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Certificate # 1909
an of
S111ASTMN
HOME OF PWCM IS"
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Anne & Daniel F. Melia
(name)
(name)
1434 Tradewinds Wa
(address)
(address)
Sebastian, F1 32958
in and for consideration of the sum of $1,400.00 , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 15 , Lot(s) 31 & 32
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 13th day of August 2003
Y OF STIAN, ORIDA ATTEST:
ce R�M a Sally A. o, CMC
City Mana City Clerk
O O
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4798
RECEIPT
Name Dg y I -� Sett -W i V1 Gi.S / � d Ci ❑ Cash i ,,
Date Y- 12- <3 i�Check # r C) & q
No.
341910
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies /Bid Specs.
Amount Paid
001501
341910
LDCICode of Ordinances _
001501
341930
Election Qualifying Fees
601010
343800
Cemetery Lots _
/
Lot(Niche , Block t - Unit
001501
343805
Cemetery Fees _
A Total Paid 25a 00
L
Initials
White -Dept. of Origin •Yellow - Finance •Pink •Applicant
SEAW INNS CREMATORY
Sebastian, Florida
735 Fleming Street • Sebastian, Florida 32958
www.seawindsfh.com
(772) 589 -1933
We hereby certify that these are the remains of JAMES JOSEPH MELIA
The remains were received
from DAVIS — SEAWINDS FUNERAL HOME & CREMATORY
Cremation Permit No. 13-73378-5135
Date of Death AUGUST 2, 2013
Issued at BREVARD COUNTY
Date of Cremation 00 ` _ By
Cremator
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
SEBASTtAN
noMf o; PfuCINISLAND
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax, (772) 589 -5570
FUNERAL HOME:
ADDRESS:
PHONE #:
(Check One)
OPEN BURIAL LOT
OPEN CREMAINS LOT
____OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TIME
Lot - Block Unit
Lot __ Block Unit
Niche Block Unit
8,
W
s. .
FOR DECEASED: LE:j4 A10VZ.5_^/2 r. I f
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
/Y /j-
Name I Signature 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 FUNERAL DIREC -f OR.
Name Sionature Date
---- ------------------ - - - - -- ---------------------------------------------- - - - - -- --------------------------------------------
Cemetery Sexton Certification:
I certify that I have checked the ownership inforniation by viewing the owner's deed and confirming
with Clerk's office .Ind that all fees have been paid
X�� a, '" , e A� �3
Cem ery Se/ton Date
This fond to be provided to Clerk's Office by Sexton. for permanent record upon completion.
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SEBASTKN
HOME OF wPELICAN 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
" Z_
Name(s)
Address
712-
Area Code & Phone Number
Residence Address of Intended Occupant if Other Than Purchaser
Office Use Only
t is acknowledged ' the um of:
n ,a
aA4" a Dollars ($ `r )
on this `3 day of _, 2003 for the purchase of the following
described Cemetery Lot(s) and /or iche(s).
Unit �_, Block Lot(s) 31 E 32 Ni
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 W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
TOTALS;
l
/l
nature of Purchas r City of Seb stian
Service fees are to be paid at time of need only
I: \W W- DATA \Ms- Cemetery\RECEIPT.doc
Anne P. Melia,
Sebastian
Anne P. Melia, 75, died
April 19, 2005, at VNA Hos-
pice House in Vero Beach.
She was born in Brooklyn,
N.Y., and
moved to Se-
bastian in
1979, coming
' from Farm-
ingdale, N.Y.
She Was an
active mem-
ber of the St.
Sebastian
Catholic
Church, past president and
member of the Woman's
Guild, member of the Sebas-
tian's Municipal Golf Course
Woman's Club and an avid
Bingo player.
Survivors include her hus-
band of 55 years, Dan Melia;
children, Mary Melia of West
Orange, N.J., Michael Melia
of Orlando, Eileen McElwee
of Melbourne, Daniel Melia
Jr., of Rockville Center, N.Y.,
Thomas Melia of Massape-
qua, N.Y., James Melia of
Melbourne, and Steven Melia
of Encinitas, Calif.; sisters,
Mary -Olsen and Kate Ziemb-
licki; brother, Jack McAuley;
and 21 grandchildren.
Memorial contributions
may be made to VNA Hos-
pice House, 1110. 35th Lane,
Vero Beach, FL. 32960.
Services: Visitation will be
from 7 to 9 p.m. April 21 and
from 2 to 4 p.m. and 7 p.m. to
9 p.m. April 22, with a wake
service at 8 p.m. at Seawinds
Funeral Home in Sebastian.
