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Home My WebLink About4-14-22Name wA�Ttr Unit Block 1 Lot a Date of Mark -out 5 ' % ' A/ Date of Burial 51 29 L `ft Name of Funeral Home rJT IF Vk I Authorized (�LAN L.e� s/x8 Time OF.lk -5Kk) FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso,. Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax. (772) 228-9927 City Clerk's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388.8214 ctesta(ftitvofsebastian.oro FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE* 772-589-1000 (Check One) XXXX OPEN BURIAL LOT _OPEN CREMAINS LOT _OPEN COLUMBARIUM NICHE Lot 22 Block 14 Unit4 Lot Block Unit Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME' 3:00 pm Wednesday, 5/29/2019 Graveside service w/Military Honors FOR DECEASED: Walter Henry Muhlbauer Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Barbara J. Muhlbauer Barbara I. MuhLbauer 5/24/2019 Name Signature Date 1344 Scroll Street, Sebastian, Florida, 32958 1 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 DIRECTOR: Jeff Gibbs Name J" Gibbs Signature 5/24/2019 Date 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: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For Information contact Kip Kelso,Cemstary, Sexton Sebastian Municipal Cemetery Phone: (772) 5892545 Fax: (772) 228.9927 City Clerk's Once - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Of fee (772) 388.8215 or 388-8214 crostadbeiAtofsehastian.or0 FUNERAL HOME- Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue. Sebastian. Mad da. 32958_ PHONE* 772-589.1000 (Cheek One) 7U�t -OPEN BURIAL LOT Lot�2�bok 14_UnK4 ,OPEN CREMAINS LOT Lot_Block—Unit _OPEN COLUMBARIUM NICHE Nlche,BIock`Unk N S F W BURIAL DATE AND SERVICE TIME' 3:00 pm Wednesday, 5/29/2019 Graveside service w/Military Hunan FOR DECEASED: Walter Henry Muhlbauer Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper dommemztlon of ownership) Barbara J. Muhlbauer 'garburn I. MuhLhawr 5/2412019 Name Signature Date 1w Svol[ Seeei, 9abaasan. Florida, Mass I cerfl 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 DIRECTOR: Jeff Gibbs J" Gibbs 51242010 Name Signature Date Cemetery Sexton CenMcabon: I codify that I have checked the ovmership Information by mevmrg the owner's deed and confirming with Clerk's office and that all ae ave been paid: Cercktery Se on / Date / This form to be provided o Clerk's Office by Sexton for permanent record upon completion. Strunk Funeral Homes & Crematory N^'a"61p Cash Advance Account- Sebastian 1623 N. Central Ave. Sebastian, FL 32958 shy One Hundred Fifty and 00/100 oiwrimmle City0f5ebastian DATE 05124/:Ors ANnlerr 150.00 1228.19310 Muhlbauer Wrap. T000/T000 fR minus89$BBSZLL YY3 RybT:TT BTOZ/8Z/90 - �.� State of Florida, Department of Health, Bureau of Vital Statistics MOM BURIAL TRANSIT PERMIT HFAITH DATE PRINTED: May 24,2019 TRACKINGNUMBER: 20190SIBIM3 1. - DECEDENT INFORMATION wm.ao.[mee D.M.1D•.0 WALTER HENRY MUNLBAUER May N.A1p Plaue1D.Nh-Cw,m N,TexnorLxNon N.m. olixllm.or•4eal.Eem.nrol.lullm INDUN RIMER SEBASTIAN SEBASTIAN RIMER MEDICAL CENTER W Aeem•N 11M. Np —. DNpoul Ewe4aMwM FWLLAr NOFp.No. Pleau Nun r STRUNK FUNERAL NOME-SEBASTIAN FUN 870 HuMV U721589I ON 1629 N CENTRAL AVE SEBecould FLORIDA. J$BY Funsmi Dnswern nol.p[•ar Fla. LI[. WAKE. No, IEFFREYGIBBS F10a1U2 NMRNonsuum.m MICHELLE 0tlnc•NhBp Pnyumns .acnuilou2Mop by mn.nlmxbrllabove; Withe oenW thatELVS ACERIOALCARCEL. [aNying physician, will complete an6 sign Me m.141o.NOOBon0 oust ofdenNrNIn ii Mm•. 