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Lots 7, 8, 9, and 10, 81ock 40, Unit 1 ADD:
(DatR abo�e tfib Ifne lor Gtr Rceord only)
NO.
� �VQ�
Edward J. and
Lillian G. Willett '
P.O. Box 592
Roseland, FIa. 32957
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Mrs. Raymond
41 Hortos St
Attleboro MA 02'103
No.
001001208001
001501322900
001501341920
001501341910.
001501341930
601010 343800
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
_ RECEIPT
Sales Tax
Garage Sales
Copies/Bid Specs.
LOCICade of Ordlnances
Elecdon QuaAfying Fees
Cemetery Lob
`� 2954
I
$ Cash
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Amouot Pa1d
LofMkhe . Blodc . Untt
001501343805 Ce��, F�y
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Ini�als Totai Patd ,��
Whito - Dept of Oripin . Yellow - fia�nce . Pink • App�icant
C�.ex#t#�t.c�x#P .a� C�x.ex��ttY.axt
WE Certify that
Lilliat� G. Willett "
(Name of Decease�
Who died on the 12� day of J� 20 04
Was cremated by I.C.S. Crematory on the 18th
day of June , 20 Q�_
Permit No. 2028-13204 SEC No 2057
BY:
I.C.S. Crematory
�,yd_ 08'
I. C. S. Crematory
2620 Highlands Road, #C
Harbour Heights, FL 33983
To �7'aa�es A. McKee Ftimeral Fk�
This envelope contains Certificate of Cremation for:
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HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, Fl 32958 - Telephone 772-589-5330 - Fax 772-589-5570
Apri14, 2006
Mr. & Mrs. Edward J. Willett
P O Box 592
Roseland, Fl 32957
Dear: Mr. & Mrs. Edward J. Willett
_. - NI7CZ.E _ " • ..9Z7' 3' -• . ... c4 oaiasioe
RETURN TO SENDER
N07 ��UNABLEHTO FpRWA�DESSED
BG; �,;;g.gg£t69799 �1501-01!�7^-O!6-47
I�►I1���1�11�1���1,1�1��1�1,�1��11„I�l„{�„Il,l��l�l���l�l�l
This letter is to remind you that a permanent marker has not been placed on the gravesite
of your beloved deceased. The City of Sebastian requires that permanent markers
(bronze, marble or granite) be installed within 120 days after burial. I am enclosing a
copy of the rules and regulations that are applicable in the municipal cemetery.
Temporary markers have in the past been pulled up and discazded by vandals or have
been damaged by lawn maintenance equipment. At the end of 120 days the City of
Sebastian will no longer be under any obligation to replace the temporary marker.
Where this regulation renders a haxdship or presents any special problems, such as an
estate not settled, special consideration will be given. Request for special consideration
should be made to Sally Maio, City Clerk, 1225 Main Street, Sebastian, Fl 32958.
Thanks for your attention to this matter and if I can be of further assistance, please call
me at 772-589-2545.
Sincerely,
�' �,�, •
�
�� �
Kip G. Kelso, Jr.
Cemetery Sexton
KGK/ar
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HOME OF PELICAN ISLAND
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1225 Main Street, Sebastian, FL 32958 •(772) 589-5330 — Fax 772-589-5570
February 10, 2005
Mrs. Raymond Gorman
41 Horton Street
Attleboro, Ma 02703
Dear Mrs. Gorman:
I am in receipt of your inquiry concerning your friend, Lillian Willett.
At her request, Mrs. Willett's cremains were interred with her husband, Edward, on
July 6, 2004.
We don't have any information as to the cause of her death or the exact day and time.
We received her cremains from the James A. McKee Funeral Home, 14538 S. Tamiami
Trail, North Port, FI 34287, on July 5, 2004. Perhaps you may want to contact them to
determine if they have additional information regarding her death and/or perhaps �n
obituary.
I'm sorry I can't be of further assistance in this matter but perhaps this information v�ill
make you will feel better knowing that your friend is at her final resting place with her
husband.
Sincerely,
, ���
/� � i
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Kip G. Kelso, Jr.
Cemetery Sexton
KGK:ar
FtARIDA DEPARTMENT OF /�7 ��� � /"�
HEALT State of Florida, Department of Health, Vital Statistics O
APPLICATION FOR BURIAL - TRANSIT PERMIT �-�
a.
I. Name of
Deceased
First
Middle
Edward .1.
!. Place of Death City, Town or Location
County
1 ndian River Vero Beach
�. Name of Medical Addri
Certifier Richard Cunning m, D.O
Medical Examiner Physician
. Name of Funeral Home/Direct Disposal Address
�
Last Date
of
W't Ilett Death
ie of (If neither, give street address)
�. or
Inst. VNA Hospice House
2000 38th Avenue
Vero Beach, FL
Fla. Lic. No./Reg. No
Month �ay Year
Dec. 7 2003
Phone Number
772-7�94-2227
No. (Area Code)
Establishment 1623 N. Central Ave.
Strunk Funeral Home Sebastian FL 1228 772-589-1000
. Check a. � The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
b. �] Karen was contacted on �2/$/03
He/she verified that this death was from natural causes, that there was no accident nor other external cawse of death,
and that �P. Cunningham will complete and sign the medical
cert�cation of cause of death within 72 hours.
. Funeral Director/
Direct Disposer
�. � was contacted on
cause of death within 72 hours.
• F.E. No./Reg. No.
BURIAL - TRANSIT PERMIT
He/sh�e verified that
, Medical Examiner, will comple�te and sign the
Date Signed
12/7J03
Permission is hereby granted to dispose of this body. Permit No. 1228-03��496
� A five (5) day extension of time for filing the death certificate (exctusive of weekends) has been requested and granted since the �bhysician has
been contacted by the funeral director and will not be able to complete the medical certification of eause-of-death section of the death certificate within
72 hours.
�No extension of time for fiting the death certificate has been requested.
.��F Date Date Certificate
Subregistrar Signature Q� �_�� /j•� �?.�+•t.�Q•�0 Issued: 12/7/03 Due: 12/11�✓ `03
TION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Approval Number. Date
Medicai Examiner, , gave authorization by telephone to
Funeral DirectoNDirect 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.
, CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition $@b8St18I1 Cemetery
�BURIAL �STORAGE Date of Disposition �`�j/�� ,
❑CREMATION
Signature of Sexton
or Person-in-Charge
�OTHER (Specify)
� _____��
0
his 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
rithin 10 days to the local County Health Department in the county where disposition occurred.
H 326, 8197 (Obsoletes all previous editions)
ttock Number 5740-000-0326-2) �
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Diatribution: 1Nhite: Cemetery or Crematory
Yellow: Funerel Director or Direct Disposer
Pink: Local Regishar