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Home My WebLink About4-15-01O Certificate # 1905 a�r a ��BAST� �_..��. ` HOME OF PEUCAN ISUND � � � � � f � <<� ��- � i�� Certificate of interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Frank Liddy 412 Papaya Circle, Barefoot Bay, F1 32976 (name) (address) Joy Liddy 412 Papaya Circle, Barefoot Bay, F1 32976 (name) (address) in and for consideration of the sum of � 2� 250 . oo , has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 4 , Block 15 , Lot(s) 1& 2 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 10thday of June , 2003 . C Y OF SEBASTIAN, FLORIDA ATTEST: - -�-- . � � ''� �f�� ` � , Terr nce R. M re Sally A. 'o, CMC City Mana City Cler� �� L r'� � O • . Name Unit_ Block Lot _ �j / 6 / Date of Mark-out � / / � � / � Time � � Date of Burial � � ��_ Name of Funeral Home � ` /1 _ u. / . 1 D� . ,� _�.. ,� . Authorized by d � y� s S • 1 o ' $ O �e � • < � i � � n • � � � � a °�, � Y � � .�i �. ' \ .d 8 � O A � O S S S O O O W Y � O � � O O � W O(,� (,� (,� (� A A A A W pNp �p t0 1D t0 � O '` O O O O O � ' � �O � m � o w � `° � `° _ � � � -� T r c`f� t° � y �` � � � � N � � O c$ � � f7 `� L; � � � � l ° � � � ❑ - n A � y � � a i I i � � � �\ � .g � 3 0 � d � a A �� m0 m�m � �o? T � mz � � C_Tl FRANK J. LIDDY Mr. Frank J. Liddy, 79, died October 14, 2012 at his residence in Barefoot Bay. Mr. Liddy was born January 2, 1933 in Suffern, New York and moved to Barefoot Bay in 1995 from Stony Point, New York. He was a US Army veteran, driving fuel tankers during the Korean War. Mr. Liddy retired from the L.J. Kennedy Company in 1995 after 22 years. He was a member of the Loyal Order of Moose and Moose Legion, #1767, Sebastian, FL, a Life member of VFW Post #10210, Sebastian, FL, a life member of the Elks, Mawah, NJ, a member of Kearsing Edward American Legion Post 1600, Pomona, NY, a Charter member of the Fraternal Order of Eagles, Sebastian, FL; a 16 year member of the Teamsters Local #560, New Jersey; a 22 year member of the Teamsters Local #445, New York; a member of Fraternal Order of Orioles; a member of the Hillcrest Fire Company, New York. Survivors include his wife, Margaret "M. Joy" Liddy of Barefoot Bay; sons, Robert M. Liddy of Barefoot Bay, Edward M. Liddy of New York, Kenneth H. Whiting of Eustis, FL and Harry Richard "Rick" Vanderhoof of Elmwood Park, New Jersey; daughters, Rita Lynn Swearingon of Taveres, FL and Mary Chavis of Eustis, FL; cousins, Nancy Jones and her husband, Ken, Sandy Nugent and Roberta Moore; 11 grandchildren; 10 Great-grandchildren; 6 grand-cousins and 6 great grand-cousins. He was preceded in death by his first wife Loretta Liddy. � � ! l '� FL(7RlDiDiI'�tRf6i�T4E�. ,�' State of Florida, Department of Health, Bureau of Vital Statistics HE�LT BURIAL TRANSIT PERMIT DATE PRINTED: October 15, 2012 TRACKING NUMBER: 2012142158 1. DECEDENT INFORMATION Name of Deceased Date of Death FRANK J LIDDY October 14, 2012 Place of Death - County City, Town or Location Name of facility, or street address if not a facility BREVARD 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 Director/Direct Disposer Fla. Lic. No./Reg. 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: 2o12-FOa187o-5os5 • QG / �� ' D8t2 ISSU2d: OCtober 15, 2012 �t r t J ,j Meade Grigg, 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 PIaCe Of DISpOSitiOn: SEBASTIAN CEMETERY Method of Disposition: BuRia� Date of Disposition: �� o oV� Signa re o sext r person-in- arge (or by the funeral director/direct disposer when there is no sexton) DH 326E, 1/11 64V-1.011, Florida Administrative Code FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING !N 3EBASTIAN MUNICIPAL CEMETERY �� HOME OF ►ElKAN IStMD For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's O�ce City Hall, 1225 Main Street Se6astian, FL 32958 O�ce (772) 388-8295 or 388-8214 Fax: 772) 589-5570 SiRUNK FUNERAL OME & CR�MA3U�Y FUNERAL HOME: 1623 No. Centrat Ave. ADDRESS: _ 6772y ggq.1 PHONE #: (Ch ck One� G � �' OPEN BURIAL LOT Lot �_ Block ��.7 Unit OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM N1CHE Niche Block Unit BURIALDATEANDSERVICETIME:`Tii(��%�—S�1'�t�I�� I�.LY� � FOR DECEASED: �Q�� GY�IU Name NAME AND S�GNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership �� - tl��2 Name ign e Date I 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 FUNE DIREG70R: l� �M v��n �� s1�2 Name ignature Date Cemetery Sexton Certification: I certify that { have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and Ehat all fees have been paid: /o i � • Cem ery ex on Da e This form to be provided to Clerk's Office by Sextan for permanent record upon cornpletion. �� S�B�►sr� _ �� HOME OF PELiUN ISWVD 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 purcha�e _' — , �y,,��;/�-2� � a e(s) /? " � � , �. Address 7 _ �� _ .�,c Area Code & Phone Nu ber Residence Address of Intended Occupant if Other Than Purchaser Office Use Only pt is acknowledged in the sum of: � on this /��--�� day , described emetery Lot( and/or Niche(s). � , 20 Dollars �$_,,'�.� � . �' ) for the purchase of the following 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) I:\W W-DATA\Ms-Cemetery\RECEIPT.doc ; --- W O H Circle One Interment Disinterment �� ; �� .--� T AL $ / � ; , �,�� , 1 � ity of Sebastian be paid at time of need only � ,� �' (' (� ■ . �� `'''� �I O � lx � D� �� O � _�� °� � �a'�` � � Q o �� x � WW w '` RJ ct � O .�l > =.� �- � �; Z ■■ , D �z � � � � i � O � � LF� (R `�1� " �` � � � -i. � � m � 1] `1 i J � � N � mv� 2 pD7C WD� {Dv �m0 w � � � � v.J� �� v � � � 3 �• .'. n \ � D v ^ m p � � f� .. � w��' � c 1 �s � � y � m � � gN N m �° O �v � W CITY OF SEBASTIAN CITY CLERK'S OFFICE "� 8 � � RECEIPT , Nam � "� -� ' ❑ Cash f �� -� Date � � � Chec ~'.,. �C/ AmouM Paid 001001 208001 001501 322900 001501 341920 001501 341910 001501 362100 oo,�o, �s2,00 001501 362150 001501 343800 601010 343800 001501 369400 001501 369400 680800 220681 680800 220682 680800 220683 Sales Tax Garage Sales Copies/Bid Specs. LDC/Code of Ordinances Communiiy Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots � Cemetery Lois f G'�, � .� LoUNiche �, Block �`� , Unit Interment Fee Weekend Service Yacht Club Security Deposif Community Center Security Deposit Riverview Park Security Deposif �! � �� ' ' Total P� t �� Initials White - Oept. ot Oripio • T�Ilow - Financ� • Pink • Applic�nt