HomeMy WebLinkAbout4-04-24Name 17Z-tw
Unit
Block
Lot
Date of Mark -out
Date of Burial /�3 /� � Time
Name of Funeral Home
5�
Authorized by
Certificate No. 2306
CITY OF SE13ASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Debra Tagg -Porto
5510 95th 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 lot:
Unit 4, Block 4, Lot 24
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 October, 2011.
CITY OF SEBASTIAN, FLORIDA ATTEST:
AI Minner Sally A. aio, MMC
City Manager City Clerk
Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Beach, Florida 32960
We hereby certify that these are the cremated human remains of.-
Joan
f:
Joan Helen Tagg
March 29, 2016
(Date of Death)
Strunk Funeral Home and Crematory
(Funeral Nome in Charge)
4462
(Cremation 1D Number)
April, 4 2016
(Date of Cremation)
Sebastian, Florida
(City and State)
JOAN HELEN TAGG
April 16, 1925 - March 29, 2016
Mrs. Joan Helen Tagg, 90, died March 29, 2016 at VNA Hospice House in Vero
Beach.
She was born in Philadelphia, Pennsylvania and lived in Vero Beach coming from
Miramar, Florida in 2007.
She retired as a legal secretary
in Fort Lauderdale after 45 years.
Survivors include her daughters, Dottie (Dick) Cleckner of Mansfield, Ohio and
Debbie Porto of Sebastian, FL; son, Michael J. (Angela) Tagg of Ontario, Ohio; 16
Grandchildren and 27 Great Grandchildren.
She was preceded in death by her Husband, Joseph John Tagg in 2011.
Memorial contributions may be made to Visiting Nurse Association & Hospice
Foundation, 1110 35th Lane, Vero Beach, FL 32960.
A Memorial Mass will be said at St. Sebastian Catholic Church, Sebastian, Florida
on
June 13, 2016 at 8:30 AM.
Born: April 16, 1925
Death: March 29, 2016
Name
Unit
Block _L—
Lot
Date of Mark -out
Date of Burial ZD
Name of Funeral Home I�
Authorized by
Time ��• 3 ��
3
JOAN HELEN TAGG
Mrs. Joan Helen Tagg, 90, died March 29, 2016 at VNA Hospice House in Vero Beach.
She was born April 16, 1925 in Philadelphia, Pennsylvania and lived in Vero Beach coming from
Miramar, Florida in 2007. She retired as a legal secretary in Fort Lauderdale after 45 years.
Survivors include her daughters, Dottie (Dick) Cleckner of Mansfield, Ohio and Debbie Porto of
Sebastian, FL; son, Michael J. (Angela) Tagg of Ontario, Ohio; 16 Grandchildren and 27 Great
Grandchildren.
She was preceded in death by her Husband, Joseph John Tagg in 2011.
CITY OF SEBASTIAN 10067
ADMINISTRATIVE SERVICES RECEIPT
Name . -v Ljpj)� ❑ Cash
Date'� �I 11 [Check #
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
®015 I, -,34-311015 O ]C_
Total Pai %� • 1)
Initials
Security Dep Held - Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant
State of Florida, Department of Health, Bureau of Vital Statistics
BURIAL TRANSIT PERMIT
HEALTH DATE PRINTED: April 1, 2016 TRACKING NUMBER: 2016052649
1. DECEDENT INFORMATION
Name of Deceased Date of Death
JOAN HELEN TAGG March 29, 2016
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE
Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. NoJReg. 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. NoJReg. 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: 2016-FO41870-5046
Date Issued: March 30, 2016
State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number: C16-19-04-021
4. CEMETERY OR CREMATORY
Place of Disposition: VERO BEACH CREMATORY D140"
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
Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Beach, Florida 32960
We hereby certify that these are the cremated human remains of.-
Joseph John Tagg
September 30, 2011
(Date of Death)
Strunk
Funeral Home & Crematory
(Funeral Home in Charge)
02567
(Cremation ID Number)
October 04, 2011
(Date of Cremation)
Sebastian, Florida
(City and State)
By: _ y
ator Signature)
04/05/2016 10:06
FUIPERAL DIRECTOR'S REQUEST TO
FOR IPURIAL OPENING IN SEBASTIAN
For information contacl
Kip Kelso .Cemetery Sea
Sebastian Munialpat Cam
(772) 589.2545
City Clerk's Office
City Hall, 1225 Main Stn
Sebastian, FL 32958
Office (772) 3888215 or 38;
Fax: (772) 589.5570
FUNERAL HOME: Str i ink Funeral Home and Crematory -
ADDRESS: 1823 North 1
lentral Avenue
PHONEM -772,599-30
Check Onel
2QQL.4PEN BURIALT
.OPEN CREMAIN
LOT
OPEN COLUM131 ,
RIUM NICHE
BURIAL DATE AND SE
ICE TIME: -M
FOR DECEASED: Joa i
i Helen Ta
Nalhe
Lot 24__._zB
Lot Block
JU
NAME AND SIGNATUR41OF LOT OWNER OR REPRESENTATI
(Must provide proper do mentation of ownership)
( OF
IClPj
14
U
Name Signature
certify thart'I have deternn nothe ownership of the above describe ite that II
fees have been paid and uthorize opening of same.
