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Home My WebLink About1-27-29IV Iz r I: V y 4k 7t r ° o r 2 i M` • t � d d r 0 Name r` �`� cJ1 / - Unit d Block Lot + Date of Mark -out Date of Burial(` Time Name of Funeral Home � Authorized by C'1 CA 0 1 gIM N IIE v, o cw 7. T r a 6i : T T 3 Y M S C'1 CA 0 1 gIM N Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 SEA ROYAL Bea Royal, 76, died Feb. 3, 2009, at her home. She was born in Lamont and lived in Fellsmere for 59 years, coming from her birthplace. She was the owner /operator of Royals Taller Park, Fellsmere. She was a graduate of Jefferson County High School in 1950. Survivors include her husband of 54 years, Harold Royal of Fellsmere; sons, Tom Royal, Don Royal and Dan Royal, all of Fellsmere; brothers, Woodrow O'Neal of South Bay and Edward O'Neal of Vero Beach; and one grandchild. She was preceded in death by her sister, Mable Lee; and a brother, William. SERVICES: Visitation will be from 6 to 8 p.m. Feb. 6 at the Strunk Funeral Home, Sebastian. The funeral will be at 2 p.m. Feb. 7 at the Strunk Funeral Home, Sebastian, with the Rev. Buddy Johns officiating. Burial will follow in Sebastian Cemetery, Sebastian. Published In the TC Palm on 2/5/2009 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 Legacy.com. obituaries nationwide Back http:// www .legacy.comltcpalmlObituaries. asp? Page= LifeStoryPrint&PersonID= 123746... 2/5/2009 W A. M M NT OF LT (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of First Middle Last Date Month Day Year Deceased of Feb. 3 2009 I Willie Bea Royal Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Fellsmere Inst. 13825 97th Street 3. Name of Medical Address Phone Number Certifier Michael Venazio, M D. 8005 83rd Avenue Medical Examiner Physician Sebastian, Fl- 772 - 388 -2110 4. Name of Funeral H Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. trunk Funeral Home 6 Cremato y Sebastian, FL 1228 772- 589 -1000 5. Check a. U The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b Liz was contacted on 213/09. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Venazio 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 m000 ce~ of cause of death within 72 hours. 8. Funeral Director/ F.E. No./Reg. No. Date SI'�ned D�.p r 49048 2/3 / 09 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -09 -0060 A fire (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. ONo extension of time for filing the death certificate has been requested. Registrar or Date 2/3/09 Date Certificate Subregistrar Signature — Issued: Due: C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL- AT-SEA Approval Number. Date Medical Examiner, , gave authorization by telephone to Funeral Director/Dired 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 M thodof Disposition: Place of Disposition Sebastian Cemetery BURIAL STORAGE Date of Disposition .2 / g 13CREMATION Signature of Sexton or Person -in- Charge DOTHER (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. Dudrbution: Yellow: Funeral Director �Direet D*poser 01-1326. (Stock NLx97 (057104)0 all previous edgions) Pink: Local Registrar (Sroctc Number. 5740�000�i28 -2) Sep 26 2008 2:45PM HP LRSERJET 3200 p.1 FUNERAL DIRECT WS REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY hOMF V PILKMILMO For infor matior contact: Kip Kelso - Cemetery Sexton Se}' astian Municipal Cemetery I (772) 589 -2545 FUNERAL HOME: STRUNK FU ADDRESS: _ 5 PHONE #: (Cho One) OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BUIRIAL DATE AND SERVICE TIME: FOR DECEASED: Willie Bea IV City Clerk's Office y Hall, 1225 Main Street Sebastian, FL 32958 (772) 388 -8215 or 388 -8214 Fax: (772) 589.5570 AL HOME do CREMATORY 29 ,Block 27 Unit I Block Unit he Block Unit ebruary 7, 2009 2 P.wt°w NAME AND SIGNATvRE OF LOT OWN ER OR REPRESENTATIVE: (must side proper cumantatic;n of wnership) !Varna i?- Si nat;.tre p � 7 ate I certify trial I have detennined the owne ship of the above described site that all site fees and administrative fees have been paid and Outhorize opening of samg, NAME AND SIGNATJ OF LICEN roams - ----- --------- ---- - - - --- Cemetery Sexton Certification: 1 certify that I have -,hacked the ovmersr with CI rk`s office an th/� t all fees have Cerneory S fxto'r, FUNERA R R. rg ba Kure- Date inforwmatlon by viewing the owner's deed and confirming en paid Date This form to be provided to Clerk's Off.c� by Sexton for perrrianert record upon compietlon.