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HomeMy WebLinkAbout3-COL-36DsACertificate No. 2281 CITY OF SEBASTIAN Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: William & /or Elizabeth Ghaney 405 Banyan Street Sebastian, FL 32958 In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niche: Unit 3, Columbarium, Niche 36dsa 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 6th day of January, 2011. OF )SEBASTIAN, FLORIDA ATTEST: VAI Minner City Manager Sally A.io, MMC Cit. Clerk Name Unit 3 Block % -C.-W Lot 3 6 -b & A Date of Mark -out S Date of Burial /b� 5O //_ Time An •SOD ' Name of Funeral Home , :5� Authorized by Vero Beach CrematoM Lf C 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby- cerrtitif that thew are the crested human .remains. of William J. Ghaney October 17, 2013 (Date of Death) Strunk Funeral Home & Crematory (Funeral blame in Charge) 03341 (Cremation ID Number) (ktober 29, 2013 (Date of Cremation) Sebastian, Florida (City and State) By- �cY (Cremator Signature) '/eS• Name Unit Block / Lot 36, P 15 A Date of Mark -out /�� / Date of Burial Time Name of Funeral Home Authorized byJl/l� ��' Strunk Funeral Home & Crematory: Obituaries Strunk Funeral Home & Crematory ELIZABETH T. "BETTY" GHANEY (August 22, 1926 - December 21, 2010) ELIZABETH T. "BETTY" GHANEY Mrs. Elizabeth T. "Betty" Ghaney nee Booth, 84, died peacefully December 21, 2010 at Sebastian River Medical Center, Sebastian after a long battle with cancer. She was born in Bronx, New York and lived in Sebastian for 24 years coming from Poughkeepsie, New York. She graduated from the New Rochelle Hospital School of Nursing in 1947. After graduation Betty provided her nursing experience at the New Rochelle Hospital, the Mercy Hospital at Rockville Center, NY and the Vassar Brother's Hospital in Poughkeepsie, NY. She was a member of Saint Sebastian Catholic Church, Sebastian, Charter member of the Retired Nurses Association and member of the Pelican Audubon Society. Betty was honored with volunteer of the month for the "Lords Table" Soup Kitchen in Gifford and Fellsmere. Survivors include her husband of 63 Years, William J. 'Bill' Ghaney of Sebastian; nephew, Jim and niece, Maureen. She was preceded in death by her parents, brothers, John and Richard and sister, Janet. Memorial contributions may be made to Saint Sebastian Catholic Church, 13075 U.S. Highway 1, Sebastian, FL 32958 in memory of Betty Ghaney. SERVICES: Visitation will be 5 -7:00 PM on December 30, 2010 at Strunk Funeral Home Sebastian, FL. A Mass of Christian Burial will be 11:00 AM on December 31, 2010 at Saint Sebastian Catholic Church with Father John Morrissey, celebrant. Interment will be at Sebastian Cemetery, Sebastian. Back Page 1 of 1 http:// www. meaningfulfunerals .netlfhlprint.cfm ?type= obituary &o_id = 1012417 &fh id =... 1/3/2011 Total Paid C2=aoo Initials White - Dept. of Origin a Yellow - Finance • Pink - Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 4272 Name tJ� L't t�i'V1 / L an P Ni NJ ❑ Cash " f- 1 UJ l �( Check #3 9 (/j_ No. Amount Paid 001001 208001 Sales Tax 001501322900 Garage Sales 001501 341920 CopieslBid Specs. 