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� ' � Deed � 202 �
Paid by General Receipt No. .,, �50 (ck) DBt� qpril 23, 1973 Iris Ruth mackey &
�st Yeice �.. 225 � 00 � Gordon . ac ey t�
Maximum No. Burtal spacea .. ........
--'-" Block 35, lots 18, 1g, 2p
Discount $ .................. Total nrre fn equarc feet ........ ......
Unit
Net Peid $. . 225 . 00. . . . . . . Monument pe�mitt>-: . . . . . . . . f la t_ - - - - - 1
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Name �.� ' �.. a��
Unit '
Block
Lot
Date of Mark-out " ��� ���'��� ,��� � �
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Date of Burial ,-' f`�`f Time ��`�
Name of Funeral Home �. � .�-,��. +��i� �
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Authorized by - -
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Date of Mark-out r$ `
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OB
ITUA�IfS ��t
_ Wedncsday, August 11, 2004
Mr.1Vlaekey was a heavy -
equipment operator.
He was a member of Ca1-
vary Chagel, Melbaurne, for-
mer.�ember of �he Moose
�dge No.1767, Sebastian,�
Oriolesand the Italian Amer-
ican Club: He was the
founder and leader of the
Firecreek gand of Sebasti.an
and was a member of the
Sunshine State Countty Mu.
sic Association.
Survivors are his wife of 23
years, Roxanne; daughtier
Iris Mackey, of Palm BaY;
son Stephen Maekey, of Pa]in
Bay; stepson Jason Baker, of
-_ Palm BaY� and one grand-
Donald Richard ch��
"Donnie" Mackey,
Palm Bay
Donald Richard "Do�e•,
MackeY, 52, of Pa1m Bay,
died Aug, g, 2pp4� at Holrnes
1�eg'ianal Medical Center,
Melbour�e, after a brief�ill,
ness.
He was born March 4, 1952,
in Lowell, Irid., and moved to
Palin Bay in 2(ipp from Sebas-
tian.
Memorial contributions
may be rriade to the Ar�eri-
can Cancer Society; 4356 B
Fortune Place, Melbourne,
�'la. 32gp4_
SERVICES: Visitation wiI]
be from I-2 p.m. Friday at
Strunk "Funeral Home, Sebas-
tian. A funerai service will
follow at 2 p.m. at �e �era1
home. Interment will foLlow
in Sebastian Cemetery, Se-
bastian.
�'I � �' �;k �, t�
The Pcess Joumal q5
.
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sa �_�
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s�AS��v r�.nv�c�� c��Y
1921 N. Cenbral Avenue, Sebastian, FL 32958 •(772) 589-2545 � Fax (772) 228-9927
January 6, ?d79
Roxanne Mackey
285 Catalonia Avenue, NW
Palm Bay, FL 32909
Dear Ms. Mackey:
�Y
0
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This letter is to remind you that a permanent marker has not been placed on the gravesite of
Donald Mackey, Unit 1, Blk 35, Lot 19 or Mackey Whelehan, Unit 1, Blk 35, Lot 18 of the
cemetery. 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 discarded 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 hardship or presents any special problems, such as an estate
not settled, special consideration will be given. Request for speciat consideration should be
made to 5ally 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,
� q• .
�f �
Kip G. Kelso, ]r.
Cemetery Sexton
KGK/jw
GUARDIAN � SAFE'fY AC'IUiweHmurcan
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4
CITY OF SEBASTIAN
CITY CLERK'S OPFICE 3 O��
RECEIPT
�.,
Nam �� ,��`,.G-L--, o— ����ix� .�C11 Cash
,•�
Date ��` = %' _ ' eCk #--��
,� ,
No. � Amount Paid
001001 208001 Sales Tax
001501322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LDC/Code of Ordinances
001501341930 Election �ualifying Fees
601010 343800 Cemetery Lots
LotlNiche . Block . Unit
� r/ -7� �1�i
001501 343805 Cemetery Fees
l,. " �"�---%�G:1'�
� i-� -- :, ?�',C �
� � � �
` ° �-�'��� 0
� - ��/,�y=;�!E%G�. Total Paid
White - Dept. of OriAin • Yellow - finance • Pink - Applicant
m
FLORIDA DEPARTMENT OF
I�EALT.
A. (TYPE)
1. Name of
Deceased
2. Place of Death
County
Brevard
/ ��-/�
State of Florida, Department of Health, Vitai Statistic� ^ �
APPLICATION FOR BURIAL - TRANSIT PERMIT �,,,�
First Middle
Donald Richard
City, Town or Location
Melbourne
3. Name of Medical
Certifier Joseph McClure, M.D.
Medical Examiner Phys'
Last Date Month l�y Year
of
Mackey �eath August 8 2004
Name of (if neither, give street address)
Hosp. or
inst. Holmes Regional Medical Center
200 E. Sheridan Road
Melbourne, FL
one Number
I 321-725-4500
4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1623 N. Central Ave.
Strunk Funeral Home Sebastian, FL 1228 772-589-1000
5. Check
Appropriate
Box
6. Funeral Director/
Direct Disposer
B
c
0
a.
The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. � Cindy was contacted on 8/9/04
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that �1'. McClure will complete and sign the medical
certification of cause of death within 72 hours.
c. �
was contacted on He/she verified that
, Medical Examiner, will complete and sign the
cause of death within 72 hours.
F.E. No./Reg. No.
� 1862
BURIAL - TRANSIT PERMIIT
Date Signed
8/9/04
Permission is hereby granted to dispose of this body. Permit No1228-04-0315
� A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within
72 hours.
�No extension of time for filing the death certificate has been requested.
Regi�tratet-w Date Date Certificate
Subregistrar Signature �� ��,t.�_ /� ��1�„Q„Q_ Issued: $�8�0� Due: 8�13/04
��
Approval Number:
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Date .
Medical 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 all cremations.
Method of Disposition:
�BURIAL �STORAGE
�CREMATION �OTHER (Specify)
Signature of Sexton � �
or , erson-in-Charge
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
Date of Disposition �" JG�, -- Q�
This 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
Nithin 10 days to the local County Health Department in the county where disposition occurred.
Distribution: White: Cemetery or Crematory
)H 326, 8l97 (Obsoletes all previous editions) Yellow, Funeral Director or Direct Disposer
Stock Number 5740-000-0326-2) Pink �ocal Registrer