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Home My WebLink About2-29-15I �] i Name ii /�w/1/IIf �7� �EJ� ��—T1:�i �/lies , UnitT • Block � � Lot �� Date of Mark-out �� l� .d �-� -- Date of Burial `�%� 1%� _ Time d%OD �� Name of Funeral Home ,1 ��? ��5- Authorized by � � � ` � � � �I 2 W Q O �- mtna y Y V � W LL W 0 � � � � <.i � � R a �' ` 'o E ¢ � L Y N Gt R � V = V � � � 0 I � I t � I 1 ' V � � 0 N m y � � (6 LL C � C y � � .� N � p = J � F y 00 o c m L a�„�i � V p c� d L° c. U �' E � E � C� U � W U �I U J 1 O O O O O j � N Q�i � � � �i N CN'J M c'�7 M ('��7 O � C7 O � � � 1� O O Z G Z O O O O O c�0 � � (h M O � O � � � � M d � � � w A � a 'a O a H Y C d Y � w W 3 � Y � o` `o m 0 I m i ` 3 N � � G �� y�� _ � __._______---- s_.�--�- _ ,.�. �- .�� . �,�� °29 ��-'.�`'y' `� � �r . � ARMAN DO DeVIVO Mr. Armando DeVivo, 94, died January 9, 2013 at Harbor Chase of Vero Beach in Vero Beach. He was born January 4, 1919 in New Haven, Connecticut and moved to Barefoot Bay coming from Cheshire, CT over 30 years ago and most recently lived in Vero Beach. He was an Inspector with Textron Lycoming Company prior to his retirement. He attended St. Luke's Catholic Church, Barefoot Bay, FL. Survivors include his brother, James DeVivo of Wallingford, Connecticut; sisters, Carol and Florence. He was preceded in death by his wife, Blanche in 1989. ,r -ti FLOx�n�arr b1E�T0E�, ,.' State of Florida, Department of Health, Bureau of Vital Statistics HEALT BURIAL TRANSIT PERMIT DATE PRINTED: January 10, 2013 TRACKING NUMBER: 2013004808 1. DECEDENT INFORMATION Name of Deceased Date of Death ARMANDO DEVIVO January 9, 2013 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH HARBOR CHASE OF VERO BEACH Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No./Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director/Direct Disposer Fla. Lic. No.IReg. No. TIMOTHY W. MARVIN F022789 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: 2013-F041870-5006 . G/ �� • Date Issued: January 10, 2013 «. —t, Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY PIaCe Of D'ISpOSltlon: SEBASTIAN CEMETERY �� Method of Disposition: BURIA� Date of Disposition: + I� �� Si t re o sex or person-in harge (or by the funeral director/direct disposer when there is no sexton) DH 326E, 1/11 64V-1.011, Florida Administrative Code Y � FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNlCIPAL CEMETERY OIY6 Ho� Qf ►�t�c,�l� 1s�/u41 For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Oftice City Hall, 1225 Main Street Se6astian, FL 32958 OflF'ice (772} 388-8215 ar 388-8214 Fax. (772) 589-5570 STP�U�EK FUNERAL HOME & CREh7Ay �RY FUNERAL HOME: 1623 No. Central Ave. ADDRESS: �7�2y�gg.�ppp __ _ _ — ---- PHONE #: ( k One� � OPEN BURIAL LOT Lot �� Block ��. Unit 2. OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit BURIAL DATE AND SERVICE TIME: 1� +C-1 V�� N��E �"--W ,�� q..,� a /1�"t FOR DECEASED: �mi�� Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (M st provide proper documentation of ownership} �r�Q/��,� � �J U ��/�� QJ�,��10 � � I 1--4- I �ss � Name Signature Date I certify that I have determined the ownership of the above described site, that ail site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNE L DIRECTOR: � �Lt ►/ �il�. �g2v�.�7 � l � Name ignature a e Cemetery Sexton Certification: �r""�"_'�-__'_�'_-r1��r I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's offlce and that all fees have been paid: ' �- e te S xton Date � This form to be provided to Clerk's Office by Sexton for permanent record upon cornpletion. . � _ � . �itg ,v�f l3rb��,�#i� I ,� � �'� . �PlitP#Pxl� �P�� N�. , 1C�15 THlB INDENTUAE l[ADE TW ....1,1 th. . . . . . . . . . . . dy� ot . . . . . . . J�?? y . . . . . . . . . . . . . . . .... . .. . . . . . . . .. . A. D� 1�.84 . .� betNeen the Clty ot 8ebasWn, • muaklpal corporatlou exirtln� under the lrwr ol the 8t�te ol Florida. �� Cirsntor and . . . . . . . . . . . . . . . . Armando , and /orB1 anche , DeVi,v,o. . . . . . . . . . . . . . . . . . .. . .. .. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . .... ......... ...... .. 1208 W. Barefoot Circel, Barefoot Bay: FZorida 32958 ... ...... ... .... . . .. .... dtbe Co�nty of .....Indian, River ...................... wl 8tate o! .......Fl,qrida...................................... a Or�atee, WITNEB9ETH� Ti�rt tGe Grantot for and in conddetation of the rum of S. 7.QQ.•.QQ . ................ to it in hand peW� the reoeipt whereof it herewith �P Iwowbd�ed. doe� by thL in�trumont �rant. bar�ain, �ell. rolorre, wnvey and conflrm unto the Grantee ��e ��'. .. heir�, lo�al reprarentaUve� wd au�n� the tolbwic� property �ltuated ln Sebutlan, indlan River County� Florids� to-wit: A31 of Lot(s) 15 �? 