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Home My WebLink About4-11-19Name L 1✓ ?' f��l( z� �' / Unit Date of Mark-out Date of Budal 5 /7 19 nmE la'.�� Gr. sale Name of Funeral) Hoomm/e��,�y� Authorized M, �Eii.✓z'^'�- `'—'^"�""" U Strunk Funeral Home - Sebastian HELEN G. COLLETTI (Much 22, 1934 -April 30, 2019 ) Mrs. Helen G. Colletti, 85, died April. 30, 2019 at Palm Garden of Vero Beach in Vero Beach, FL. Helen was a member of St. Sebastian Catholic Church, Sebastian, FL. Survivors include her sons, Thomas Colletti, Jr., Stanley Colletti and Vincent P. Colletti all of Sebastian, FL; daughter, Christine Colletti of Sebastian, FL; brothers, Gene, Stanley and Walter Skok; 16 Grandchildren and 7 Great Grandchildren. She was preceded in death by her husband of 56 years, Thomas James Colletti, Sr. Visitation will be held on Monday, May 6, 2019 from 4:00 PM — 6:00 PM at Strunk Funeral Home, Sebastian, Florida with a Prayer Service being held at 5:30 PM with Deacon John Dunlop, officiating. A Mass of Christian Burial will be held at 11:00 AM on Tuesday May 7, 2019 at St. Sebastian Catholic Church, Sebastian, FL with Father John Morrissey, celebrant. Burial will take place at Sebastian Cemetery, Sebastian, FL immediately following the Mass. Arrangements are by Strunk Funeral Home and Crematory, Sebastian, FL. 05/02/2019 11:07AM FAX 7725892583 STRUNK FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso,.CemeterySexton 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 Oflrce (772) 388.8215 or388.8214 ctesta0citv0sebastian.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 L0t_19_Block 11 Unit 4 Lot_Block Unit Niche Block Unit N S F W a 0001/0001 BURIAL DATE AND SERVICE TIME: 11:00 AM Tuesday 5/7/2019, St. Sebastian Catholic Church FOR DECEASED: Helen G. Colletti _ Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Thomas Colletti. Jr. ThomoS. CcLLetii. Ir. 5/2/2019 Name Signature Date 13015 75th Court, 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 Jaot Gibbs Signature 5/2/2019 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 fe have been paid: r�� 9 C ate Sexton Date This iorm to be provid d 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, .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 ctesta0citvolsebastian.ora 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 Lot-19—Block-11—Unit 4 _OPEN CREMAINS LOT _OPEN COLUMBARIUM NICHE Lot—Block—Unit Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 11:00 AM Tuesday 5/7/2019, St. Sebastian Catholic Church FOR DECEASED: Helen G. Colletti Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE (Must provide proper documentation of ownership) Thomas Colletti. Jr. ThowtolsCollettQr._ 5/2/2019 Name Signature Date 13015 75th Court, 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 Je(t Gibbs Signature 5/2/2019 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. State of Florida, Department of Health, Bureau of Vital Statistics PIOl= BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: May 2, 2019 TRACKING NUMBER: 2019072491 1. DECEDENT INFORMATION Name of Deraasetl Data of Death HELEN G COLLETTI Ap0130,2019 Place of Death -County City, Town or Lacation Nem. of facility, ors" at address if not afad0ty INDIAN RIVER VERO BEACH PALM GARDEN OF VERO BEACH Name and Address of Funeral HomeVin ct Disposal Establishment Fla. Lie. No fReg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 FUI870 (772)589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA 32958 Funeral Din clonDlrect Disposer Fla. Uc. NeAr,. No. TIMOTHYWMARVIN F022789 Medical VeriNcaeon Statement DR. LEWIS at the certifying physician's office, was contacted on DY3=019 by Me funarsl director listed above; Indian, indicated Nat THOMAS WAYNE LEWIS, certifying physician, will complete and sign Ne medlcal certification of cause of death within 72 hours. 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2019-F04187MO72 � -- Data Issued: All W, 2019 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: 4. CEMETERY OR CREMATORY '1 ^ Place of Disposition: SEBASTIAN CEMETERY —1 Method of Disposition: BURIAL Chat!�PlspogWM�IrI I�OII EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E, 10112 64V-1.011, Florida Administrative Code CITY OF SEBASTIAN 11836 ADMINISTRATIVE SERVICES RECEIPT Name CO ll2`f'� OCash Date 67Al19 Check#/a/oS O Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010369900 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 00r5�1 3 205 G/G 06 AtU t'E- 4 8l K l 1 jLvT 19 /-Y>— Total Pai «c»� Iniials White - Dept. of Origin - Yellow -Admin. Svcs. - Pink - Applicant cm~ c~ ~~~~~~~~ HOME OF PELICAN ISLAND Certificate No. 2212 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Helen Colletti 7350 129t" Street, Sebastian, FL 32958 (name) (address) In and for consideration of the sum of $4,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 4, Blk 11, Lots 19 & 20 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 3rd day of April, 2009. O j~EBASTIAN, FLORIDA ~ AI Minner ity Manager ATTEST: ~~ ~, ~ --__~ Sal A. Maio, MMC City Clerk CSfY bF ~~~ ~`~~-~ NC}TVtE t)f FELICP.N 65EA1dD City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, proof of City residency of purchaser or person for whom lot is intended for interment must be provided at time of purchase. Name(s) 7.35 -~h ~Sfreet S~asfi~~ ~L 32958 Address ~~3 -s~~~ Area Code & Phone Number Name & Residence Address of Intended Occupant if Other Than Purchaser OFFICE USE ONLY Receipt is acknowledged in the sum of: i`~o !~,{/(. ~ ~ ~-G Dollars ($~(} . D U ) on this day of , 20 for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit ~, Block ~, Lot(s) ! ~ ~' 20 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) Vase and Ring for Niches (cost) Temporary Marker Preparation & Installatio Opening & Closing Signature of Purchaser (SG~C~O /W O H Circ ne Disinterme TOTAL $ ~ 5d , 0 ~ ~ W~:.lC.~i~~1'1'L~ ity of Sebastian The following documents were provided as Proof of Residency: ~. ~~ ~. Interment I:\WW-DATA\Ms-Cemetery\RECEIPT.doc and a F o iv v ~~ ~.~ r '^1 1 ...--- Z ~/ ~ 0 c z i ,~ o ~` { (~J j A 1 1'C 1V{ V rn~ 1 t ,/ 1 om \(,,. l.i' 1 1 J n ~_ 1 ~~ mmom- ~~ ~ I '' JJ D n i- V o V W m g o 0 0 0 0 o c d m o ° 0 0 0 0 0 0 `~ ~ (P1 W ~ ~ w ~ w N ~ ,rte ' ` N ~ w (°jt O O O O O ~ 1 \}v1- YI 1 /•\ ,-.~ S 1 1 ~ m m ~ n o ~ ~ v o ~ d m , m m ~ n ~ ~ u' 9 . = n ~ . .°~ ~ m ~ p ~ a ~ m % o ~ ~~~ o y o y m y '~ ~ ~ O ~ 7 ~' 7 Q m ~ ~ ~ii 1 T 7 d `y n m • ~ ~ ..~ C !t O ~ C1 n v ~ ~ ~ .o .~ ~ ~ m m ~ ~ d .. a o 1 ~ O . c Q C ~ a n n ~ ~ n mm0 (R W ~ O y T ~ T_ S C7 Z m N -~ ~! i ~~~ y~4