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HOME OF PELiGN ISWVD
Certificate No. 1998
C�.� � �'� 0) �'� ���$��.,������1�_1�T�
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Theresa L. Fink 643 Chesser Street, Sebastian, Fl 32958
(name) (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 plot:
Unit 4 Block 16 Lot 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 l Oth day of January, 2005.
City Manager
DA AT�ST:
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�^ Sakly A. Maio, CMC
City Clerk
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Name
Unit
Block�
Lot ��
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Date of Mark-out � r � � ��
Date of Buria� _ ___! � � � ��
Name of Funeral Home
Authorized by
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Time � ` � �`7 ` �
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HOME OF PEL(CAN (SLAND
1225 Main Street� Sebastian, Fl 32958 - Telephone: 772-589-5330
April 14, 2006
Mrs. Theresa Fink
643 Chesser Avenue
Sebastian, Fl 32958
Dear Mrs. Fink:
�..,/ ..
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It is our goal to maintain the cemetery and the associated records in an impeccable
manner, but at times, mistakes are made and we regzet it wrhen our actions cause others to
feel sadness or negativity.
On behalf of cemetery personnel and my staff please accept my sincere apology for the
marker letter sent to you in enor and we will continue to do our best to ensure that
incidents like this do not reoccur.
Sincerely,
Sa11y A. Maiq MMC
CiTy Clerk
SAM/ar
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� �F PELICAN �5
City of Sebastian
1225 MAIN STREET ❑ SEBASTIAN, FLORIDA 32958
TELEPHONE (772) 589-5330 ❑ FAX (772) 589-5570
MEMORANDUM
TO :
FROM : Kip G. Kelso jr. (Cemetery Sexton)
RE : Mr. Fink / Marker
Date :
To whom it may concern :
On 4/6/06 I Called Mr. Fink up about a marker for Mr. Apgar , he was concerned about
this , he explained to me that he had received a letter in the mail stating that mr Apgar
( Mrs. Fink's Father ) didn `t have a Marker I looked on my clipboard and indeed he had
a vet. Marker installed by Ben from A-B-C- Vaults on 7/15/OS I told Mr. Fink I
apologize
for the inconvenience on behalf of the City and myself for the mix - up I apologized
also to his wife for the inconvenience ( I stated this fact to Mr. Fink , his wife was not
present . )
Thank You
Kip G. kelso Jr.
(Sexton )
FLORIDA DEPARTMENT OF
11�1�L�
A. (TYPE)
1. Name of
Deceased
First
Harry
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
Middle
Lewis
Last
Apgar
�j�,�`�_
Date Month Day Year
of
Death J�� • � 2005
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
Indi�ra �tiver S��astian Inst. 2�3 Fi[� Street
3. Name of Medical Address Phone Number
Certifier Philip �t. Giade, iVI.D. 4675 28th Court
Medical Examiner Physician Vero BP.aCh, FL 772-770-5151
4. Name of Funeral Home/Dirteet 9is{�cgal Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1623 N. Central Ave.
Strunlc Funeral Home Se�astian, �L 1228 772-589-1000
5. Check a. � The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate applfcation.
Box
b. �j
3. Funeral Directori
3.
�
�
�
�4arion was cx�ntacted on 1 /6/05
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that +�r. �i��(�@ will complete and sign the medical
certification of cause of death within 72 hours.
medical �rtific�tioyY�f cause
was contacted on
72 hours.
F.E. No./Reg. No.
2�� ..1862
�URIAL - TRANSIT PERMIT
He/she verified that
Medical Examiner, will complete and sign the
Date Signed
9/5/05
Permission is hereby granted to dispose of this body. Permit No.122$—a5-0010
❑ 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.
Reg+�ka.r�r / Date Date Certificate
Subregistrar Signature � l,_,,�...a.yc-�_ Issued: 1/5/05 Due: 1�10�05
t �
--
Approval Number:
AUTHORIZATIOfV 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 all cremations.