NAME AND SIGNATUREOF LICENSED FUNERAL DIRECTOR:
Tim Marvin r
Name Signature
Cemetery Sexton Certific ion:
certify that I have chec the ownership information by viewing thewner's e
office and that all fees ha been paid:
Gem tery eon Date
This form to be provided t Cleric's Office by Sexton for permanent rq rd upo c
#x5470 P.001/001
rIAN
:TERY
Unit 4
U lit
M Committal Service
4/4/2016
Date
fees and administrative
4/4/2016
Date
confirming with Clark's
JOSEPH JOHN TAGG
January 1, 1923 - September 30, 2011
Mr. Joseph John Tagg, 88, died September 30, 2011 at Indian River Medical
Center, Vero Beach. He was born in Philadelphia, Pennsylvania and lived in
Vero Beach for 4 years coming from Miramar, Florida. He was employed as a
City Clerk for 27 years in Miramar, Florida having retired in 1986. He served
in the US Coast Guard during World War II. He was a member of St.
Sebastian Catholic Church, Sebastian, St. Luke's Catholic Church in Vero
Beach and St. Stephan's Catholic Church in Miramar. He was a member of
American Legion, Elks and Moose Lodge both of Miramar and Sebastian, FL
and the Optimist Club in Miramar.
Survivors include his wife of 57 years, JoAnn Tagg of Vero Beach; son,
Michael J. (Angela) Tagg of Ontario, OH; daughters, Dottie (Dick) Cleckner of
Mansfield, OH, Debbie (Frank) Porto of Sebastian; 16 grandchildren, 26
great - grandchildren.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
c c.
"a*OF"""mAm
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hail, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME: STRUNK FUNERAL HOME & CREMATORY
ADDRESS: SEBASTIAN FL 32958
PHONE #:
(Ch k One) I I
1 OPEN BURIAL LOT Lot 2`T Block 4 Unit 4
OPEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
N S E W
BURIAL DATE AND SERVICE TIME: i (n (I I i : 3(3 0 M
FOR DECEASED: J V--1 -,J0"V-)
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
( provide proper docume bon of ownership)
kj,,L babl cz (i r�
Name Signature V Date
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.
N ME AND SIGNATURE OF LICENSED FUN PAL DIRECT
Name 9
i nature 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 thqn4, all fees have been paid:
7,�Z' �, /0/1
Cem tery ext n Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
C
•
E
Certificate No. 2306
CITY s
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Debra Tagg -Porto --
5510 95th Street
Sebastian, FL 32958
&A g5q-647-qc7;-
kop-,L -a 7 Z - 3 �sS' ° 116 Lf
In and for consideration of the sum of $2,000.00 is entitled to full interment
rG1htc -n - — Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 4, Lot 24
of tine Sebastian Municipal Cemetery,
--cords of the City Clerk
Of �:se H I a cof day ice with the conditions, ordinances, resolutions, rules and
nr -s :gibed therefore by the City of Sebastian.
CONVEYED THIS 4t' day of October, 2011.
CITY OF SEBASTIAN, FLORIDA
Al Minner
City Manager
ATTEST:
C(0111
Sal)jq. Maio, MMC
City Clerk
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Ci Y of Sebavian
SOWIlan Ccntctcn
11h. 0 1(772) 5R9 2545
Fax p 1(772)228 9927
Now ' This is fur informatlanull purpo .-.c% regurrdin{1 Nlununlenls at Seballlan r•clueecr% . DRY MI
Note: This site plan is for Single Markers.
Foundation pmlred
By : quality vaults
I'lease I.V1111.11 il► : Cily of cehastiall
Date: 12 /1 / 11
Attention Scba%lials Cemeter
Stone installed
1921 North Ceuu al Ave.
By: quality vaults
Ceinclery Sexton 329511
Date: 12/1111
Size : I - 0 x 3 - 6 x 0 - 4 ( white marble up right vet. marker )
Name & Date:
HIS: Joseph J. Tagg HER
U.U.B. 1923 D.O.B.
Q.O.D. 2011 U.O.U.
LEGAL DESCRIPTION :
UNIT: 4
BLOCK: 4
COT: 24
SQUARE. FEET:
APPROVED: K. G. K.
CHECKED BV .. K. G. K.
A'IE 12/1/11
y quality vaults / strunk
Example :
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