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Home My WebLink About4-15-34(name) CONVEYED THIS 13th day of April 2006. 1 Minner C ty Manager an OF HOME OF PELICAN ISLAND Unit 4 Block 15_ Lot(s)Niche(s) 34 CIT OF ASTIAN, FLORIDA ATT `I': Certificate No. 2078 crrif 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: Theresa F. Colesanti 1114 Clearmont St, Sebastian, Fl 32958 (address) in and for consideration of the sum of $700.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot/niche: 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. y Maio, MMC City Clerk Obituaries 1Death Notices 1 Newspaper Obituanes 1 Online Obituaries 1 Newspaper Death Notices 1 Onh... Page 1 of THERESA COLESANTI Theresa F. "Dolly" Colesanti, 86, died Sept. 6, 2009, at Palm Garden of Vero Beach. She was born in New York City and lived in Sebastian for four years, coming from New Hyde Park, N.Y. She was a teller with the Chemical Bank in New York City and a homemaker. She was of the Catholic Faith. Survivors include her sons, Nick Jackson of Sebastian, Mark Jackson of New Milford, Conn., and J. Scott Colesanti of Nassau County, N.Y.; daughter, Barbara Knieriem of Dumont, N.J.; sister, Eleanor DeRosa of Nassau County, N.Y.; seven grandchildren; and four great grandchildren. She was preceded in death by her husbands, Ralph Jackson and James Colesanti. SERVICES: Visitation will be from 11 a.m. to noon Sept. 11 at the Strunk Funeral Home, Sebastian, followed by a funeral service at noon in the funeral home chapel. Burial will be in Sebastian Cemetery. Published in the TC Palm on 9/9/2009 Name Unit Block Lot Date of Mark -out Date of Burial f Name of Funeral Home Authorized by Today's TC Palm obituaries Questions about obituaries or Guest Books? ContactLe Terms of use Powered by L obituaries nationwide 14- t Cc, eSfleNA Back 7. C Time http:// www .legacy.com/tcpalm/Obituaries. asp ?Page LifeStoryPrint &PersonID 132523920 9/9/2009 1. Name of First Middle Last Deceased Theresa F. Colesanti Date Month Day Year of Death Sept. 6 2009 2. Place of Death City, Town or Location County Indian River Vero Beach Name of (If neither, give street address) Hosp. or Inst. Palm Garden of Vero Beach 3. Name of Medical Certifier Gary Silverman, M.D. fMedical Examiner 171Physician Address 1265 36th Street Vero Beach, FL Phone Number 772- 567-6340 4. Name of Funeral Home /I ijeet-Bispveel Establishment trunk Funeral Home 6 Cremato Address 1623 N. Central Ave. Sebastian, FL Fla. Lic. No. /Reg. No. 1228 Phone No. (Area Code) 772- 589 -1000 A 5. Check Appropriate Box 6. Funeral Director/ Direct-To' ^V0 er B. eb Registrar err Subregistrar Signature Signature of Sexton 1 or Person -in- Charge a. c. 0 OH 326, 8/97 (Obsoletes all previous editions) (Stock Number 5740 -000 -0326 -2) The medical certification has been completed and signed. A complete ce rt application. Mandy was contacted on 9/8/09 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Silverman will complete and sign the medical certification of cause of death within 72 hours. medical cart of cause of death within 72 hours. State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL TRANSIT PERMIT was contacted on F h4114 eg. No. Date Issued: 9/6/09 c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL AT-SEA He /she verified that Medical Examiner, will complete and sign the Da /j/U9 BURIAL TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-09-0401 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. 0No extension of time for filing the death certificate has been requested. Date Certificate D ye: 9/11/09 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. