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Home My WebLink About4-11-21CITY OF HOME OF PELICAN ISLAND Certificate No. 2208 CITY 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 H. 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 lots: Unit 4, BIk 11, Lots 21 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 11th day of February, 2009. CI OF BASTIAN, FLORIDA ATT --T: Al Minner City Manager Sall. Maio, MMC City Clerk Name 70 $ ' i K4/4- if X 47 J i(te Unit Block Lot Date of Mark -out 'A /! // Date of Burial / //e3 1 Time Il #c)c),. �a✓ 5 14) Name of Funeral Home if-4 L--‘)/1•1 J s % X iFfrl, ►�� )/7°- Authorized by so8£b£ 1,051,00 0 fD 3 CD T N for- CD CO CO 00 CD 0 3 <o m r N 03 0 9- °o °o °O °o °O Z o no 0 co, 0 0 °O �D m N N co CO O O O O O co co saej 6uiAp en° uogoal3 saoueu!Po ;o epo0 /0d1 .scads pig/saidoO N N no m -i no C m co n m m O A m.m . co co T in TS Z m JOSEPH MANUEL SYLVIA Born Thursday, October 10, 1929 Died Friday, December 9, 2011 Joseph M. Sylvia died December 9, 2011 at the VNA Hospice House of Vero Beach. He was born in Faial, Azores as a U.S. citizen, coming to New Bedford, Massachusetts in 1946. During the Korean War he joined and served proudly in the United States Navy from 1950 to 1954 on board the U.S.S. Everett F. Larson DDR830. After returning from the Navy he moved to Miami, Florida to attend Embry Riddle Aeronautical University graduating with his Airframe and Powerplant license and met his future wife Marion F. Futch. He owned and operated J&M Aircraft Engines in Miami, Florida for 42 years. His work was his passion. He attended Saint Sebastian Catholic Church and was a proud member of Sebastian VFW Post 10210. He had a great love for his family and a great faith in God. He was preceded in death of his wife of 48 years Marion F. Sylvia in 2008 and is survived by his son Joseph H. Sylvia of Sebastian, FL, brother Manuel L. Sylvia of Leesburg, FL, two sisters Maria Sylvia of Ocala, FL and Ann Daniels of Boca Raton, FL and good friends. . Name of Deceased State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT First JOSEPH Middle MANUEL Last SYLVIA Date Month Day Year of DECEMBER 9, 2011 Death 2. Place of Death County INDIAN RIVER City, Town or Location VERO BEACH Name of Hosp. or Inst. (If neither, give street address) VNA HOSPICE HOUSE 3. Name of Medical MELISSA DEAN, M.D. Certifier [] Medical Examiner Physician Address 3745 11TH CIRCLE SUITE 105 VERO BEACH, FL 32960 4. Name of Funeral Home /Direct Disposal Establishment SEAWINDS FUNERAL HOME Address 735 FLEMING ST. SEBASTIAN, FL 32958 Fla. Lic. No. /Reg. No. F041682 Phone Number 772- 567 -1500 Phone No. (Area Code) 772 - 589 -1933 5. Check a. ® The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. c. was contacted on He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death within 72 hours. was contacted on He /she verified that medical certification of cause of death within 72 hours. , Medical Examiner, will complete and sign the 6. Funeral Director/ Direct Disposer F.E. No. /Reg. No. Date Signed F046789 DECEMBER 9, 2011 B. El BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. 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. 0 No extension of time for filin. the Beath certi ate has been requested. Registrar or / Date Date Certificate Subregistrar Signature Issued: 12/9/11 Due: 12 -21 -11 Permit No. 11- 41682 -232 C. AU HORIZATION 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. Method of Disposition: BURIAL ['CREMATION Signature of Sexton or Person -in- Charge OSTORAGE DOTHER (Specify) } CEMETERY OR CREMATORY SEBASTIAN CEMETERY Place of Disposition Date of Disposition /./'f3,/'/f 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 (Obsoletes all previous editions) (Stock Number: 5740- 000- 0326 -2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY FUNERAL HOME: ADDRESS: PHONE #: SE TIAN 1O ME Qi 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 '„a) 3 A. ax ,e (Check ) OPEN BURIAL LOT Lot j _OPEN CREMAINS LOT Lot _ OPEN COLUMBARIUM NICHE Niche BURIAL DATE AND SERVICE TIME: i/3/i FOR DECEASED: Jo 5i A#Z Name Block /1 Block Block /yl ; oo/'tj Unit Unit Unit NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) 5/ W 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR. 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 that all fees have been paid /2//37, Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. .EIVED ::ITY OF SEBASTIAN OFFICE OF CITY CLERK 2009 FEB 11 firl 11 61 111 s- / S Eitkio 5 EJ PIE A-4 E fr C,cic Z,t/ TAI AiT 0 F \ft /066 0 Fbr (1111Z-1-71-r L.07.- g k 1.) LOT 1 Art F _L--s 4±flYT ..riu r -74L z:2 Lor ()Jr. 1, 777 ciru r _FO 4_ J6_.7F /11 (5- y 1 vif 77 /911)k tit Li .5-5e skii-tvE ST Fl 352. i ()) SEBASTIAii OFFICE OF CITY CLERK 2009 FEB 11 RP111 MB F. 8 8 z t w O p fro als foamies MOONY • Iwo ▪ go▪ o see w cy stt / I T� }r� T1 4, 61 / �> 1 i. X J CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 4162 Name `isg1 i .7.,` ../..1. ❑ Cash Date / c 11 09 Check If 1 15 No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Niche ( Block 11_, Unit 1 001501 343805 Cemetery Fees Total Paid %/Wel- White - Dept. of Origin • Yellow - Finance • Pink - Applicant