HomeMy WebLinkAbout4-15-21u
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HOME OF PELICAN ISIAND
Certificate # 1926
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Dianne DeMarco
(name)
(name)
597 Carnival Terrace, Sebastian, F1 32958
(address)
(address)
in and for consideration of the sum of ~ 1, 400 . 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) 21 & 22
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 14th day Of November ~ 2003
CITY OF SEBASTIAN, FLORIDA ATTEST:
/ `~C ..
s
Terrence R. Moore Sally A. M ' , CMC
City Manager City Clerk
u~ - - 'J
,~
came ~/' f~ ~ _
Btoc«c f ~
`~ ~~,.
date ofi ~.~3'!c_~„~-
r ~ c~lA ~.
_ !, ,~ ~ ,l c j~ . Time b
a .. .. +.. ':..a
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Name ~~ -~r:eta9 Home
t
Authorized by
__ ;~
Ec William Wenner
Ei William- Wender, .8g,
~~aied 'dune ~. 2006, at Indian
River .1V1'e~ ;.Hospital in
~r~~each.
~., He`~,-~, .born i;: Germany-,
and, I~ved to Vero Beach
.,. e y ~ from
c forth ZVI "co
» Beach.
e Before retirement, he was a
.- ltlew York City taxi driver.
Survivors include daughters
s, Diane DPrnarco of Sebastian
h- and Ellen Barenbaum of
;t, Dresher; Pa.; sisters, Eliza~th
ur Sk?~~s,, and Jean OPferl~_~,rh of
vo Oc~ ~.-' `•_~ ~~'~+~children.
-:~ :tom„ "...,c.
`~ SERWCES: A service will be
a~ 12:30 p.m. June 8 at the Sea-
winds ~zneral HOme Char,,,
Sebastian. Burial will follow in
Sebasti,. Cemetery. Arrange-
menu ~ are by Seawinds ~aner-
al ' Iorde & Crematory, Sebas-
• ' ~ `guest book may.. be
sired `~ at seawindsfh.coni/
,bit'. pp p:
Q1Y OF
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HOME C-F PELICAN ISLAND
November 17, 2003
Dianne DeMarco
597 Carnival Terrace
Sebastian, Fl 32958
Dear Ms. DeMarco:
Enclosed is City of Sebastian Certificate Number 1926 for the purchase of Cemetery Lots 21 &
22, Block 15, Unit 4. Also enclosed is a copy of the Rules and Regulations governing the
Sebastian Municipal Cemetery.
If you have any questions, please contact our office.
Sincerely,
~-----
Sally A. aio, CMC
City Clerk
SAM:ar
enclosure
QIY OF
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HOME OF YPEUCAN ISLAND
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
~~A~(NE ~~ M.A,(2C,~
Name(s) r,
~ci'~ L'.~RSiVA~I ~i
,As~A ~ ~ 3L9,S6
--
Address
~?2 - 3816- `~S7`i
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
Receipt is acknowledged in the sum of:
~~,~~ ~uN ~ t.~ A~ °O~Goc Dollars ($ J~f oo. c~ )
on this 12 day of 1J ~~ , 20 03 for the purchase of the following
described Cemetery Lot(s) and/or Niche(s).
Unit ~_, Block ~ ~J ,Lot(s) 2 ~ ' 2~ 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 7 5 a ~ W O H
Circle One
Vase and Ring for Niches (cost) Interment
/'~~
Signature of Purchaser ~ of Sebastian
Service fees are to be paid at time of need only
Disinterment
$/ d
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Name
No.
001001 208001
001501 322900
001501 341920
001501 341910
001501341930
601010 343800
001501 343805
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
2296
Sales Tax
Garage Sales
Copies/Bid Specs.
LDC/Code of Ordinances
Election Qualifying Fees
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White -Dept. of Origin • Yetlow -Finance • Pink -Applicant
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A
FLORIDA DEPARTMENT OF
HEALT
A.
~~ ~~~~/ p
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL -TRANSIT PERMIT
1. Name of First Middle Last Date Month Day Year
Deceased ERIC WILLIAM WENNER °f JUNE 4, 2006
Death
2. Place of Death City, Town or Location
County
INDIAN RIVER VERO BEACH Name of (If neither, give street address)
Hosp. or
Inst. INDIAN RIVER MEMORIAL HOSPITAL
3. Name of Medical Address Phone Number
RICHARD PENLY, M. D . 1265
. 36TH STREET
Certifier .
Medical Examiner X Physician VERO BEACH, FLORIDA 32960 772-567-6340
4. Name of Funeral HomelDirect Disposal Address Fla. Lio. No./Reg. No. Phone No. (Area Code)
Establishment 735 FLEMING STREET
2617
772-589-1933
SEAWINDS FUNERAL HOME. SEBASTIAN, FLORIDA-32958
5. Check a. ® The medical cert~cation has been completed and signed. A completed certificate of death accompanies tnis
Appropriate application ~
Box
b. ~ was contacted on
He/she verified tha his death was from natural causes, that there was no accident nor other external cause of death,
and that will complete and sign the medical
certification of cause of death within 72 hours.
c, ~ was contacted on Helshe verified that
Medical Examiner, will complete and sign the
medical certifi n of cause o death within 72 hours.
6. Funeral Director! na a F.E. No./Reg. No. Date Signed
Direct Disposer /j~ 2294
B. BURIAL -TRANSIT PERMIT
Permission is hereby granted to dispose of this body. \ Permit No. 06-2617-114
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 i~iedica( certification of cause-of-death section of the death certificate within
72 hours.
~No extension of time far filing the d ath has been requested.
Registrar or Date Date Certificate
Subregistrar Signature \l)ssued: JUNE 5 , 2006 pye; JUNE 9 , 2006
c. AUTHORIZATION for CREMATION,
Approval Number:
or BURIAL-AT-SEA
Date
Medical Examiner, ,gave authorization by telephone to
Funeral Director/Direct Disposes Date
The Medical Examiners approval must be obtained before disposal by any of the above methods. Awaiting period
required for all cremations.
hours after death is
Method of Disposition:
D.
®BURIAL
CREMATION
Signature of Sexton 1
or Person-in-Charge J}
CEMETERY OR CREMATORY
.Place of Disposition SEBASTIAN CEMETERY
STORAGE
OTHE~~R~~(Specify)
Date of Disposition
This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Directonulrect uisposer wnen mere ~5 ~~~ .7exw~ ~~ p. ~~ ~ _~~~ „~u
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 ~d ~~ P4Q