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery IIBURIAL El STORAGE Date of Disposition p p ['CREMATION OTHER (Specify) 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 Yellow: Funeral Director or Direct Disposer Pink: Local Registrar rerred Arr i ep 26 2008 2:4SPM FUNERAL HOME: ADDRESS: PHONE Name Cerra ery S ton HP LASERJET 3200 Cemelery Sexton Certification: 1 certify that I have checked the owners with Clerk's office and that 11 fees have FUNERAL DIRECT R'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENI G IN SEBASTIAN MUNICIPAL CEMETERY SE BaTIAN *MAP how a mak, mu m> For informatlor. contact: Kii Kelso Cemetery Sexton Ser stian Municipal Cemetery (772) 589 -254 City Clerk's Office ity Hal;, 1225 Main Street Sebastian, FL 32958 Oltfc (772) 388-8215 or 388 -8214 Fax: (772) 589.5570 STRIINK FUNERAL NAME CREUATORY 16 23 No. Central Ave. btttw i u►ra, P. sews (m) Sao.1000 (Check One) 34 ....X OPEN BURIAL LOT L l 13 Block 3# Unit 4 OPEN CREMAINS LOT L t.Block' Unit OPEN COLUMBARIUM NICHE che Block Unit BURIAL DATE AND SERVICE TIME: 9/10/09 12 P.M. FOR DECEASED: Theresa F. olesanti rvame NAME AND.SIGNATURE OF LOT OWh ER OR REPRESENTATIVE: (Must provide proper documentation of cwn c10/45 Al i saa rvarne I Signature I certify that 1 have determined the wine ship of the above describe administrative fees have been paid and uthorize opening of sa NAME AND SIGNATJ OF LICEN 1 FUNE w Signature Date This forrn to be provided to Clerk's Off.c by Sexton for permanert record upon completion. Date site !hat all site fees and ip information by viewing the owner's deed and confirming b een paid p. 1 001501 343805 Cemetery Fees CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 4589 Name J 11' avtk 1LUA e.ra i Cash Date R 1 0 )(Check* 1136 No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Niche 3q' Block f s Unit 4 /50.00 Total Paid 150.a° a° Initials White Dept of Origin Yellow Finance Pink Applicant April 13, 2006 Ms Theresa F. Colesanti 1114 Clearmont Street Sebastian, Fl 32958 Dear Ms. Colesanti: Enclosed is City of Sebastian Certificate 2078 entitling you to full interment rights in Cemetery Lot 34, Block 15, Unit 4. Also enclosed is a copy of the receipt and the Rules and Regulations governing the Sebastian Municipal Cemetery. If you have any questions, please contact our office. S Sally Maio, MMC City Clerk SAM:ar enclosure )'7 CITY OF HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, F132958 Telephone (772) 589 -5330 Fax (772) 589 -5570 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 .f2 2 Ze /i- 9 Name(s) /1// /44,..0 65 :7- 4 Address 16/5' -/i/es/ Area Code Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipj,,is acknowledged in the sum of: on this day of L4 20G for the purchase of the following described Cemetery Lot(s) andlor Niche(s). 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 W 0 H Circle One Vase and Ring for Niches (cost) Signature of P aser C IF Interment ty of Sebastian Dollars ($7? a d Disinterment Service fees are to be paid at time of need only I: \W W- DATA \Ms Cemetery\RECE I PT.doc $7� 0 0 3 CO o S S °o 0 0 o g N co CD CI O O 0 o N t Ica a. N X u w 0 0. z 0, 900 HONHHB OL93/61 dO 213QTI0 5 J H 40 OL JCdd 7 946Z£ 13'NVLLSVS IS'TIOMMS /SS I. 104 .-99S-ZLL Hd NOS)Iovr N3V48V3 NosNovr W SY1OHOIN HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, Fl 32958 ...Telephone 772 589- 5330...Fax 772 -589 -5570 August 11, 2005 Mrs. Carmen Wilson 114 LaPlaya Lane Sebastian, Fl 32958 Dear Mrs. Wilson: According to our records, you requested we hold the following cemetery lots and/or niche(s) for you: Unit 4, Block 15, Lot 34 The city does not accept credit cards or installment payments, therefore, as a courtesy it does agree to hold lots /niches for thirty (30) days to allow family members time to exercise their financial options or think of their future needs. If we do not hear from you within the next 14 days, we will assume you are no longer interested in the purchase of the lots /niches. If you have any questions regarding this matter, please contact Cemetery Sexton Kip Kelso at 589 -2545. Thanks for your attention to this matter. cerel?y, Sally A. 10, MMC City Clerk SAM/ar CflYOF SEBASTIAN