6. Bbck. .,.? 9,.� UI1IT ..,,�. ..,,.... of Sebartian municipsl oemetery a� per PLt Numbor 1 thozeof reoorded in Pbt Book Z, at p�e 6S of the publio reootd� in the ofHce ot the Ckuk of the Ciroult Court of St. Lude County oi FbrWa; �aW land now lyL� and bein� la It►dian Rlver Couaty� Florlda. To Have and to HoW the ame fotevet; provlded that uW ptopetty rhall be wod ably and exclu�ively for the iatertnent of the human dead and �hall be u�ed� kept and maiatained at all time� in acoordance with tha rulea and regulatione, ordinancsi and realutiona of the City of Sebastlan. Florida. hento- fore� now and lunaflter adopted or provWed for the government and operation of wW camatery. The oonditione. re�trictiont and requirements contai�rod in t6is iiutrument shall be oovenantt run:►in� wlth the land. In tha avont of the failuro of the owner of any proparty dtuated within eaW cemetery to ob- �ervo and oomply with auch rubi. mguladou� realutbna and ordi�wna� and tho conditiom of the dded of oonvoyanoe thareof then tha Utb of wch owaer in and to aqid property �dall torminau aod the �sa�e shall ravert to tho City of Sobaatiaa, Fbrida. W WITNESS Wi�REOF, Tho wid party of tl�a first part hss cawed thia inatrumant to be executod ia ita name and on Ite behalf by its Nayor and atteated by iu City Clork and ita oorporata �eal to be herew afflxod, the day and yoar fint above wrltten. Atteit� . . . � . 4 . . .... . .l�.�.`:P.V....... ty Qerk � 3f�ned. Sealed and elivere la the Praenoe oti . . . .� �T .'I�NM�'CC�•i/r/1'r��A � � � � � � . � • � . . . .,.1?. . . �j�..,�,¢� :... . . .. . . . . .. . STATE OF FIAItIDA COUNTY OP INDIAN A1V88 CITY OF 8EBA8TIAN� F IIIDA 8� . . , ......... .z� :................ �y�pr , ` ' '_ .y _ . I HEREBY CEATIFY. 1'bst on tbU . . . . . . .11 t� . . . . . . . . . . .dsy of L. •I� '/ / \v� �1�M��.N ... ^. . . i . w,.. .... • i • 1 � ....... �u,�y ...................:::'�: �: � ........ i�94.� betore me pu.onaUy appe,ued ...... Jim, Gallagher ................................. aad ..�e�orah..G...�Cr�9��..... ...... rapectively 111ayor and City Clerk ot the pt� ot $ebuttan, � munlclpd corporatlon under the l�w� ot tbc 9tate of Florids to> me•know. to be the ladlvidurla snd otficen descrlbed lo aad who exee�ted tbe toce�ola� co��eyance to .. .. .. .... .... Armando, and /or 81 anche DeVivo . .. ................... .... ....... . . . . . . . . . .. . . . ... .. ......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .... .. .. . : .., . . . . �nd reverally �ckaowled�ecl the executlon thereof to be tl►elr free �est and deed u �uch otficers therruato duly authorixdi ��t�t tj�e OtlkW_ �eal ot �sW eorpontion b duly sttlsed theeetq �ad the uld tomeyaace V tbc act �ad deed ot �aid aorporstba ... �. 1TNES8 m• ature aad otlkW .8eb�sW In Coun ot Iadi�n Btver �wd 8t�te o! Florl the d �nd � � , '` . ,. �' ; • • THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS B1"sRTsBY ACKNOWLEDGED OF TNE SUM OF: Dr�llars (S %Q� � ) .� ll _�. �� on this /��day of�C1��, 198�for the purchase of the followin9 described Cemetery Lot(s) upon the terms and conditions as stated herein; Description of Property: Cemetery Lot (s) �l /�b�- ��p B1ockN Unit�i�� r- Purchase Price:��'�,1`'�Q(>'� _ Dr�llars ($ ?QQ. �� ' ) �rms an conditions of saZe: -�-� `�� ,SD . v This contract sha11 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: � / �� ' � � � � � � i The City of Sebastian agrees to se11 the above mentioned property to the above r�amed purchaser(s) on the terms and conditions stated in the abotre instrument. ' Witness � .�� - -�= ./ . - .. Purchase price $�� Paid�Date3 . Pai d��:��. ,��Da te� Paid /�"p, p� Date� Paid �„3'd, p� Date� ., Dd . n�i�..,.ec n D� Balar�ce$Z �'O� °=v Balance$ /J c��ap Paid /�6.�jjDate��c�Balar�ce$ - � DeqTVO, Armando and/or B1a�che 1208 W. Barefoot Circle Barefoot Bya, Florida 32958 BLOCK 29, LOTS 15 and 16, UNIT 2 Blanche M. Devivo interred Lot 16 - 8/29/gg DEED # 1015 Receipt�014 °`� CEhA Index: Last Name Address i Address 2 City Deed # Unit # Lot Number Lot Number Lot Number Lot Number Comment Camment {F>wrd CB City of Sebastian, FL - Cemetery Lots De�i�o First Name Armando & Blanche 120$ W. Barefoot Circle Barefoat $ay 1015 Dat� 2- Block # 15 Interred 16 Interred Interred Interred Tuesday, Feb 15, 2005 08:57 AM State F1 7 -11-84 Amount 29 Blanche D8V1V0 <D>e lete <R>e-se Zip $700 e 32958- Dte Interred Dte Interred �8-29-89 Dte Interred Dte Interred 1 <T>aa CEsc