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Home My WebLink About2-51-07Name V le La, Unit Block .S 1 _ r Lot Date,of Mark -out eo. ZaO Date of Burial �r �i Time A�aD� S1 n 00 Name of Funeral Home 7jgpeltm C'1t4CAs*,wZ,? Authorized by VIOLA SMITH WARREN JUDAH March 30, 1922 —June 10, 2016 Viola Smith Warren Judah, 94, a lifelong resident of Sebastian, FL passed away at VNA Hospice House on Friday, June 10, 2016. As a teenager she began keeping the books for her father's fish business, which led to a lifelong career. In later years she was a clerk with the Roseland Post Office. Viola was the daughter of the late Archie and Margaret "Lizzie" Smith. She was preceded in death by two husbands, Joe E. Warren & James C. Judah, and a grandson, John "Snapper" Goodwin. She is survived by her children Diane (Aubrey) Lloyd, Kathie (Willard) Siebert, Joe (Sharon) Warren, and Margaret (John) Goodwin; step -children Linda Colvin, Bobby Judah, Vicki (Roy) Birch, & Kevin Judah. She is also survived by 17 grandchildren, 38 great- grandchildren, and 2 great -great grandchildren. 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 (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 Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) OPEN BURIAL LOT XXXX OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME FOR DECEASED: Viola S. Judah Name Lot—Block—Unit Lot 7 Block 51 Unit 2 Niche Block Unit N S E W Wednesday, June 22, 2016 @ 2:00 PM DROP-IN NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Katherine P. Siebert Kather6n&P. SfeZm#,t 6/17/2016 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: Gary D. Evans Name Gary 1). Eya*i* 6/17/2016 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: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of.• Viola S. Judah June 10, 2016 June, 14 2016 (Date of Death) (Date of Cremation) Strunk Funeral Home and Crematory Sebastian, Florida (Funeral Home in Charge) (City and State) 4584 By: (Cremation !D Number) mat Signature) 06/17/2016 15:33 FUNERAL DICTORIS REQUEST TO 4 OF 81 FOR BURIAL OPENING INSEBASTIAN MlJNICIPAL FUNERAL HOME: 01 ADDRESS: 1623 Nort PHONE#: 272-589-7 (Check O-nel _ OOPEN BURIAL 2gLXXOPEN CREIVIA OPEN COLLIM� BURIAL DATE AND FOR DECEASED: _ For information contact Kip Kelso .Cemetery Sen Sebastian Municipal Cent (772) 5892545 City Clerk's Office City Nall, 1225 Main Str+ Sebastian, FL 32958 Of flee (772) 8138-8215 or 36 Fax: (772) 388.5570 nk Funeral Home and Crematory entral Avenue. Sebastian. Florida. 3295 LOT ;IUM NICHE CE TIME; S. Judah MSP Lot , 7 Block 51 n Niche_.3lock.Lln Wednesday, June 22, 16 @ 2:00 i #5717 P.001/001 DROP-IN N me , NAME AND SIGNATOR OF LOT OWNER OR REPRESENTATf : (Must provide proper do mentation of ownership) i I Katharine P. Siebert subewt 1 6/17/2016 Name Signature Date I certify that I have dete fined the ownership of the above describ It site that all Si fleas and administrative fees have been paid an authorize opening of same. NAME AND SIONATUR OF LICENSED FUNERAL DIRECTOR: ' Gary Q. Evans , Eu P ow 6/17120/8 Signature Name Date Cemetery Sexton Certifi tion: I certify that I have the ed the ownership information by viewing t owner's de d confirming with Clerk's office and that all fees h ve been paid: Ce to Sexton Date ' This form to be provided to Clerk's Office by Sexton for permanent oord upon co Iletion. CITY OF SEBASTIAN 10097 ADMINISTRATIVE SERVICES RECEIPT Name ❑Cash //'' �7 Date t, O % �YCheck # 2& !�% ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 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 ens-ol - 43805' b'G 45y.00 u -a I P,uc-61 LOT '7 Total Paid�� Initials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Paid by CEMETERY Receipt No...... ....... Dated... AT M_-6.4 ................. J I NO. 0524 List Price $ 15 0.00 /Each "'•' Maximum No. burial Spaces ................. Deed #524 ••••••"'•• " Archie Smith 300.00 Net Paid $ ............. ........ . Monument permitted.....;f1at- .... P.O. Box 383 ...... Sebastian, Florida 32958 (Dab above this line for City Reeord only) LOTS & 8, Block 51, Unit #2 Addn. R & R ISSUED -- -- _ I V LOTS 7 & 8 UNIT #2, Addition BLOCK 51 ARCHIE SMITH P.O. Box 383 Sebastian, Florida 32958 Margaret Smith intered in lot #7, Block 51, Unit #2 Addn. April 24, 1983 Sml TH , ARCHI E P.O. BOX 383 SEBASTIAN, FLORIDA 32958 .. J I Deed #524 Receipt # 347 R & R Issued LOTS 7 & 8 Block 51, Unit #2, Addition MARGARET SMITH INTERRED, LOT #7, Block 51, Unit #2 Addn. April 24, 1983 3�� - - - - - - - - - - STATE OF FLORIDA S S� W PARTMENT OF HEALTH & REHABILIT�E SERVICES VITAL STATISTICS �a APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF MARGARET E. SMITH DEATH April 22, 1983 2. Place of Death City, Town or Location Name of (If neither, give street address) County Sebastian Hosp. or Indian River 1*X*X9 *X1K Inst. Sebastian River Medical Center 3. Name of MgdLical ®(Physician Address Certifier Kip Kelso, M.D. []Medical Examiner P.O. Box 28. , Sebastian, Florida 4. Funeral Home/ Name A d ess Direct Disposer Strunk Funeral Home., 734 North Central Avenue., s�xax Back. Florida 32958 5. Check a The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b Pa r N Box t � r- e irrcP � was contacted on 4/�. He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Kelso will complete and sign the medical certification of cause of death. c was contacted on . He /she verified that , Medical Examiner, will complete and sign the medical certification. 6. Funeral Director/ Signature Fla. Lic. No. /Reg. No.- Date Signed Direct Disposer 2088 April 25, 1983 B. BURIAL —TRANS MIT Permit No. 1228-83-11—CL- Permission is hereby granted to dispose of this body. E3 A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed wi the Local Registrar of the County in which death occurred. Registrar or C Date April 25, 1983 Sub Registrar Signature Issued C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA Signature Medical Examiner Date or 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. Awaiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Method of Disposition: BURIAL [3 STORAGE CREMATION ❑ OTHER (Specify) Signature of Sexton ► \/ or Person -in- Charge ) ��, a CITY CLERK Place of Disposition Sebastian Cemetery Date of Disposition Sunday, April 24, 1983 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. HRS Form 326, APR. 81 (replaces previous editions which may be used.) 08/29/2016 16:14 #5919 P.001/001 Fune CRYOF HOME OF PELICAN ISLA Sebastian Cemetery Ph# 772-589-2545 Fax# 772-228-992 Site Plan for Marker Insta I Home: StrunkFuneral Ho I tion o Type & Siz Name His of Marker: FLE- Hers -D X I ;D 1. T Ila S. Judah DO 922 DO 212016 Unit: A Unit: 2 Block: 5 i Block: size 1' x 2' ............................................ Larger than l do Dry n, c o concrete x 2' ... • .................... . . .. . ..Formed and 4aterial sisting of a b c nly) includes pured concrete i grass marker. cluding base. Approved b Marked out Foundation Foundation Date Dat Dat Dat z id, 2 2 l by: 'e Poured by: aterial c 4is t ,6 M