001501341910 LDC /Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots QzSddL, —P 0 -Iojlock LoVNiche,:Y0 Unit /, t5U. �G 001501343805 Cemetery Fees Total Paid C2=aoo Initials White - Dept. of Origin a Yellow - Finance • Pink - Applicant PLEASE PRINT DECEASED r 1 Z Q, b e:� % G� n e y (First) (Middle) (Last) DATE OF BERTH: (Month) (Day) (Year) DATE OF DEATH: De-c. 21 Zd j (Month) (Day) (Year) SIGNATURE: - SIGNATURE: a i'1 61 k avl e DATE: f�rr� tr Sou tIt COLUMBERIUM: FOR OFFICE USE ONLY • t .i CDoulale I (South) NLTM 6 ✓ 1 h / s 1`d[.TMBER� DECEASED NAME: (1�f pry you 6L- ve.f 2 �n ranch v SeYvtfe PLEASE PRINT J, 6 han e- (First) (Middle) (Last) DATE OF BERTH: (Month) (Day) (Year) DATE OF DEATH: SIGNATURE: (Month) (Day) (Year) PRINT QY�,� I'10116 SIGNATURE: V" } DATE: t/ I,/ f FOR OFFICE USE ONLY t 3 )c�uh4r. !South COLUMRERIUM: (South) NICH NUMBER' 36, A Z:5 A 1 WILLIAM (BILL) GHANEY August 8, 1924 - October 17, 2013 Mr. William J. Ghaney, 89, died October 17, 2013 at Indian River Estates Medical Center in Vero Beach. He was born in New Foundland, Canada and moved to Sebastian, FL coming from Poughkeepsie, New York in 1986. Bill retired from New York Telephone Company after serving 20 years as a Switchman. He was a member of St. Sebastian Catholic Church, Sebastian and a volunteer of the month at Lords Table Soup Kitchen in Gifford and Fellsmere. Survivors include his sister, Mary Agnes Quinn of New York City, New York; sister -in -law, Antoinette Ghaney, Long Island, New York; many relatives in the US and Canada especially nieces, Joan Kruzykowski (Bill) of Brewster, New York, Ann Boyd (Ken) of West Chester, Pennsylvania and Mary Finan (Joe) of Greenwich, New York; nephew, Bill Ghaney (Denise) of Farmingdale, New York; cousins, Joan Hawco (Phonse), Ottawa, Ontario, Canada. He was preceded in death by his wife, Elizabeth T. Ghaney, brothers, Tom and Robert . FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY 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 FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 • k4l toll (Check One) OPEN BURIAL LOT Lot Block Unit OPEN CREMAINS LOT Lot Block Unit X OPEN COLUMBARIUM NICHEb\&Niche Block Go1- Unit N S E W BURIAL DATE AND SERVICE TIME: lD _30 to . oD !9, e,4 3 FOR DECEASED. : William J. Ghaney Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Name Sig na ure Dat I certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin Wury � � o zi �3 Name Signature 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 f es ave been paid: Ce et ry Sexton Date da This form to be provide o Clerk's Office by Sexton for permanent record upon completion. FLOwn nFrAarrtt�+ 01;', , State of Florida, Department of Health, Bureau of Vital Statistics IEL1T BURIAL TRANSIT PERMIT DATE PRINTED: October 21, 2013 TRACKING NUMBER: 2013147919 1. DECEDENT INFORMATION Name of Deceased Date of Death WILLIAM J GHANEY October 17, 2013 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH INDIAN RIVER ESTATES MEDICAL CENTER 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. /Reg. 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- FO41870 -5134 /L 20 �� j Date Issued: October 18, 2013 Meade Grigg, State Registrar I AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number 4. CEMETERY OR CREMATORY 0 W Place of Disposition: VERO BEACH CREMATORY Method of Disposition: CREMATION Date of Disposition: EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E, 10/12 64V- 1.011, Florida Administrative Code CITY OF SEBASTIAN CITY CLERK'S OFFICE _ 4807 RECEIPT Name. l�l i GL{� K- /C� �� a'1 i ❑ Cash Date lo � "i �.3 Check # & 2 No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies /Bid Specs. 001501341910 LDC /Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots //-- d z Lot/Niche 3ltJ —Block CC) 1 Unit 3 001501 343805 Cemetery Fees Total Paid lv�• �� Initials White - Dept. of Origin • Yellow - Finance • Pink - Applicant