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Home My WebLink About4-16-11� �� S�B�T� �� .�....```��. - HOME OF PEUUN ISWVD Certificate # 1959 � �� )�" .��'�'�_-��t Certificate of interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Billie W. and/or Alice Faye Harless 741 Vocelle Avenue, Sebastian, Fl 32958 (name) (address) in and for consideration of the sum of 1400.00 has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit _ 4_ Block ._16 , Lot(s)_ 11 & 12 _. 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 'I�iIS 18th day of May, 2004. C OF SEBASTIAN, FLORIDA f �.�� .. '� errenc�R. Moore City Manager A T: �� c S y A. Maio, CMC City Clerk O: �i�l Q � ' Name /'�/�l / . � �X� ��— Unit 0 Block Lot Date of Mark-out �/ � �i/�'r/"G�` ' �/�6 �� . �,�� Date of Burial � � Time �Q � Name of Funeral Home �../�� ,��iv�� Q�,O�rn,'� Authorized by � � 7 d r � � � m 1 � .� 0 �'e' � s � f T O r m • �o 5 � � 0 v � v � ea d � a ^ � c .Q 0 S 0 A � 0 cn 0 8 g °o °o °o = ° o n� ° � o 0 0 °o � 0 � � S� � `'' ^' ,� W N � Oo �D [O tD tO O 1 g o 0 o i� ° _ m o � m v o w d � � � � � � � � y � � � _ " d � � � � � p � � � x � � � � .�' O N � a � � ' W � � � c � .� �c 0 1 a z � � � � � A n s y � q � � � D 3 0 c � d a n � n �� c� ��r � y N � � O y T � T s n = m � � cn � Strunk Funeral Home & Crematory: Obituaries Strunk Funeral Home & Crematory Alice "Faye" Harless (August 19, 1937 - April 12, 2010) Ms. Alice "Faye" Harless, 2010 at Sebastian River Sebastian. 72, died April 12, Medical Center, She was born in Longacre, West Virginia and lived in the Vero Beach and Sebastian area for 42 years coming from Winter Haven, Florida. Faye worked for Woolworth as a Personnel Manager for many years then after closing the store she went to work with Perkins Indian River Pharmacy and retired June 2008. She was a member of Good Shepherd Church of God, Winter Beach and TOPS of Vero Beach and Sebastian. Survivors include her husband of 35 years Billie Harless of Sebastian, sons, Michael Hardman of Vero Beach, Maxwell Hardman of Colorado Springs, CO, brothers, Pete Hobbs of Anstead, WV, Robert Hobbs of Strawberry Plains, TN and David Hobbs of Apollo, PA, sisters, Carol Sue Taylor of Anstead, WV and Betty Robertson of Portsmouth, VA. Memorial contributions may be made to Good Shepherd Church of God, 4325 65th Street, Winter Beach, 32967. SERVICES: Viewing will be 5-8 pm on Apri1 15, 2010 at Strunk Funeral Home, Vero Beach. Funeral Service will be 11:00 am on April 16, 2010 at Good Shepherd Church of God, Winter Beach. Interment will follow at Sebastian Cemetery. A guest book can be signed at www.strunkfuneralhome.com Back Page 1 of 1 http:Uwww.meaningfulfunerals.net/fh/print.cfm?type=obituary&o_id=580962&fli id=... 4/19/2010 FLORIDA DEPARTMENT OF HEALT A. (TYPE) 1. Name of First Deceased Alice State of Florida, Department of Health, Vital �tatistics APPLICATION FOR BllRIAL - TRAMSIT PERMIT Middle Last F. Harless Date Month Day Year of Death April 12, 2010 2. Place of Death City, Town or Location Name of (If neither, give street address) County Indian River Sebastian Hosp.or Sebastian River Medical Center Inst. 3. Name of Medicai pedro Espat M.D. Certifier 4 Medical Examiner Physician Phone Number 8005 Bay Street Sebastian, FL 32958 (772)589-5600 Name of Funerai Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Strunk Funeral 916 17th Street Home and Crematory Vero Beach, FL 32960 FO 41804 (772)562-2325 5. Check a. Appropriate Box 6. runerai Girectod Direct �isposer g. c. � The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. � I.inda was contacted on April 13, 2010 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Pedro