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Home My WebLink About2-43-04� __;_ � -r--+,:.::.�at % ___ __._ _ . - -- _ . �___ � - , ____ �_ � --�____�---� ! '-1 � , � , , - , 9��// \ . ,2 i i ,. '� � ' � ,�� p� � � � � - ----.-- -- ! � �..: `� -�'r� � � � a� l �x � � �� _ `�� _ .. �,, -- -� � � � 7 r.-�- M � ; �� 3 -�. W � � . `�� . _ � �- �`�. . .� , �.; : � - -.__..._ __ � __--�.-_._. c`�,�. � _:..� :�� __ ,_�__ � ' ` �, _ - .� � , ' .� � ,., o °�, � ��` t- _.._.._. � ��., `_ , ,�\; ---- - -__ � � � `, y i � � - _ �-�%"` � •. --- - -----•------ o � �� , �'cY��' o � .-_ i �'�`�r � s��.`. � �� , ; _ _ .. , � Name Z� }% V � �- � � l.. � . . �!7 � � ', _ � .' Unit � � �, Block ` � � Lot � � Date of Mark-out //` � � � �� . Date of Burial �,� � � � �p � Time +� � � � �'✓' ��. � ,� � '`� ` " I Name of Funeral Home �+' � ��,-�- . �� Authorized by WIENBRANDT, Mrs. E11a (Mother) PERRY, Mrs. Irene J. (Daughter) PERRY, Mr. Elden J. (Son in law) P. O. Box 133 (7503 Lan Circel-Roseland, FZ.) Sebastian, Florida 32958 UNIT # 2 addition DEED # 461 BLOCK 43 LOTS# 3, 4, & 5 CEMETERY Paid bY �R�X� Receipt No. . . 266 . . . . . . . . . . . Dated . . . JuZ y . 9.. .198Z . . . . . . . . . I.iet Price $. *+�300..00* . Maximum No. Burial spaces ...-3. ....... —0— �*�****�*�r* Discount $ .................. Total area in square fctt ................ Net Paid $, *?�300. 00* Monument permitted . F.1dt . . . ... . . . ... . . I'& R IS5UED WITH DEED (Data above ffiie line for City Record only) J DDED # 461 UNIT #2addn., BZk.43 Lot 3,4,5 WIENBRANDT, E11a (Mather) PERRY, Irene J. (Ella"s daughter PERRY, E1den J. (Son in Zaw) P. O. Box Z33 (7305 Lan Circle-Ross.Zand, F1. ) Sebastian, Florida 32958 � � FLORIDA DEPARTMENT OF HEALT�- (TYPE) Name of Deceased First Eldon State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURiAL - TRANSIT PERMIT Middle John 2. Place of Death City, Town or Location County i ndian �tiver Vero Beach 3. Name of Medical Ac o� Last Date Month bay Year Perry of Death Dec. 11 2004 Name of (If neither, give street address) Hosp. or ir,st. VNA Hospice House Phone Number Certifier Richard Cunningh m, D.O. 2000 38th Avenue Medical Examiner Physician VePO BBHCh FL 772-79�-2227 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Estabiishment 1623 N.Central Avenue Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5. Check a. � The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. � Rachel was contacted on 12 / 13 /04 Helshe verified that this death was from natural causes, that there was no accident nor other external cause of death, and that �1'. Cunningham will complete and sign the medical certification of cause of death within 72 hours. 6. Funeral Director/ Direct Dis�oser e c � med was contacted on of cause of death within 72 hours. " /� F.E. No./Reg. No. ��1/��t,/� � $62 BURIAL - TRANSIT PERMIT He/she verified that , Medical Examiner, will compiete and sign the Date Sigr�ed 12/12/04 Permission is hereby granted to dispose of this body. Permit No. � 22g-04�-��54 � A five (5) day extension of time for filing the death cert�cate (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 fiiing the death certificate has been requested. f�'gl5traf-rn* Date Date Certificate SubregistrarSignature ,�� ,,,Q Issued: 12/12/04 Due: 12/1�i/04 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. p. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery �i BURIAL �STORAGE Date of Disposition ,/,;� f / �— /d �/ �CREMATION Signature of Sexton or Person-in-Charge �OTHER (Specify) J F . � 0 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. Distribution: V4hite: Cemetery or Crematory �H 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer Stock Number 5740-000-0326-2) Pink Local Registrer CITY OF SEBASTUIN �� 'S OFFICE 319 8; RECEIPT I Nam� Ca�h 'i DaU ❑ Ch�ck/ U�� i No. Amount Paid I 001001208001 Saba Tax I 001501322900 Garape Sales 001501341920 CopiealBM Spep. i i 001501341910 LDClCode � Ordinanoes 001501341930 Electlon Dua�fying Fees 601010 343800 Cemetery Lob � LoVNk,he . Blodc Unit_� 001501343805 Cemelery Fees � O � � � — II � � � �' Tot�l P�W �I �� Initiab White - Opt ot OriOin • 1�Ilow - Finaaa • Pink • Appliant � ,- _ ---- -... __ ,� _ ��Y �''� .,�►�' , . 0 �s i� � g ��1 � � � � o `� � �7 J � J 0 � * � O `� M � a. W a ¢ o- �I• ' �' ! � �� .-� � n� .a cD O: r�.r- � � � ui ` O � � � � ..�. ��N LL u,IS ... � . . O. S •� cp �o �, � , �' �. m a�c. a. � � .�� W. �I Y �� C.O > rf1 �� : .�_ ; s��,: � ��5� � �. ��>� � o u� m - i �i s � �;�-�- o �iq $ W� =W a°o ° w ,.�...,..�,. .,,.� . .��,,,,�� ------ ---- — < e; � ,-' ., �� ..� _ _ _ _ . . , �_ . , . _._ .._ , __.._ ____. _. ____._..�_. �h �, y' . � ��iW . . . . . . r � � cT' '�� ±::�"' �J ^ 6'L`" �j , ✓' ��°��:-V �' b- � .�, �, , � --�� f�,'� � � � � � � � —b � � � J Eldon John Perry, Sebastian �E1don John Perry, g2, died Dec. 11, 2004, at VNA Hospiee House in Vero Beach. He was in Savannah, Ga., and moved to Sebastian in 1980, coming from Miami. � He was an electrical me- chanic at Eastern Airlines, � Miami, for 35 qears. He served in the Army Air Corps. du�ing World War II, ` Survivors include his wife of 56 Yeax's, Irene J.. Perry of Sebastian; daughter; Jannet Perryof Sebastian; son, John E. Perry of Cooper City; brother, Rotiert Perry of Sal- vania; Ga.; sisters, Athlynrie Teichert of Eau Gallie, Ela., and Hilda Donaldson of Sa- vannah, Fla:; six grandchil= dren; and one great-grand- child. Memorial contribution's may be made to VNA Hos- pice Foundation, 1110 35th Lane, Vero Beach, FL 32960. SERVICES: Visitation will be from 1:30 to 2:30 p.m. Dec. , 15 at the Strunk F'uneral Home, Sebastian. A service will'foIlow at 2:30 p.m, in the funeral home chapel, with the Rev. Michael Lyle-offici- ating. `Burial will be in Se- bastian Cemetery, with full military honors conducted bY American Legion Post 189, Veterans of Foreign Wars Post 10210 and P.L.A.V. Post 210, all of Sebastian.