HomeMy WebLinkAbout1-29-10Certificate No. 2289
CITY OF S EEBAS-3TIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
L. B. Brown P. O. Box 510, Roseland, FL 32957
(name) (address)
In and for consideration of the sum of $700.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 1, Block 29, Lot 10
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 4t" day of March, 2011.
CITY OF SEBASTIAN, FLORIDA
u� AI Minner
City Manager
ATTEST:
Sally aio, MMC
City Clerk
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HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958
(772) 589 -5330
March 22, 2011
Lisa Brown
4401 Whiteway Dairy Rd
Fort Pierce, FL 34947 -4407
RE: Letcher Brown's Interment Lot
Dear Ms. Brown:
I apologize if this reaches you in error but our office does not have any family contact
information for Mr. Letcher Brown who is buried in the Sebastian Municipal Cemetery.
Our records indicate Mr. Brown was buried in Unit 1, Block 29, Lot 8 but he was in fact
buried in Lot 10. Please contact our office at your earliest convenience so we may
forward you a correct deed with his burial location. I can be reached at (772) 388 -8215.
Thank you for your attention to this matter.
Sincerely, / e ,. ,
J nette Williams, MMC
Deputy City Clerk
JW /jw
March 22, 2011
Deborah Brown
1005 Blau Court NW
Palm Bay, FL 32907
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5EBASTK
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HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958
(772) 589 -5330
Q?
RE: Letcher Brown's Interment Lot
Dear Ms. Brown:
I apologize if this reaches you in error but our office does not have any family contact
information for Mr. Letcher Brown who is buried in the Sebastian Municipal Cemetery.
Our records indicate Mr. Brown was buried in Unit 1, Block 29, Lot 8 but he was in fact
buried in Lot 10. Please contact our office at your earliest convenience so we may
forward you a correct deed with his burial location. I can be reached at (772) 388 -8215.
Thank you for your attention to this matter.
Sincerely,
J nette Williams, MMC
Deputy City Clerk
JW /jw
Date
I, , daughter of Letcher Boyd Brown cannot locate the original burial
certificate #2060 and hereby surrender all burial rights to lot 8, block 29, unit 1 of the
Sebastian Municipal Cemetery.
Name
Printed Name
Notary Public
(Seal)
Certificate No. 2289
(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:
L. B. Brown P. O. Box 510, Roseland, FL 32957
(name) (address)
In and for consideration of the sum of $700.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 1, Block 29, Lot 10
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 4th day of March, 2011.
CITY OF SEBASTIAN, FLORIDA
O', AI Minner
City Manager
ATTEST:
Sally aio, MMC
City Clerk
In Memory of
Letcher Boyd Brown, Sr.
April 24, 1935 - October 21, 2009
Letcher Boyd Brown, Sr., 74 of Wabasso, Fl died Wednesday, October 21, 2009 at Indian
River Medical Center in Sebastian, FL.
He was born April 24, 1935 in Troutdale, VA and was a resident of Sebastian for 25
years.
Prior to retirement Mr. Brown was a dry wall finisher.
Survivors include his daughters Camilla R. Brown of Columbia, TN, Pamela Marie
Brown of Melbourne, FL, Lisa Sue Brown of Fort Pierce, FL, Deborah E. Brown of Palm
Bay, FL, Connie Jane Brown of Baltimore, MD, Debra Brown of Baltimore, MD, Sue
Brown of Washington DC; sons Letcher B. Brown, Jr. of San Bernadino, CA, Michael B.
Brown of Baltimore, MD; 23 grandchildren and several nieces and nephews. He was
predeceased by his daughter Cassandra Brown in 2004.
Friends may call from 10 -11:00 AM, Tuesday, October 27, 2009 with a service at 11:00
AM at Seawinds Funeral Home Chapel in Sebastian, Florida. Burial will follow at
Sebastian Cemetery in Sebastian, Florida.
