The URL can be used to link to this page

Home My WebLink About4-10-13CITY OF ✓'""��' own HOME OF PELICAN ISLAND Certificate No. 2206 CITY OF SEE-B STIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Leah Mauke 2119 E. Lakeview Drive, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 4, Bilk 10, Lots 12 & 13 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 Stn day of February, 2009. k ATT S, Sally Maio, MMC �iy Clerk CRYOF cL QFBASTIAN HOME OF PELICAN ISLAND 1225 Main Street Sebastian, Florida 32958 Phone (772) 388 -8214 — Fax (772) 589 -5570 E -Mail: city @cityofsebastian.org September 4, 2009 Mrs. Leah Mauke 2119 E. Lakeview Drive Sebastian, FL 32958 -8519 Dear Mrs. Mauke: This letter is in response to your letter dated September 1st, regarding a five month extension for placement of the cemetery marker for your late husband, Otto Mauke. In light of your current circumstances, I am approving the five month extension. This will give you until February 1, 2010 to install the marker. I am also returning the $10 you paid for the use of the temporary marker on Mr. Mauke's site. We do not charge additional funds for temporary markers since they are included in the cost of the service fee you paid and we do not charge anything for continued use of the marker in the case of an extension. There was simply a misunderstanding about the additional cost. I wish you well and hope that your recovery is swift. Please notify us when you make arrangements for installation of the marker. Sincerely, Sally A. M4 City Clerk Enclosure Cc: Cemetery Sexton Finance as cam. -- - M'-TiC. -- k c` c• Name �ffp /y /t1 ttC � /A f2 'Sy L-/ Unit Block Lot Date of Mark- out T�/ " AADate of Burial •R �' Name of funeral Home Authorized by 8 5 8 8 8 8 8 0 w ar 8 o _s 1 ii i o T r 3 !K g a rr ❑ O x ~ ti I x ik Q O � � n � M m N U FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY �n $EBASi1AN 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 FUNLk ,I.: ,, ANIE & CREMAMMIr 1623 No. Central Ave. ADDRESS: SERecTi . 1, . L 32 58 PHONE #: 1772) 589 -1000 NAME AND SIGNATURE OF LOT OWNER OR REPRESEN VE: (Must provide proper do mentation of ownership) / - ai� -a� Name 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 SIGNATU OF LICENSED FUN I TOR: Name `•� Signature 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 thyjt all fees have been paid: Cemete S xto Da e This form to be. provided to Clerk's Office by Sexton for permanent record upon completion. (Check One) OPEN BURIAL LOT Lot 13 Block 10 Unit 4 OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: Feb. 8, 2009 3:00 �M. FOR DECEASED: Otto R. Mauke Name NAME AND SIGNATURE OF LOT OWNER OR REPRESEN VE: (Must provide proper do mentation of ownership) / - ai� -a� Name 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 SIGNATU OF LICENSED FUN I TOR: Name `•� Signature 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 thyjt all fees have been paid: Cemete S xto Da e This form to be. provided to Clerk's Office by Sexton for permanent record upon completion. Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page I of 1 DR. OTTO R. MAUKE Dr, Otto R. Mauke, 85, died Feb. 6, 2009, at Sebastian River Medical Center, Roseland. He was born in Webster, Mass., and lived in Sebastian for 21 years, coming from Blackwood, N.J. He was a member of Temple Beth Shalom, Vero Beach. He served in the Army during World War II in the Pacific Theater. He was a graduate of Clark University, Worcester, Mass., where he received his bachelor's and master of arts degrees. He received his doctorate from the University of Texas, Austin. He was a member of Who's Who in American Education, the Indian River County Literacy Tutoring Program and the American Legion. He was a volunteer with AARP. Survivors include his wife of 58 years, Leah Mauke of Sebastian. Memorial contributions may be made to Clark University, 950 Main St., Worcester, MA 01610. SERVICES: Private services will be conducted. Arrangements are by Strunk Funeral Home & Crematory, Sebastian. Published in the TC Palm on 2/8/2009 Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Powered by LigacT—.Com obituaries nationwide Back http:// www .legacy.comltcpalmlObituaries. asp? Page= LifeStoryPrint &PersonID =123 836... 2/9/2009 E FLORIDA DEPARTMENT OF HEALT State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of First Middle Last Date Month Day Year Deceased Otto R. Mau ke of Death Feb. 6 2009 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or ndian River Sebastian Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number Certifier Ralph Geiger, M.D. 13838 U.S. #1 Medical Examiner Physician Sebastian, FL 772- 388 -0770 4. Name of Funeral Home /fiilrect-15N bV Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. trunk Funeral Home & Crematol y Sebastian, FL 1228 772- 589 -1000 5. Check a. U The medical certmcation nas Deen complewu anu skyneu. r% w 11PICLeu k.onmww V1 U-1 Appropriate application. Box b, Sharon was contacted on 2/6/09 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Geiger 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 certifiWion of o eath within 72 hours. 6. Funeral Director/ Zna F.E. No. /Reg. No. Date Signed D' poser 44048 2/6/09 B. C. 121101AI TOAAICIT DCOUIT Permission is hereby granted to dispose of this body. Permit No. 1228 -09 -0069 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. �., Date Date Certificate Subregistrar Signature G0�6,,� rw–" 0=±-A Issued: 2/6/09 Due: 2/11/09 Approval Number: AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA 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 Beth El Cemetery kBURIAL STORAGE Date of Disposition , / g A2- EICREMATION Signature of Sexton or Person -in- Charge DOTHER (Specify) I 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, 6/97 (Dbsoletes all previous editions) (Stock Number. 5740 000 -0326 2) Distribution: White: Cemetery or crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar s 2u(o tA�IvCL 13 CRY OF i=ce r HOME OF PELICAN ISLAND Certificate No' 2206 Certificate of Interment ghts IN ACCORDANCE with provisions of the Cod 'of Ordinances of the City of Sebastian, it is hereby certified that: / Leah Mauke 2116 E. Lakev' w Drive, Sebastian, FL 32958 (name) (address) In and for consideration of the /Cemetery $2,000.00 is entitled to full interment rights in the Sebastian Municip, for the following lots: Unit 4, BIk 10, Lots 12 & 13 of the Sebastian Municipal Cemetery, as maintainid on file in the records of the City Clerk for use in accordano& with the conditions, ordinances, resolutions, rules and regulations prescrked therefore by the City of Sebastian. CONVEYED THA 9th day of February, 2009. CITY Of SE,� /TIAN, FLORIDA ATTE Al Minner ty Manager Sally ¢A. Maio, MMC City Clerk Oct 21 09 02:22p Everlasting Stoneworks iLverCastinc� cStonevvorks 1207 US Hwy 1 * Sebastian, FL 32958 Phone: 772 -589 -9311 Fax: 772-589-9312 ATTN: Kip Cemetery Sexton City of Sebastian For Sebastian Cemetery Size: 17725899312 p.1 Phone: 772 -589 -2545 Fax: 772 - 228 -9927 5 Names & Dates: ��.c.�.i OY` • // , ° / °� - B� 3 -Ce x 2 K -t-I i L4 _0 X 1 _ L� Legal Description Section: y Block: io Lot: Space: Replat: Square Ft.: Approved: Checked By: C . Z, Date: e v I hereby certify that the original of the foregoing was faxed to the Sebastian Cemetery on i D 101 Everlasting Stoneworks By: Jamie Hicks Oct 21 09 02:22p Everlasting Stoneworks f� Z a � �U� CA Zp r %1-0570 17725899312 p.2 — N N m Ln Ln tu ® M t c S o 0 o � D e — N N m Ln Ln