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Home My WebLink About2-07-16Name4, l?D G. 16(4LL doff-YXE316 / 3 /✓IC5 - Unit Block gni, !6 Dale of Mark•our �/ % \ Dale of Burial s/�L (_ rima ' ODOQ 1 9 it ✓e_ S UDE. Name of Funeral H'/o^I, S R u M - Authorized Strunk Funeral Home - Sebastian RICHARD LEE WILLHOFF ( August 01, 1931 -May 24, 2019 ) Mr. Richard Lee Willhoff, 87, passed away May 24, 2019 at his home in Roseland, Florida. Bom in Portland, Indiana, he retired to Roseland from Fort Wayne, Indiana. He was a U.S. Army Ilth Airborne Rigger and Indiana Air National Guard veteran. A recipient of numerous medals and awards, he retired in 1987 as a Senior Master Sergeant in the Indiana Air National Guard after 37 years of service while also fostering 55 children with his wife Patsy. He was a member of American Legion Post 189 (honor guard), Roseland Property Owners Assoc., Space Coast Airborne Chapter, Roseland Volunteer Fire Department, and Sebastian Area Civic Association, volunteering his time in these organizations for over 30 years. He is mourned by his devoted wife of 57 years Patsy Willhoff, sons John Willhoff (Barbara), James Willhoff, daughters Jennifer Willhoff and Joni Junek (Jeffrey) and by his grandchildren Megan, Virginia, Cate, Trevor, Calvin, Graham & Jonah. He was preceded in death by his parents Richard and Mary Willhoff and brother Robert Willhoff. Memorial contributions may be made to the American Legion Post 189 or S.O.S. Cookies. A Graveside Service will be held at 2:00 PM on Friday May 31, 2019 at the Sebastian Cemetery. Arrangements are by Strunk Funeral Home and Crematory, Sebastian, FL. 05/29/2019 3:29 PN FAX 7725892583 STRUNK FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For Information contact: Kip Kelso,. Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 5892545 Far: (772) 228.9927 City Clock's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, F4 32958 Offloe (772) 388.8215 or 358.8214 ctestarma/tvnisebast'an.arn FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESA' 1673 Nnrth Central avenue. Sebastian. Florida. 32958 _ PHONEtk 772-589.1000 (Check One) XXX—OPEN BURIAL LOT Lot_16_BI40k_7 Unl% 2 OPEN CREMAINS LOT ,OPEN COLUMBARIUM NICHE LOt_Blo*—tJnft Nicne_&odr,UMt N 9 F W 0 0001/0001 BURIAL DATE AND SERVICE TIME: 2:00 PM, Friday,5/ei/2019, Gmveslde Service, Sebastlan Cemetery with Military Honor; FOR DECEASED: Richard Lee Willhoff Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of awnership) Patav Willhoff Palsi, wOLInag 529/2019 Name Signature Date 7590 129h Mew, Rm, . Fknida. 32957 1 ced5y, that I have determined the ownership of the above described site that all site fees and administmtIve fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Jeff Gibbs Name itkGibb3 529/2019 Signa ure Date Cemetery sexton Certification: I certify that I have checked the ownership Information by viewing the owner's deed and confirming with Clerks office and that all fees have been paid: 0 �30 �i Came ry 9 Se) on Date ' This form to be provided to CI rk's O81ce by Sexton for permanent record upon completion. Strunk Funeral Homes & Crematory eenu9mo Cash Advance Account -Sebastian 1623 N. Cenral Ave. -' Sebastian, FL 32955 PAY One Hundred Fifty and 00/100 nmil. aomvr Oryof Sebastian 1228-19311 Willhoff 0/Cfee ---. �. _.-.. fort �. eR• ncrc cwnm' 0sn9Ra19 150.00 n I�- ,Y11pRRW YGnYiE In Lnnn PL 32w FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, .Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589.2545 Fax: (772) 228.9927 City Clerk's Office — Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Olice (772) 388-8215 or388-8214 ctestarai)citvofsebastian.oro FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32955 PHONE#: 772-589-1000 (Check One) XXXX OPEN BURIAL LOT Lot_78_Block_7Unit 2 _OPEN CREMAINS LOT _OPEN COLUMBARIUM NICHE Lot Block Unit Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 2:00 PM, Friday, 5/31/2019, Graveside Service, Sebastian Cemetery with Military Honors FOR DECEASED: Richard Lee Willhoff Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Patsv Willhoff Patsy WUI.41ofF 5/29/2019 Name Signature Date 7990129th Place, Roseland, Florida, 32957 1 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. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Jeff Gibbs Name Jebt GibbS Signature 5/29/2019 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 that all fees have been paid: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. State of Florida, Department of Health, Bureau of Vital Statistics OYI a BURIAL TRANSIT PERMIT HEaLTM DATE PRINTED: May 28, 2019 TRACKING NUMBER: 2019088328 1. DECEDENT INFORMATION Nemo of Deceased Data of Death RICHARD LEE WILLHOFF May 24. 2019 Placeof D.M.Counly City,Townor Location Name of facility, or street address if not a facility INDIAN RIVER SEBASTIAN SEBASTIAN RIVER MEDICAL CENTER Name and Addreas of Funeral Home/Direct Dlapasal Establishment Fla. LIc. NoJRe9. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN FW1870 1,041870 (]]2)509-1000 1623 N CENTRAL AVE SEBASTIAN. FLORIDA. 32958 Funeral Dlreclorl0lrect Disposer Fla. US. NOJReg. N. JEFFREY GIBBS F107102 Medical Vedgutlon statement Dr. Espat at We certifying physician's office, was contacted on 05I20R019 by Ne funeral director listed above; helehe Indicated Nat PEDRO A ESPAT, cuNfying physician, will complete add sign the medical certification of cause of South wain 72 boom. 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: 2019-FUI870-5095 Data Issued: May 28.2019 State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY I St L' ry D'(� Method of Disposition: BURIAL Data of Dlap on: r L 1 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. ON 326E. 10112 64V-1.011, Florida Administratne Cove CITY OF SEBASTIAN 11690 ADMINISTRATIVE SERVICES RECEIPT Name W)a Ikm IV/r\u.r11(o Cash ',/q Dale e5'Aq- 01'Chack#/3 J Credit Amount Paid 001001208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010369900 Airport Badge 001001 218010 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 [apt sol 3{3805 61C ASO, o tt � V If, L oT 16 G�9— Total Pai OK0:J Initials White - Dept. of Origin • Yellow -Admin. Svcs. • Pink -Applicant W: U' z OK, LLI Lk OK,