HomeMy WebLinkAbout1-09-23ROBERT MILTON "BOBBY" ANDERSON
(June 29, 1924 - March 10, 2010)
Mr. Robert Milton Anderson,
85, died March 10, 2010 at
Lawnwood Regional Medical
Center, Ft. Pierce, FL.
He was a lifetime resident of
Indian River County.
He was associated with
Deerfield Groves and retired
after 35 Years of service.
He was a Veteran of the US
Navy serving in WWII in the
Pacific Theater and was the
recipient of the American
Theater Ribbon, the Asiatic -
Pacific Ribbon and 2 stars and
the Philippine Liberation Ribbon and 1 star.
awarded the honor of 60 years of dedication
Legion Post #189.
He recently was
to the American
He was a member of First Baptist Church of Wabasso where
he was the Sextant and the Official Greeter; a member of
the American Legion Post #189, Sebastian, FL.
Survivors include his brother, Richard Anderson of
Sebastian, FL.
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Permission is hereby granted to dispose of this body. Permit No. 1228 -10 -0274
f3 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.
F-1 No extension of time for filing the death certificate has been requested.
RAwjwAmr-or Date Date Certificate
Subregistrar Signature Issued: 03/10/2010 Dye: 03/15/2010
C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
7
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.
Method of Disposition:
®BURIAL
❑CREMATION
Signature of Sexton t
or Person -in- Charge 1)
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
❑STORAGE Date of Disposition Tuesday, March 16, 2010
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: White: Cemetery or Crematory
DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer
(Stock Number: 5740- 000 -0326 -2) Pink: Local Registrar R"kd P,-
FLORIDA DEPARTMENT OF
����� State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
A.
(TYPE)
1.
Name of First Middle Last
Date
Month Day Year
Deceased
of
Robert Milton Anderson
Death
03/10/2010
2.
Place of Death City, Town or Location
Name of (If neither, give street address)
County
Hosp. or
Saint Lucie Ft. Pierce
Inst. Lawnwood Regional
Medical Center
3.
Name of Medical
Address
Phone Number
Certifier Ro er E. Mittleman
2500 South 35th Street - t
1
X Medical Examiner Physician
Fort Pierce FL 34981
772/464-7378
4.
Name of Funeral Home /Direct Disposal
Address
Fla. Lic. No. /Reg. No.
Phone No. (Area Code)
Establishment Strunk Funeral
1623 N. Cnetral Avenue
1772/589-1000
Homes & Crematory
Sebastian, FL 32958;"
F041870
5.
Check a. 19 The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
b. ❑ 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.
C. ❑ was contacted on
He /she verified that
, Medical Examiner, will complete and sign the
medical certification of cause of death within 72 hours.
6.
Funeral Director/ ' S�1na re-� F.E. No. /Reg. No.
ler�
Date Signed
r (/�1� F044048
t
03/12/2010
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228 -10 -0274
f3 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.
F-1 No extension of time for filing the death certificate has been requested.
RAwjwAmr-or Date Date Certificate
Subregistrar Signature Issued: 03/10/2010 Dye: 03/15/2010
C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
7
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.
Method of Disposition:
®BURIAL
❑CREMATION
Signature of Sexton t
or Person -in- Charge 1)
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
❑STORAGE Date of Disposition Tuesday, March 16, 2010
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: White: Cemetery or Crematory
DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer
(Stock Number: 5740- 000 -0326 -2) Pink: Local Registrar R"kd P,-
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City of Sebastian
Sebastian Cemetery
Ph. M 1(772) 589 - 2545
F'2x 8 1(772) 228 - 9927
:Vote
This Is for Informational purposes reguarding Monuments at Sebastian Cemeter" .
Note . This is for Single Markers under 2 ft. & over 2 ft.( over 2 ft. is a poured foundation )
Please return to City of Sebastian Dry MIX
Sebastian Cemetery
1921 'forth Cenlral Ave. Foundation poured
32958 By
Attention Cemetery Sexton date
stone installed
by : ben
Size : 1 -0 x 2 -0 x 0 -4 grey granite flat grass vet. marker date'-. 6/1 / 10
Name & Date : HIS: Robert M. Anderson HER :
D.O.B. 1924 I D.O.B.
D.O -D. 2010 I D.O.D.
Legal Descripition
Unit .
Blk .
Lot .
Square Ft.
Approved By
Checked By :
DATE
By
Example :
1
9
23
411
K. G. K.
K. G. K.
6/1/10
strunk , A,B,C, vaults
1 Ft.