HomeMy WebLinkAbout2-46-13aCRY OF
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Certificate No. 2199
C
ITY 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:
David R. Stanko 444 East 82nd Street, Apt. 11 K, New York, NY 10028
(name) (address)
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 2A, Block 46, Lot 13
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 20th day of November, 2008.
CITY F S TIAN, FLORIDA ATT
I Minner
City Manager
Sally N Maio, MMC
,ity Clerk
4�
Name ��jj
Unit —i —A
Block
Lot
Date of Mark -out ` , 2,C (DE"
Date of Burial Time
Name of Funeral Home
V�- sac VY
Authorized by
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1225 Main Street, Sebastian, FL 32958
Telephone (772) 589 -5330 — Fax (772) 589 -5570
November 21, 2008
Mr. David R. Stanko
444 East 82nd Street, Apt. 11K
New York, NY 10028
RE. Interment Rights to Unit 2A, Block 46, Lot 13 Sebastian Cemetery
Dear Mr. Stanko:
Enclosed is City of Sebastian Certificate 2199 entitling you to full interment rights in
Unit 2A, Block 46, Lot 13.
Also enclosed is a copy of the Rules and Regulations governing the Sebastian Municipal
Cemetery.
If you have any questions, please contact our office.
Sinc ly, \
Sally lAaio, MMC
City Clerk
SAM:dwc
enclosures
Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1
ROBERT STANKO
Robert J. "Bob" Stanko, 75, died Nov. 18, 2008, at William Childs Hospice House in Palm
Bay. He was born in Wall, Pa., and lived in Barefoot Bay for 25 years, coming from
Pittsburgh. He served five years in the Navy Reserves. He retired with the rank of
sergeant from the Pennsylvania State Police after 28 years of service. He was a member
of St. Luke Catholic Church in Barefoot Bay, Fraternal Order of Police and the National
Rifle Association. He also was a former member of Knights of Columbus. Survivors include
his wife of 49 years, Evelyn Stanko of Barefoot Bay; son, David Stanko of New York City;
daughters, Roberta Humphreys of Boca Raton and Roselle Colapietro of St. Cloud; sister,
Roselle Sebes of Pittsburgh; and four grandchildren. He was preceded in death by his
brother, John Stanko. SERVICES: Visitation will be from 11:30 a.m. to 1:30 p.m. Nov. 22
at Strunk Funeral Home Chapel in Sebastian. A service will be at 1:30 p.m. at the funeral
home with the Rev. Patrick O'Carroll officiating. Burial will follow in Sebastian Cemetery.
Published in the TC Palm on 11/20/2008
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e
FLORIDA DEPARTMENT OF
HEALT
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
Name of First Middle Last Date
Deceased of
Robert Joseph Stanko Death
2. Place of Death
County
Brevard
City, Town or Location
Palm Bay
Month Day Year
11/18/2008
Name of (If neither, give street address)
Hosp. or
Inst. William Childs Hospice House
3. Name of Medical Address Phone Number
Certifier John Campbell 7125 Murrell Road
Medical Examiner hysician Melbourne, FL 32940 321/242-8790
4. Name of Funeral Home /Direct Disposal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code)
Establishment Strunk Funeral 1623 North Central Avenue
Homes 6 Crematory Sebastian, FL 32958 1228 772/589 -1000
5. Check
Appropriate
Box
a. ❑
The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. P9( Debbie was contacted on November 18, 2008
He /she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that John Campbell, M.D. will complete and sign the medical
certification of cause of death within 72 hours.
c. F-1 was contacted on
He /she verified that
Medical Examiner, will complete and sign the
medical ificatio of se of death within 72 hours.
6. Funeral Director / nat a F.E. No. /Reg. No. Date Signed
Direct Disposer FO 44048 11/18/2008
M
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-08 -0531
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.
Regmtv"" Date Date Certificate
Subregistrar Signature %i1, . Issued: 11/18/2008 Dqe! 1 /24/2008
C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
0
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.
