals White — Dept. of 0 igin • Yellaw — Finance a Pink - Applicant 2 Y z� O, M a kA r 3%� M a .o c U.A &. yo L 1 Rio►,, .. "z� lvmac 4 v � .. �°`rggD�9 )AST NEWSPAPERS • WEDNESDAY, MAY 3, 2006 Is Obituaries BAREFOOT BAY ba- Duffle Almei& `r( fo( Duffle Oaks Ahneida, 55, of died May 1, 2006, at William dr( Childs Hospice House in Palm do Bay. l; She was born in Memphis, mz Tenn.,: and lived in Barefoot Ga Bay for 33 years, coming from ca, Miami. Met She was a personal trainer St., at the Sebastian Gym for 12 & years con the Survivors in- ist clude her hus- by band of 36 yam, Cre Frank Daniel Al- gue! meida of Barefoot seaN Bay; sons, John Almeida of Rose - WAI land and Jimmy Almeida and EU` Joe Almeida, both of Palm Bay; daughters, Dawn Trionfo of Sebastian, Dani Almeida of horn Fellsmere and Duffie L. Al- H meida of Barefoot Bay; broth- Wis ers, James Oaks of San Anto- sinc nio, Billy Oaks of Pocahontas, land Tenn., and Eddie Oaks of Ki- B, leen, Texas; sisters, Claudia eml Robertson of Senatobia, Miss., con; Christine Castellaw of Somer- pool set, Tenn., Katherine Oaks of H Edgewater and Bobbie Mondy War and Bettie Etheridge, both of Sr Hendersonville, Tenn.; stepfa- 58 y ther, Richard Stappenbeck; of ` and 17 grandchildren. Lorr, She was preceded in death Wis.; by her mother, Bobbie Oaks Unio Stappenbeck. Mc Memorial contributions may may be made to the American VNA Cancer Society, 3375 20th St.. FL ero Beach, FL 32960. SI SERVICES: Visitation will be schE from noon to 1 p.m. May 4 at Suimk Funeral Home in Se- SE` bass—=n. A -,er,-ice will follow in fae faneral home chapel. SEBASTIAN ,r,;.,a RpOey ��i � �' s MY OF SE AN i HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FI 32958 ...Telephone 772 - 589 - 5330... Fax 772 -589 -5570 August 11, 2005 Mr. & Mrs. Robert E. La Cerda 461 Avocado Avenue Sebastian, Fl 32958 Dear Mr. & Mrs. La Cerda: According to our records, you requested we hold the following cemetery lots and/or niche(s) for you: Unit 4, Block 17, Lots 34, 35 & 36 The city does not accept credit cards or installment payments, therefore, as a courtesy it does agree to hold lots /niches for thirty (30) days to allow family members time to exercise their financial options or think of their future needs. If we do not hear from you within the next 14 days, we will assume you are no longer interested in the purchase of the lots /niches. If you have any questions regarding this matter, please contact Cemetery Sexton Kip Kelso at 589 -2545. Thanks for your attention to this matter. Sin relys Sally A. io, MMC City Clerk SAM/ar 04 �a j arr Of ??OI1I£ OF 4PELfw 15;3340 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 Name(s) Address Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: Dollars on this `�✓ _day of��`�� , 20,:!�) G for the purchase of the following described Cemetery Lot(s) and/df Niche(s). Unit Block 17 Lot(s) s— 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: X Corner Markers (set of 4 - $20) Opening & Closing 75 �° G' �W J O H Circle One Vase and Ring for Niches (cost) Interment Disinterment T L $5: oe Signature of Purchaser / City of Sebastian Service fees are to be paid at time of need only 1: \W W- DATAWIs- Cemetery\RECEIPT.doc MY of HOME OF PELIGA&A USt U4D 1225 Main Street, Sebastian, Fl 32958 Telephone (772) 589 -5330 — Fax (772) 589 -5570 May 8, 2006 Ms. Dawn Trionfo 922 Laredo Lane Sebastian, Fl 32958 Dear Ms. Trionfo: Enclosed is City of Sebastian Certificate 2083 entitling you to full interment rights in Unit 4, Block 17, Lots 34 & 35. Also enclosed is a copy of the receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. Sir�,eere�ly, - Sally Mai , C City Clerk SAM:ar enclosure