Method of Disposition:
�i BURIAL �STORAGE
�CREMATION ❑OTHER (Specify)
Signature of Sexton �
or Person-in-Charge �� � �1.-
CEMETERY OR CREMATORY
Place of Disposition Se�astian Cemetery
Date of Disposition ;�� -%- ��; 7
+
,
-his 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
vithin 10 days to the local County Health Department in the county where disposition occurred.
Distribution: White: Cemetery or Crematory
iH 326, d/97 (Obsoletes all prewous editions) Yellow: Funeral Director or Direct Disposer
3rock Number 5740-000-0326-2) Pink: Local Regishsr
�� �� - ��"
B4 Treasure Coast Newspapers Fr
Harry Lewis Apgar,
Sebastian
�Harry Lewis "Lewie"
Apgar, 66, died Jan. 5,
2005, at his home.
He was born in Somerville,
I�:J., and moved to Sebastian
in 1992 from Lambertville,
N.J.
He was a salesrr�an at
Finkles & Sons, Lambert-
ville, for 35 years.
He was the fire chief at the
Lambertville Fire Depart-
ment and captain of the
Union Fire Department. .
He was a member of the
American Legion and the
Masonic Lodge in Lambert-
ville. He was associated with
Cecrle Land Surveying Co:,
Sebastian.
He served in the Army
during the Vietnam War.
Survivors include his
daughters, Theresa Fink of
Sebastian and Janet Myers of
Sellersville, Pa.; son, Lewis
Apgar of Burlington, Vt.;
brother, Luther Apgar of St.
Amont, La.; sisters; Carol
N wak of Sebas#ian and
B�tty Leonard of Franklin,
N.�C.; three grandchildren;
and one great-grandchild.
�SERVICES: Visitation will
be conducted from 1 to 3 p.m.
Jan. 8 at the Strunk Funeral
Hc�me, Sebastian; where a
sez vice will follow at 3 p.m.
inl the funeral home chapel.
Tlie Rev. Bill Reuhman will
officiate. Burial will be in Se-
bastian Cemetery, with full
m�litary honors conducted
- byj American Legion Post
18�, Veterans of Foreign
W�rs Post 10210 and Polish
i
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HOME t�F F�ELiCAN IS�.AND
1225 Main Street, Sebastian, F132958
Telephone (772) 589-5330 — F� (772) 589-5570
January 11, 2005
Ms. Theresa L. Fink
643 Chesser Avenue
Sebastian, Fl 32958
Dear Ms. Fink:
Enclosed is City of Sebastian Certificate 1998 for the purchase of Cemetery Lot 35, 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 ofiice.
Sin¢erely,
� �; ,,`'-? a
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Sally A. Maio, MMC
City Clerk
SAM: ar
enclosure
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HOME 0� PELICAN ISLAFID
City of Sebastian Munieipai Cemetery
Purchase Receipt
�
19 �{�
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
� e� �:s,� L . �"�ti�/C
Name s)
� 3 l'd,�ss�'.e, �d� . . ���.��ss'f %9.�_ �,� .�-z��
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 ($ %G' C - O a )
on this day of , 20G?S�for the purchase of the following
described Cemetery Lot(s) d/or Nic e(s).
Unit �_, Block �, Lot(s) ��Sr 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 tirne of purchase:
�'�
Corner Markers (set of 4-$20) Opening & Closing /a-S � a W O H
Circle One
Vase and Ring for Niches (cost)
Signature of Purchaser
Interment
Disinterment
SQrvice fees are to be �aid a# time of need onl�
I:\W W-DATA\Ms-CemeterylRECEI PT.doc
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STRUNK FUNERAL HOMES, P.A.
CASH ADVANCE ACCOUNT-SEBASTIAN
916 17TH ST:
VERO BEACH, FL 32960
PH. 772-562-2325
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