2. BURIAL -TRANSIT PERMIT The Florida DepaNnent of Heali Bureau of Vital Statistics hereby grants permission to dispose of his body In accordance with Chapter 382, Florida Statutes, Per iLNemwC IDI 4W1a9U5Ml D Data lssuetl: May 24, 2019 SYta Saguenay 3. AUTHORIZATION for CREMATION, DISSECTION. BURIAL -AT -SEA, or HOSPITAL DISPOSITION AUNwI.Ii.. given Uy Medical Enminv Dstrlcl Approval NumWc 4. CEMETERY OR CREMATO Y q/� Pb[eof DI.Posnlon: SEBASTIAN CEMETERY hD:xl j8 I Iq Method of Disposldon: BURIAL Dao of Dh ar k aB �+ S EDRS maintains all statutorily required Information regarding the death record and related burial transit permit, therefore, returning the permit l0 the county health department 15 no longer required. Rm• Plao of Flna m N.ftI.n wishes to ..In the copy of the penile to, their file may may do D. ON 526E I.n, Be41 ell. ISIMMANKNV AKINK. Walter Muhlbauer Obituary or Death Notice: Walter Muhlbauer's Obituary by the TC Pal... Page 1 of 1 Walter H. Muhlbauer Walter H. Muhlbauer Age 76, of Sebastian, FL, passed away on May 24, 2019. Strunk Funeral Home & Crematory Published in the TC Palm on May 29, 2019 https://www.legacy.comlobituaries[tepalmlobituary-print.aspx7n=walter-h-muhlbauer&pid... 5/30/2019 CITY OF SEBASTIAN 11689 ADMINISTRATIVE SERVICES RECEIPT Name LL11e. A' V.. IL' t& CJ Cash Date .� `�' 1 d1 XCheck # 134; ❑ Credit 001001 208001 001001220000 001501362100 001501362150 Sales Tax Security Deposit Taxable Rent Non -Taxable Rent Amount Paid 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees 'X�Isol 13805 bIC;:S a `KIK 14 1pr,2a �FH1 Total Pai 1a v'CO Initials White - Dept. of Origin • Yellow -Admin. Svcs. • Pink -Applicant 0 0 an of S ;4� HOME OF PELICAN ISLAND (CITY OF SEBASTIAN Certificate # 1902 CO p� Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Walter H. Muhlbauer (name) Barbara J. Muhlbauer (name) 918 Cypress Street, Barefoot Bay,. F1 32976 (address) 918 Cypress Street, Barefoot Bay, F1 32976 (address) in and for consideration of the sum of $2,250.00 , has purchased and is entitled to full interment rights in the Sebastian Municipal Cemetery for the following plot: Unit 4 , Block 14 'Lot(S) 22 & 24 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 29th day of May , 2003 C Y OF SEBASTIAN, FLORIDA r l ence R. We6re City Manager ATTEST: )7) Sa4A. io, CMC Ci O CITY OF SEBASTIAN CITY CLERK'S OFFICE 1826 RECEIPT Name 0 Cash Date eck 62 AmountPaid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 362100 Community Center Rent 001501362100 Yacht Club Rent 001501 362150 Non Taxable Rent 001501 343800 Cemetery Lots 601010 343800 Cemetery Lots Lot/Nich��, Block, Unit 001501 369400 Interment Fee 001501 369400 Weekend Service 680800 220681 Yacht Club Security Deposit 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposit Q, /?, Total Pal? Initials White — Dept. of Origin • Yellow — Finance • Pink • Applicant QIY of SEISASTKN HOME OF PELICAN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Area Code & Phone Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: Dollars ($ on this ply' day of , ;eUej.?- Tor ine purchase of the following described Cemetery Lot(s) an /o 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 Vase and Ring for Niches (cost) Signature o urchaser Intl W O H Circle One Service fees are to be paid at time of need only I: \W W- DATA \Ms- Cemetery\RECEIPT.doc