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Paid by General Receipt No. ...1.. 6. Dated 3114180
List Price $ *400 .00 * *. Maximum No. Burial spaces 4..
Discount $ .................. Total area in square feet ................
Net Paid $
*.*.400...00.** . Monument permitted ........ .f.Z.41 -t; .......
.........
R &R attached (Data above this line for City Record only)
DEED ##387
Ronald O. Heinicke
Cleveland Street
Sebastian, Fl 32958
Catherine: interred Mar 80
Lots 6,7,10 &11 BLK 7 Un 2
L. Gene Harris
Mayor
C14) of Sebastian
I
POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958-0127
TELEPHONE (305) 589-5330
SEBASTIAN CEMETERY CQMMITTEE
DECEMBER la-L 19-ak -- 7-LQQ
AQENPA
CP,,LL TO ORDER
PLEDGE OF ALLEGIANCE TO THE FLAG
ROLL CALL
QLQ UH1NU$-:-
CHAIRMAN'S MATTERS:
COMMITTEE MEMBERS' MATTERS:
NEW PHINU;a-k
REQUEST FOR LIVING MEMORIAL/MR. & MRS. HEINICKE
ADJOURN
Kathryn M. Benjamin
City Clerk
NOTE: IF ANY PERSON DECIDES TO APPEAL ANY DECISION MADE ON THE
ABOVE MATTERS, HE/SHE WILL NEED A RECORD OF THE PROCEEDINGS, AND
FOR SUCH PURPOSES, HE/SHE MAY NEED TO ENSURE THAT A VERBATIM
RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THE
TESTIMONY IN EVIDENCE ON WHICH THE APPEAL IS MADE.
November 28, 1986
Sam Coburn, President
Sebastian Cemetary Association
City Hall Complex
1225 Main Street
Sebastian, Florida 32958
Dear Mr. Coburn,
My understanding of the rules and regulations of the cemetary is that we
must request permission from your committee in order to plant a tree as
a memorial for a loved one buried in Sebastian Cemetary.
I hereby request permission to have Ms. Kelso, Caretaker of Sebastian
Cemetary, plant a tree donated by us, in memory of our daughter, Cath6t: e
Ann Heinicke.
Our choice would be a weeping willow, and, when the tree is mature enough,
to donate a concrete bench that would enhance meditation in comfort and
shade.
Our reasons for choosing a weeping willow, are that this tree was our
daughter's favorite, having been given one at the age of nine, when we
lived in New York. Shortly before we moved, the tree was destroyed by a
storm. When we moved here in 1977, we gave her another weeping willow,
already grown to maturity, which was placed an our property where we
presently reside. This tree was also destroyed, by builders.
It would give our family a feeling of comfort to know that our daughter's
favorite tree was grawing nearby.
Respectfully submitted,
Ron and M�y Heinicke
705 Cleveland Street
Sebastian, Florida 32958
(305) 589 -6292
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL- TRANzI,t PERMIT
I
NAME OF First Middle Lost DATE Month Day Year
DECEASED OF
IType or print) Catherine Ann Ae n cke DEATH December 3, 1979
PLACE OF DEATH CITY, TOWN, OR LOCATION NAME OF (If not in hospital, give street address)
COUNTY HOSPITAL OR
Orange Winter Park I INSTITUTION Winter Park Hospital
Attending Physician (Name of Medical Certifier) (Address)
Medical Examiner p Norman Helfrich, M.D. 220 Edinburgh Dr. Winter Park, Florida
Funeral (Name) (Address)
Home Colonial Funeral Home S. Indian River Drive Sebastian Florida 32958
Check A Ea A completed certificate of death accompanies this application.
One
B ❑ Dr. was contacted on , 19 .
He has assured me that this death was from natural causes and that he will complete and sign
the medical certification of cause of death.
C ❑ The attending physician was unavailable or this death comes within the Medical Examiners
jurisdiction. The body was released to me by
7 i on , 19
L ( gnafure) (Fla. lic. No.) (Date signed)
,
Funeral
Director
BURIAL TRANSIT PERMIT Permit
No !-r w
Permission is hereby granted to dispose of this body by burial, transportation out of state, storage or cremation. For
cremation a waiting period of 48 hours after death must be observed and the Medical Examiner's approval must
also be obtained.
pc cA five day extension of time for filing the death certificate has been requested and granted.
Signature of
Registrar �t�/, .:
�' G' t �-C�7 r'
Date
.� Issued
CEMMY
OR CREMATORY
Method of Disposition
Date of
] BURIAL
Disposition
❑ CREMATION
❑ STORAGE
Place of
a -72
E3 OTHER (Specify)
Disposition
*
Signature atl
in
Qc Person in Charge
This permit must be endorsed by the sexton or person in charge for by the funeral director when there is no sexton)
and returned within 10 days to the local county health department.
MRS Form 326 (1/77)
Paid by General Receipt No. ...176• .... Dated 3/14/80 DEED #3,87
Last Price $* Ronald O. Heinicke
*400.00 ** Cleveland Street
• Maximum No. Burial spaces .4 , • • , , , , , , ,
Discount g. , , , Sebastian, F1 32958
" • • • Total area in square feet
Net Paid $...400.00 ** ... ................
• • • • • Monument permitted ..... Catherine: interred Mar 80
R &R attached Lots 6,7,10 &11 BLK 7 Un
(Data above this line for City Record only)
BLOCK 7 LOTS 6, 7, 10 & 11 UNIT #2 DEED #387
Ronald O. Heinicke
CIveland Street
Sebastian, F1
Catherine Heinicke interred Lot 11, March 1980