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Home My WebLink About4-12-20CITY OF HOME OF PELICAN ISLAND CITY OF SEB ST'1 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Angela Papa 407 NW Breezy Point Loop, Port St. Lucie, FL 34986 (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 Tots: Unit 4, Block 12, 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 23 day of April, 2010. CITY OF SEBASTIAN, FLORIDA Certificate No. 2255 ATTEST: i t ,i Minner Sally J Maio, MMC ity Manager City Clerk Name Unit Block Lot PaerK Date of Mark -out Date of Burial Name of Funeral Home Authorized by i klia1 09-( A0 1P-'319NO10 Time CV 5 5e0 C --k- csAri,-K alffuot-tv, o o 0 eh(e) 3 Rnd 0 CO (D 0 (4 co O co 0 c 0 0 9 m m T m m y N m r n -T T s m m (NU Strunk Funeral Home Crematory: Obituaries Page 1 of 1 Strunk Funeral Home Crematory LUIGI PAPA (June 21, 1933 April 21, 2010) LUIGI PAPA Mr. Luigi Papa, 76, died April 21, 2010 at Holmes Regional Medical Center, Melbourne, FL. He was born in Italy and lived in Port St. Lucie for 7 years coming from Lakewood, NJ. He was a Barber and worked for Francesca's Hair Cutters in Sebastian, FL. He was a member of St. Sebastian Catholic Church and the Italian American Club both located in Sebastian, FL. Survivors include his wife of 47 years, Angela Costanzo Papa of Port Saint Lucie, FL; son, Joe Papa of Port Saint Lucie, FL; daughter, Francesca Runion of Vero Beach, FL; 2 Brothers; 1 Sister; 5 grandchildren, 1 great grandchild. SERVICES: A Mass of Christian Burial will be 2:00 PM on April 23, 2010 at St. Sebastian Catholic Church, Sebastian, FL. Burial will follow at Sebastian Cemetery, Sebastian, FL. Back http: /www.meaningfulfunerals. net /fh/print.cfm ?type= obituary &o_id 585450 &fh id 4/22/2010 D. FLORIDA DEPARTMENT OF F 1LT A. (TYPE) Name of Deceased 2. Place of Death County Brevard 3. Name of Medical Certifier John McKinney []Medical Examiner FX1Ph 4. Name of Funeral Home /Direct Disposal Establishment Strunk Funeral Homes Crematory 5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. Michelle was contacted on April 22, 2010 He /she verified that this death was from natural causes; that there was no accident nor other external cause of death, and that John McKinney, M.D. will complete and sign the medical 6. Funeral Director a n ature e F.E. No. /Reg. No. Date Signed t op," r J J 1 1(� F044048 04/22/2010 B. BURIAL TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-10-01136 n 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. J No extension of time for filing the death certificate has been requested. Regiistiper or Date Date Certificate SubregistrarSignature l, Issued: 04/21/2010 Due: 04/25/2010 c. 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. Method of Disposition: W BURIAL EISTORAGE ❑CREMATION DOTHER (Specify) Signature of Sexton or Person -in- Charge c. DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740- 000 -0326 -2) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL TRANSIT PERMIT First Middle Last Luigi Papa City, Town or Location Melbourne certification of cause of death within 72 hours. medical certification of cause of death within 72 hours. Address 1623 N Central Avenue Sebastian, FL 32958 Address 1355 South Hickory Street Suite 202 Melbourne, FL 32901 Name of (If neither, give street address) Hosp. or Inst. Holmes Regional Medical Center Fla. Lic. No. /Reg. No. F041870 CEMETERY OR CREMATORY Place of Disposition 5 ,6)(5�� 4 Date of Disposition fA Date Month Day Year of Death 04/21/2010 Phone Number Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar 321/434 -5396 Phone No. (Area Code) 772/589 -1000 was contacted on He /she verified that Medical Examiner, will complete and sign the 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. Recycled it Paper FUNERAL HOME: ADDRESS: PHONE NA Name FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SE T (Chick One) PEN BURIAL LOT Lot 20 OPEN CREMAINS LOT Lot DPEN COLUMBARIUM NICHE Niche Nam NOW Vi ?RICAN ISLAND 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 BURIAL DATE AND SERVICE TIME: f%34 FOR DECEASED: 41, ,A7.1/1 Name Signature Signature Block jZ Unit Block Unit Block Unit 'o0 NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) I certify that I have determined the ownership of the above described site administrative fees have been paid and authorize opening of same NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR. W Date that all site fees and 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 p aid 4 h ,7 y/3 Ce eter Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion.