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Home My WebLink About4-05-24� � ,�X �� ' a � � +��e*� ....ea. � r.ww"!m�m.��°s-s�a:.�. _�'� �.��..� . ....,,..a�—_.�_.,, .–.-,-��--«K.«.��. �: - =n; _ ., �_ =..:� -x�A --- �?� - . '�,, i � ` f a � � Certificate No. 2318 �� '� � '�� Certificate of interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: _ Patricia Tomasetti 6785 SW 146t" Street Palmetto Bay, FL 33158 In and for consideration of the sum of $1,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4, Block 5, 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 24t" day of January, 2012. CITY OF _SEBASTIAN, FLORIDA e '�-AI Minner City Manager ATTEST: Sally A. aio, MMC C� Clerk � Name J�-�- Unit � Block �-�—' Lot ^ �-- � � o / � ' Date of Mark-out G � � / / /� � o � z � Time ', oD � Date of Burial � � ��..1 i�✓�5 � Name of Funeral Home Authorized by 7 L'~. N • N � S : i 0 � 0 m � . � m 0 f T � r 0 � m � � -i v � 9 � N 7 6 �i C d °o 0 W A � U 0 00 °o °o °o °o 0 0 0 � o 0 0 � W N W C'1 j O A N � � � � � � N O O � � � O O u z m � � � r c� m o o � � �. � z 3 � `= 1O' � � `�" � m m c� �i m -� � m � � � � p � � d � T � � o � � � N � � � � `� � . � s � T d � � � C Qi x � � A n C ? d � !�1 � I r � ..�r� 3 ak � O � C �j O N .O O a n� � � mmo m�m � V)W --� O y I T � T � n Z m �^ t V 1 0 WILMA C. WOODS Born: Thursday June 6th 1918 Passed Away: Monday January 16th 2012 Wilma C. Woods, 93, of Sebastian, passed away on Monday, January 16, 2012, at Jackson South Community Hospital in Miami. She was born June 6, 1918 in Miami, FL, and moved to Sebastian 25 years ago from Miami Springs, FL. Wilma was the cafeteria manager at Miami Springs Elementary and Biscayne Gardens Elementary. She was an active member of the Welcome Wagon, the Miami Springs Club, the Eastern Airlines Wives Club, and the Red Hatters Club. Survivors include her daughter Patricia Tomasetti of Palmetto Bay, FL, 4 grandchildren, 4 great grandchildren, and 2 brothers Byron and Stanley Pocock. She was predeceased by her son Travis Thigpen. A. 1. Name of Deceased Firsf State of Florida, Department oi Health, i/ital Siatistics APPLICATIOIV FOR gURIAL - TRl�NSIT PERBUII� WILNfA � , 2. Place of Deafh City, Town or Location County MI�I—DADE MIAMI 3. Name of Medical �ISH SADHWANI,M,D. Certifier ��__ � Medical Examiner X Physician 4• �Iaine oi Funerai I-E�meldirect Disposal Rddress Establish SEAWINDS Middle Last WOODS Date Month of Death J�UARY Day Year 16, 2012 Name of (If neither, give street address} Hosp. or Inst. JACKSON SOUTH CONiMUNITY HOSPITAL Address 12920 US HIGHWAY 1 Phone Number SEBASTIAN, FL 32958 772-581-2373 Fia Li N / ment FUNERAL 735 FLEMING ST. � c. o. Reg. No. Phone No. (Area Code) � HOME SEBASTIAN, FL 32958 5. C; sack a� ihe medical cert�ficstion has been compl�ted and signed. A co pl0e ed 68itificate of d a h ac5o pan es his Appropriate applicaiion. 