The URL can be used to link to this page

Home My WebLink About4-11-22CITY OF q-EE-L-AS,T1A' HOME OF PELICAN ISLAND Certificate No. 2200 CC TY 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: Joseph Sylvia 558 Sloane Street, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $1,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4, Block 11, Lot 22 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 30th day of December, 2008. OF ASTIAN, FLORIDA ATTES I Minner Manager Sally A.,Maio, MMC Citv Clerk SIEIIASTIUAKI v HOME OF FEUCAN [STAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. ,D5wh �vlvi`a Name(s M H(- Ti) 39T -Ra5,q Area CodeZ Phone Number FL 32-c)!59, Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: copk ( a -AA 0 ollars ($ DD 0, 0 on this 3 D-o` day of ktLA0jgk , 20-OL for the purchase of the following described Cemetery Lot(s) and /or Nic e(s). Unit 4, Block ( , Lot(s) o2 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 156. 1910 /W O H Circle One Vase and Ring for Niches (cost) Temporary Marker Preparation & Installation Signature of Purchaser Interment Disinterment TOTAL $ 10 15 0, 0-0 A % Y n of Sebastian The following documents were provided as Proof of Residency: I: \WW- DATA \Ms - Cemetery\RECEIPT.doc and Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 MARION FRANCES SYLVIA Marion Frances Sylvia, 79, died Dec. 24, 2008, at Holmes Regional Medical Center in Melbourne. She was born in Hialeah and lived in Sebastian for seven years, coming from Miami Lakes. She was a member of the World of Life Church of God in Sebastian. Survivors include her husband of 48 years, Joe Sylvia of Sebastian; son, Joseph Sylvia of Vero Beach; three brothers, Hugh, James and Carl; and three sisters, Jeannie, Carolyn and Edith. SERVICES: A graveside service will be at 11 a.m. Dec. 31 at Sebastian Cemetery in Sebastian. Arrangements by Strunk Funeral Home and Crematory in Sebastian. Published in the TC Palm on 12/30/2008 Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use P�owerm by Lo.gracy.com obituaries nationwide Back http:// www .legacy.conVtcpahnIObituaries. asp? Page= LifeStoryPrint&PersonlD= 1219... 12/30/2008 i1 f DEPARTMENT OF f f A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 4- f/ -��a 1. Name of First - Middle Last Date Month Day Year Deceased Marion Frances Sylvia of Dec. 24 2008 Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne Inst. Holmes Regional Medical Center 3. Name of Medical Address Phone Number Certifier CHARLES H. CRO T,M.D. 1402 Oak Street Medical Examiner Physician Melbourne, FL 321- 722 -3288 4. Name of Funeral Home /Direct Disposal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. runk Funeral Home & Crematory Sebastian, FL 1228 772 - 589 -1000 5. LneCK a. LJ I he medical certitication has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ►� Susan was contacted on 12/26108 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Croft 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 ific on cause of death within 72 hours. 6. Funeral Director/ gn v F.E. No. /Re No. Date Si ad 44048 12%24/08 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -08 -0586 ® 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. "egisha '+ Date Date Certificate Subregistrar Signature y�(/�r� M C*A-.PQ Issued: 12/24/08 Dye: 12/29/08 C. 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. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery BURIAL ®STORAGE Date of Disposition Zg nCREMATION ®OTHER (Specify) Signature of Sexton or Person -in- Charge 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. DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740 - 000 - 0326 -2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar KnYeid,S Pqa FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY ima HOME OF PELICAN ISLAND 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: STRUNK FUNERAL M.1.- 1623 No. COMM AV8. ADDRESS: SEBASTIAN. FL 32958 PHONE #: VM (Check One) X OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME: Lot 22 Block Lot Block Niche Block N_ Dec. 31, 2008 FOR DECEASED: Marion Frances Sylvia Name 11 Unit 4 Unit Unit S E W 11 A.M. NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must DfZvide proper documentation of ownership) / v Na,Ae SignatAre 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 O Name CENSED FUNERAL DI r5d Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: A ` 18 Cemetery 6iAton Date This form to be. provided to Clerk's Office by Sexton for permanent record upon completion. Name A g , ,p,i f • j/ !' I * Unit Block rr Lot Date of Mark -out A VQ 8 Date of Burial /. / % Q Time 02) • Name of Funeral Home ..I� Authorized by ir w Z5° U 48 fN0 ' G O DID I N "0 IL O 3 T a or C y xv %q o I- Stock Form 25812 Jan 15 10 05:14p Everlasting Stoneworks EverCasrinq cStoneworks 17725899312 p.1 1207 US Hwy 1 " Sebastian, FL 32958 Phone: 772-589-9311 Fax: 772-589-9312 ATTN: Kip Phone: 772 - 589 -2545 Cemetery Sexton Fax: 772 -228 -9927 City of Sebastian For Sebastian Cemetery Size: - C 2 -ox, C 9' Names & Dates: ��;�� '►�� t q 1�q �� oar,;✓ : /�.gl� Legal Description Section: y Block: It Lot: A- Space: Replat: Square Ft.: _ Approved: Checked By: tai. Date: /// ?// 6 - I hereby certify that the original of the foregoing was faxed to the S Sebastian Cemetery on 1 \.C� Everlasting Stoneworks By: Jamie Hicks