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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 D n A�������� m rlvx —s1� u' o COA D 7-o / 4'4 � . �✓� rc� 1� �.� l7 5 /�T�,r ffl ex- In C) 1146 114e, 7774T A- /101, 1p ^'I ./50 L jo,LT�/7� Zo� s �v - �� ��� ��� J'�/ ,ems MYCIF MAN 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 rnvcF 5EBASTK -OEM .. Rim 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: 4` log- r� Nj \ la n J' t u Q q __ „y.__u..- - - - -.. jACQ-6-aA-fL.(- 4-Q 0 1 'f Pa -Pal rn 5, Lo 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� / -a9— /o