Z9 1C)
City of Sebastian
%ebasiian Cemetery
Ph. N 1( 772) $89 - 2545
Fait M 1(772) 228 - 9927
�otc This Is for informational purpose► reguarding Monuments at sebasttan Cemcien. .
!\ate : This is for Single Markers under 2 ft. & over 2 ft.( m er 2 A. is a poured foundation )
I'leaw return Ito
Attention
('ity orsehaitian
Sebastian Centetrr%
1921 North Central A%,t.
32959
Cemetery Sexton
Size Base: 3-0 x 1 -0 x 06
Name & Dates : His: Letcher B. Brown
Die : 1 -7 x 2 -1 x 06
Her:
D.O.B. 1935 D.O.B.
D.O.D. 2009 D.O.D.
Legal Descripition :
Unit : I
Dry Mix
Foundation poured
by : Jamie / son
date - 2110/11
%tune installed
by : Jamie /son
dair : 2/22/11
* * **
note: marker was realigned
Blk.: 29 2/25/11
Lot 10
116ftCf
OW ,� y : �,�� ►.p ST, �,o �, ��
Square Ft.
Approved By: K.G.K. tr AY/
Checked By: K.G.K.
Date : 2/22/11
B Y: Everlasting Monument Co.
Example:
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Name % i /i:,X. ��` r✓ „a
Unit /
Lot r
Date of Mark -out /
Time D f� 1. c W,4
Date of Burial
Name of Funeral H�me
Authorized by
- -4605
— CITYCCERK'S IIFFICE.-
RECEIPT
Name
Date L ®' / — �Check # 19.
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDCICode of Ordinances
001501341930 Election Qualifying Fees
601010 343800 Cemetery Lots
LotlNiche Block �Z I , Unit
001501 343805 Cemetery Fees(��
v Total Paid
In
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
FLORIDA DEPARTMENT OF
n/
HEALT
A /TVDC\
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
1. Name of First
Middle
Last
Date
Month Day Year
Deceased LETCHER
BOYD
BROWN
of
10 21 2009
Death
2. Place of Death City, Town or Location
Name of
(If neither, give street address)
County INDIAN RIVER
VERO BEACH
Hosp. or
INDIAN RIVER MEDICAL CENTER
Inst.
3. Name of Medical
Address
Phone Number
Certifier GUILLERMO MOREL ,MD
1515 US 1,
SUITE
204
Medical Examiner X Physician
SEBASTIAN,
FL 32958
589 -0300
4. Name of Funeral Home /Direct Disposal
Address
Fla. Lic. No. /Reg.
No. (Area Code)
Establishment
735 S FLEMING ST
SEAWINDS FUNERAL HOME
SEBASTIAN, FL 32958
2617
772 - 589 -1933
5. Check
Appropriate
Box
a. U The medical certification has been compleTea ano signea. rt compieteu txumk.:dtrt c1 uCdoi dcwnipdmcs uaa
application.
C. ❑
DR. MOREL was contacted on 10/23/09
He /she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that HE will complete and sign the medical
certification of cause of death within 72 hours.
was contacted on He /she verified that
Medical Examiner, will complete and sign the
medical cA01fication of cause of death within 72 hours.
6. Funeral Director/ g ure F.E. No. /Reg. No. Date Signed
Direct Disposer FO 44126 10/23/09
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 09- 2617 -222
® A five (5) day extension of time for filin the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director an will not a able to complete the medical certification of cause -of -death section of the death certificate within
72 hours.
[:]No extension of time for filing the death rtifica has bee equested.
Registrar or -..- Date Date Certificate
Subregistrar Signature Issued: 10/23/09 Dye: 11/04/09
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.
D. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition SEBASTIAN CEMETERY
DBURIAL
OCREMATION
Signature of Sexton 1
or Person -in- Charge Jy
STORAGE
OTHER (Specify)
Date of Disposition fd.2T/ ,
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, 8197 (Obsoletes all previous editions) Yet low: Funeral Director or Direct Disposer
(Stock Number: 5740 - 000 -0326 2) Pink: Local Registrar `�• r�
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