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.
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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
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�( 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
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-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