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Home My WebLink About2-42-05b QQL 11 - 1(4jl%. fr I- , Awl' Name Unit_ fRj,-krg Q -a M k lm � � 1 c! Gr DEED # 494 CEMETERY Paid by tXe16�iQ Receipt No. ..494 ........... Dated „May.IB, 1982 .. HIGHT, MARILYN AND /OR BOMHARD, ERIKA List Price $ ... Discount $...... 70.7 ...... . Net Paid $. 1 7 5. 0 0 R & R ISSUED WITH DEED Maximum No. Burial spaces ........... 67 South Willow Street Total area in square feet* .. . *.. *... *. .. . * Fellsmere, Florida 32948 Monument permitted ..FLAT ....... • • • • • UNIT 2ADD. , BLK. 42A, Lot 5 (Bata above this line for City Record only) UNIT 2 ADDN. LOT 6 & 5 Marilyn Hight (Daughter for) Arthur Bomhard 67 South Willow Street Fellsmere, Florida 32948 Block 42A DEED#478 LOT 5 FOR ERIKA BOMHARD) DEED #494 —,1)1I? 1 8Z Arthur Bomhard interred 11 -18 -81 (fl Se e a r it y en h It c e d do cr n.m eu t. See back f or de t Iffl STRUNK FUNERAL HOMES, P.A. 4815 CASH ADVANCE ACCOUNT- SEBASTIAN 916 17TH ST. VERO BEACH, FL 32960 Q t l 63- 1205/670 PH. 772- 562 -2325 DATE of PAY • TO THE ORDER OF LLARS of Main Office - owl, am _ 958 20th Plaw ss �� Wig Vero Beach, FI 32960' Indian River National Bank waned8de.ean fu /� FOR li'00 48 L 511' t:0 6 70 i 20 5 ?I: 0 20 6 L 2 5 20 LII' AND CITY OF SEBASTIAN CITY CLERK'S OFFICE 3192 RECEIPT Name U_ ri k ❑ Cash Date ( L� A Chock # No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 CopiWBkl Specs. 001501341910 LDC1Code of Ordinances 001501341930 Election Oualitong Fees 601010 343800 Cemetery Lots tL LoUNIche Block I %;I— Unit e 001501343805 Cemetery Fees 80m hard f I\ J 75-7 � Total Paid Initials White - Dept. of Origin • Yellow - Finance • Pink • Applicant AND .h;, i U X7� 003 THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS BEREBY ACKNOWLEDGED OF THE SUM OF: 01— r- lars FROM: Marilyn Hight (Daughter for Erika Bomhard) 67 South Willow Drive Fellsmere, Florida on this day of , 1981 for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein; Description of Property: Cemetery Lot(s)# 5 Block 42 A - Unit# 2 addn. Purchase Price: One hundred seventy five &01lQellars($1 75.00 _ ) Terms and conditions of sale: $ 43.75,each 1st of the month This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing intrument: pro r ...�� ' The City of Sebastian agrees to sell the above mentioned property to the above named-purchaser(s) on the terms and conditions stated in the above instrument. Wle / t City of gebastian 4311 urchase price $175.00 , cPai�` '� Date 12 -1 -81 Balance$_ et"01/S Paid�Date /- d Balance$,4 • PaidDate�- a- yaealanceS Paid, O 00 Date 2- e Balance$ Paid , Q Date,? ?2.- 9-Balance $25. Novmsber 18, 1981 Mr. and Mrs. Flight 67 South Willow Drive Fellsmere, Florida 32948 Dear Mr. and Mrs. Hight: Enclosed please find Cemetery Deed #478,for Lot 6, Block 42AV Unit 2 addition, for Arthur Bombard, and the Sebastian Cemetery Rules and Regulations. Y have enclosed a form that you need to sign in order to make time payments on Lot 3, Block 42A, Unit 2 addition. Through unanimous vote the City Council, at their Regular Council Meeting of July 13, 1981, stated that in order to finance cemetery lots payment must be made in four (4) equal Par"llnpents and to be paid in full within 6 months. All lots must be paid in full Ardor to use. Your four (4) equal payments would be $43.75 payable on the first of each month. If this is agreeable yd&h you please sign the fozn and return to the City Hall with your check in the amount of $43.75 payable to the City of Sebastian. Very truly yours, Elizabeth Reid City Clerk ER /dh enclosures r ♦y THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: v on this / day of , 2981 for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # B1ock#i Uni t#! �- Purchase Price• $ Terms and'conditions of sale: p z e A ,:, 4 This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property, on the terms and conditions stated in the foregoing instrument: I The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. i t r City of stian Hess CEM :RECORD # Last Name Address 1 Address 2 City Deed # Unit # Lot Number Lot Number Lot Number Lot Number Comment Comment City of Sebastian, FL - Cemetery Lots HIGHT First Name MERILYN 67 SOUTH WILLOW STREET FELLSMERE 494 Date 2 -A Block # 5 Interred Interred Interred Interred State F- 05-18-82 Amount 42 BOMHARD, ERIKA Zip $175 cord: 32948 - Dte Interred Dte Interred Dte Interred Dte Interred <F >wrd <B >ack <E >dit <D >elete <N >ext <P >rev <R >esearch <L >abel <T >ag < i A DEPARTMENT OF EALT A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT C(DFIY 1. Name of First Middle Last Date Month Day Year Deceased Erika Bomhard Death 11/23/04 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. VNA Hospice House 3. Name of Medical Certifier Richard Cunningham, DO AZ�U� 38th Avenue Phone Number Medical Examiner Physician Vero Beach, FL 32960 (772) 794 -2227 4. Name of Funeral Home /Direct Disposal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 North Central Ave. Strunk Funeral Home Sebastian, FL 32958 1228 (772) 589 -1000 5. Check Appropriate Box a. U The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. Rachel was contacted on 11/24/04 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr . Cunningham 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 med)d5aIj1certi4pafia5& cause of death within 72 hours. 6. Funeral Director/ F.E. No. /Reg. No. Date Signed Direct Disposer 1862 11/24104 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228- 04-0431 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. No extension of time for filing the death certificate has been requested. Ikegistrarrn° Date Date Certificate Subregistrar Signature f Issued: 11/24/04 Due: 11/29/04 AUTHORIZATION 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. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition SE ,4 y1z o pv Fl. ®BURIAL CREMATION Signature of Sexto o arson -in- Charge STORAGE Date of Disposition 11 - 7 C> t�e OTHER (Specify) I nls permit must De enoorseo Dy ine sexton or person -in- cnarge for Dy ine I- uneral uirecior /uireci uisposer wnen inere is no oexion) ana returnea rvithin 10 days to the local County Health Department in the county where disposition occurred. Distribution: White: Cemetery or Crematory )H 326, 8/97 (Obsoletes all previous edilions) Yellow: Funeral Director or Direct Disposer Stock Number 5740 -000- 0326 -2) Pink: Local Registrar