A Mass of Christian burial
will be at 10 a.m. April 23, at
St. Sebastian Catholic
Church, Sebastian. Burial
will follow in Sebastian Cem-
etery, Sebastian.
James Joseph Melia
James Joseph Melia, 47, departed this life on Friday, August 2, 2013
in Melbourne, FL. Born on February 5, 1966 in Farmingdale, New
York, he was the child of the late Daniel and Annie (McAuley) Melia.
The family moved to Florida and settled in Sebastian where he was
raised. He furthered his education by attending Florida State
University where he obtained a Bachelor's degree in Economics and
later pursued a Master's degree from Nova Southeastern University
in Education Administration. James has been a resident of Brevard
County for 17 years and taught at various schools throughout
Brevard. He was honored to become the Assistant Principal at West
Shore High School in Melbourne. James loved golfing and was a true
New York Yankee fan. "Go Yankees." He is survived by his beloved
wife of 8'/2 years, Machelle Deruelle; 5 children, Daniel, Nicholas,
Joshua, Cecilia, and Emily Deruelle; mother -in -law, Oma Caywood of
Austin, TX; siblings, Mary Melia (Steve Hamburger) of Wilmington,
NC; Michael Melia of Sebastian, FL; Eileen McElwee (Michael), of
Melbourne, FL; Daniel Melia(Maureen Galvin) of Rockville Centre,
NY; Thomas Melia (Lucy) of Massapequa, NY; Steven Melia of
Wilmington, NC; 16 nieces and nephews.
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Ul
DANIEL F MELIA
1517
OR ANNE F MELIA
2434Tradewinds Wau
63- 6431`670
Sebastian, FL, 32958-
l
BRANCH 00583'
Date
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DO 3rS
WACHOVIA
ACH RT 067006432
For
�� - - -� --
CO67006.4324LL583C36L647`Skno 1517
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 3286
RECEIPT
Name — ❑ Cash
Date D eck# oJgis
No. _ Amount Paid
001001208001
Sales Tax
001501322900
Garage Sales
001501341920
CopieslBid Specs.
001501341910
LDC /Code of Ordinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots
001501343805
LotlNiche . Block
Cemetery Fees
. Unit
0�3
5�
Total Paid
I ale
White — Dept. of Origin • Yellow — Finance • Pink • Applicant
OA
SE,
HOME OF PELICAN ISLAND
August 14, 2003
Anne & Daniel F. Melia
1434 Tradewinds Way
Sebastian, Fl 32958
Dear Mr. & Mrs. Melia:
Enclosed is City of Sebastian Certificate Number 1909 for the purchase of Cemetery Lots 31
amd 32, Block 15, 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.
S' er Iy,
Sally A. Maio, CMC
City Clerk
SAM :js
enclosure
c
FLORI��ARTMENT OF �/ ��/
HEALT State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
A. (TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased
of
ANNE P• MELIA Death 04 -19 -2005
2. Place of Death City, Town or Location Name of (If neither, give street address)
County INDIAN RIVER VERO BEACH Hosp. or VNA HOSPICE HOUSE
Inst.
3. Name of Medical Address
Phone Number
Certifier RICHARD CUNNINGHAM, DO 787 37TH STREET
Medical Examiner X Physician VERO BEACH, FLORIDA 32960 772 - 794 -5227
4. Name of Funeral Home /Direct Disposal Address Fla. Lic. No. /Reg7772_589-1933
hone No. (Area Code)
Establishment 735 FLEMING STREET
SEAWINDS FUNERAL HOME SEBASTIAN, FLORIDA 32958 2617
5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
b• ❑ was contacted on
He /she verified that this 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 He /she verified that
Medical Examiner, will complete and sign the
medical certification of cause of death within 72 hours.
6. Funeral Director/ S' tore F.E. No. /Reg. No. Date Sign d
Direct Disposer 2294 04/28 f05
B. BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 05- 2617 -081
❑ 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 d 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 dea tiie cate has b n requested.
Registrar or Date Date Certificate
Subregistrar Signature Issued: 04 /20/05 Dye: 04/27/05
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
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.
CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition SEBASTIAN CEMETERY
EIBURIAL ❑STORAGE Date of Disposition � /015 -
❑CREMATION ®OTHER (Specify)
Signature of Sexton
or Person -in- Charge } C!
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
ithin 10 days to the local County Health' Department in the county where disposition occurred.
1326, 8/97 (Obsoletes all previous editions) Distribution: White: Cemetery or Crematory
Lock Number: 5740-000- 0326 -2) Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar R_l d !4r® v..—