Espat M.D. will complete and sign the medical certification of cause of death within 72 hours. �� was contacted on medical certification of cause of death within 72 hours. BURIAL - TRANSIT PERMIT He/she verified that , Medical Examiner, wili complete and sign the C� Permission is hereby granted to dispose of this body. Permit No. 0130-10-0396 � 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 r quested. Registrar or Date Date Certificate SubregistrarSignature ssued: 4/13/2010 pye: 4/19/2010 Approval Number: AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA 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 ail cremations. Method of Disposition: nBURIAL �z� �CREMATION Signature of Sexton or PerS�n-in-Charge �STORAGE �OTHER (Specify} � ��CJ_ �' ' CEMETERY OR CREMATORY ' �� Place of Disposition 5 �� ' ,, Date of Disposition ��/� �f7 " 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, 8l97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-000-0326-2) Pink: Local Regishar Rtt'�� i� P,�s � CITY OF SEBASTWN CITY CLERK'S OFFICE 2 8 0 2 RECEIPT Nar��-_��h��_�� ❑ Cash Date ' � xd � heck # No. Amount Pald 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC1Code of Ordinanc�s 001501341930 Electlon Qualifying Fees �� 601010 343800 Cemetery Lob �� U LoUNiche� 1�Z. Block � �O . Unit.� 001501343805 Cemetery Fees O O � • TotalPaid�� U�� ' White - D�pt of Oripin • yallow - Fin�nce • Pink • Applicant S�B�►sT� :�� HOME OF PELICAN ISWVD City of Sebastian Municipal Cemetery Purchase Receipt � I �1�� 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 � . L ss� ` p�2L.ess Name(s) '�� l�'o � � lle. v� Address ��, W�-�-� ► A N fi�- • 3 2 9�� Area Code & Phone Number I- '7'`1�' �8'8` �l%8�' Residence Address of Intended Occupant if Other Than Purchaser Office Use On/y is acknowledged in the sum of: � i� Dollars ($ v D- O c� ) on this ,� '�day of , 20� for the purchase of the following descri�e Cemetery Lot(s) n r Niche(s). Unit �, Block �_, Lot(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: Corner Markers (set of 4-$20) Opening & Closing Vase and Ring for Niches (cost) Interment Disinterment W O H Circle One / � /'T�O� $ � ;� c� , c� c� r / � ,f'A /G I%� �� %i , �,��G_' C�� Signature of Purchaser of Sebastian Service fees are to be paid at time of need only I:\W W-DATA\Ms-Cemetery\RECEI PT.doc fnY OF �� • .'. r'...,,.,,��. . _.. •-�. ,�'`�^�. � ,.y��w+.+ HOME OF PF.LiGAN 1SLhND May 19, 2004 Mr. & Mrs. Billie W. Harless 741 Vocelle Avenue Sebastian, Fl 32958 Dear Mr. & Mrs. Harless: Enclosed is City of Sebastian Certificate Number 1959 for the purchase of Cemetery Lots 11 & 12, Block 16, 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. Si ly, � ��%% =--._ � � Sally aio, CMC City Clerk SAM: ar enclosure � � � � �,'�. �, �' � �,�rl y ��' £ �r��rr.5�tet» '�ctia4r,stx i..r�rM-a.rrv Q��l. � �i .>'k) �'�'i z5-Q�i Fac�t:�'':i-."+ �,aa;? VutC : "�t�r �. [t,t IratvtRt�Cion�i ur ra4e�� r�� P F� uarttrtr„ 9�t�,r;sn;r, cu�� st tiebAtlinn (��nxr�rn ��ttC 1 i�lsi!, ;�. t��r `,irag2e ,11�rri.�•rs unticr X ii t ptirr �,'�_i ��a�,x�r `: 'it is u}3uurr+t fioulrtFatiuu ) t9er+.� rciur�f 1, Atttolsott t IIY {)$� a4'PsJalF,Art Srb�siiaa f't�tttfa-e: 142i '�E,rt� t'cntr�i �,s� 32#SR i Ct�ICta�°r�, !r[itr3t size : 0-4 x 2-0 x 0-4 / grey slant W � vase E�3ase name & d�1e lttttx : b/k ; lAt: sq�,are foat : ch�cked by: approved : date : by: �� , , C' :;3.�� +.; ��.C,. � � t� � � Alice Harless ? �.� � �'�. 1937 ��°�� 2010 _ _.,�.......�.._,___�....� q _.. . 16 �� d..� _� ____ ._w.,, ____..__ K. G.l� ° �__ _ _._. .�. K . G . 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