8ox t;. � � •,. � ��o��a� v��ecton DireCf Disnn��r e. C. 0 c. � He/she verified tY�at this deafh was from naturai causes, that here wastno accident nor other ex;ernal cause of death, and ihat c�rtification of cause of dea!h within 72 hours. W�� complete and sign the medicai vvas contacYed on medical certification of cause of death within 72 hours. � � natur� F.E. No./Reg. No. F046789 He/she verified that , Medical Examiner, will compfete and sign the Daie Signed I-18-12 �IJRt�L � TRAiVSIT PER�IT Permission is h�reby granted ;o dispose of this body. � A five (5) day extensson of fir�e for filing the death certificate (exclusive of weekends) has been requested and gr ntedlsin el 68phy Otan has been contacted by thF- funeral director and will not be able to complete the medical certification of cause-of-death section of the deafh certificate within 72 hours. ❑No extensian of time for filing the death, certif te has been requested. Registrar or Subregistrar Signature �2{e 1-18-12 Date Certificate Issued: Due: 1-27-12 AUl°HORIZATlON for Approval PVurriber. rc�mr4TIOfV, DESS�GTION, or �UR��qL-AT-�EA Date Medicai 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 ali cremations. Method of Disposition: �BURIAL �CREMATION Signature of Sexton or Person-in-Charge �STORAGE �OTHER (Specify) } �� n CEmVIE��FiY OR CFiEMATORY SEBASTIAN, . FLORIDA Place of Disposition SEBASTIAN MI.TTjICIPAL CEMETERY Date of Disposition 1-23-12 iis permit must be 2ndorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and reiurned thin 10 days to the local County Health Department in the county where disposition occurred. Dis±ribution: White: Cemetery or Crematory 326, 8/�J7 (Obsoletes all previous editions) �ck Numbe[ 5740-000-0326-2) Yellow: Funeral Director or Direct Disposer Pink: Locai Regishar J09 2:13PM COS CEMETERY 7722289927 p.2 FUNERAL O�RECTOR'S REQUEST TO GIYY OF SEBAS7IAN �QR BURIAL OPENING IN SEBASTIAN MUNiCIPAi. C6M�TERY . S MoM! W ► tK� �s� For inform�tion contact: • ltlp Ksiso - Cematery Sexron Sabastlan Mtmtcipal Ceme�ery (772J 68S-28d5 . Clty Clerk's Of(ice C;ty He�r, 1225 M�ln Street Sebastlsn, �L 3Z958 01flce (T7?) 388-8215 �r 388•821 � Fax: (77�) �89-5570 FUNEFtAL NC}ME: ADDRESS: PHONE �: 7T�� l-�`/.�� Ch One) ��U/ ,�PEN 3URIAL I.OT Lot ./ __�—E�ack � Unit � a 3, � .--- �-- _��PEN CR�MAINS LQT L.ot _�8lock U�it � __,_pPEN COL.UMBARIUM NICHE Niche_�8iock�Unit !' BURIAL DAT'E AND SERVICE T1M�: /'�C.L'1 �/ ��' � r^ C.1�/ '� � FOFi O�CEASED: `N L L��- �N ��G�� rvame NAM� AND SIGNATURE aF i.07 OWNER OR REPRESENTA7IV�: (Mus1 provide proper docum�ntation o1 vwne�ship� �� je ]„_ Tn r�a,.c P �►� ;_ � ' � � Name gnatvre Qate I certlfy that i have determined the ownerahip ot the abov� desGribed $ite thal a�l site fees and administrat(va feas have been paid and authorize openin� ot s�me NAME AND SIGNATURE.OF LICENSED FUNERAI. DIRECTOR� '� �%%'1 C��L�' ".:��`J /et rvarne � �gnawr Date Cemefery Saxton Cortification� t cerEify thet I hava checked the ownership iniormat,an by �i9wing the owner'9 deed and conEirming witlt Clerk's office and th�t etl tees have been paid / � /'� em er ex on Data This form ta be p�ovided to Clerk's Office by SextQn �or pe�manent record Upon compietion. � �I �► s y �I � � ,� r � � � • . Certificate No. 2318 �� '� �� Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Patricia Tomasetti Cel[ (��)��5 - �t oi � 6785 SW 146t" Street Palmetto Bay, FL 33158 C� ��-n d 5 0� �'Vt i c,l�c� � I'Tv rnc� s e�� 5 8 I-� y.3 �! In and for consideration of the sum of $1,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit 4, Block 5, 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 24t" day of January, 2012. CITY OF SEBASTIAN, FLORIDA AI Minner City Manager ATTEST: Sally A. Maio, MMC City Clerk