Method of Disposition:
BURIAL
CREMATION
Signature of Sexton
or Person -in- Charge
OSTORAGE
❑OTHER (Specify)
CEMETERY OR CREMATO� "C6 )10�
Place of Disposition
Date of Disposition e% 2-2,206
6
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 (Obsoleles all previous editions) Yellow Funeral Director or Direct Disposer
(Stock Number: 5740 -000- 0326 -2) Pink: Local Registrar ,-ydi `S ryv
ELI
Ld
CITY of SEBASTIAN No.�
Sebastian, Florida
19
RECEIVED FROM
DOLLARS
Account Total $� %S
Amount Paid $
Balance Due S
'THE EFFICIENCY ®LINE "AN AMPAD PROOUCT
UNIT �, BLOCK �, LOT
LOT AVAILABLE FOR SALE
Flo rti
CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
To Be Completed By Department
Due Date 6/21/2002 Single Check Y / N Y Vendor Number
LN
TC
Document
Reference
Organization
Code
Object
Code
Project
Code
Amount
001501
343800
$175.00
Number of Lines Amount
Description Repurchase of cemetery lot by City Block 46, Lot 13, Unit 2A
ISSUE CHECK TO
$175.00
NAME Elbert Smelser
ADDRESS c/o Mary Yeager (daughter)
73 Robin Ann Lane
CITY Ft. Oglethorpe STATE GA ZIP CODE
30742
Check Draws B
APPROVED BY
DATE
BUDGET APPROVAL (534000 AND 535450 ONLY)
0 MAIL ATTACHED DOCUMENTATION (Except for remit slips, requesting department should attach
a copy of documentation along with the original)
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June 21, 2002
Elbert Smelser
c/o Mary Yeager
73 Robin Ann Lane
Ft. Oglethorpe, GA 30742
Dear Mr. Smelser:
Enclosed is City of Sebastian check number 046752 for $175.00 for the sale of cemetery lot 13,
block 46, unit 2A back to the City of Sebastian for the dollar amount originally paid for the lot on
January 8, 1981.
If you have any questions, please contact our office.
Sine ely,
y A. Maio MC
City Clefk''
SA.M:js
enclosure
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Titij of 'grehalitian _
T rm rt Pry
THIS INDENTURE MADE This ......... th ... . .... day of
° 0
.. ......January .................. ........ A. D., 1981...,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
Elbert Smelser
........................................................................................................ ...............................
772 E. Lark Drive
.............. ............................... ...........BarefQO.t.. B.�y....ly�CC.o..... ............ ............................... .
of the County of ......... Brevard Florida
... ............................... and State of ................ ... ...............................
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of $ .......* *.? 7.5.-.0 0.* *........... to it in hand paid, the receipt whereof
is herewith acknowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee... hi S. . heirs, legal
representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit:
Uni t 2
Addition of Sebastian municipal Block. 46... pif Lot ....13 ........... in Section ..... do , pal cemetery as per Plat Number 1 there-
of 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.
To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of
the 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, heretofore, now and hereafter adopted or provided for the government and operation of said ceme-
tery. The conditions, restrictions and requirements contained in this instrument shall be covenants runrsing with the land. In the event of
the failure of the owner of any property situated within said cemetery to observe 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 be-
half by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written.
CITY OF SEBASTIAN, FLORIDA
. `,��
Attest: . �........ By ................ .. .........
�CityCl � Mayor
Signed, Sealed and Delivered
in the Presence of:
.... L ...:� ..............
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this ......, 9th January 81
..............day of .............. ....... ............................... 19....1
before me personally appeared .............. . Pat Flood, Jr. ....... and ..... ... El.izab. eth . Rei d
.............
.... .......................................
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
Elbert Smelser
............................... ............................... ........................ ...............................
.......... I .............. ............................... 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
�a C� afl1TPCA 1l�-
Notary P
my Comm