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Home My WebLink About4-05-28• � �� . .o�S' . - mxs;s�dl�I� �Q �. �� . `� .. .� 1.yJ�..��YVfru, X� ��...sr.'-'X'�K.'lK::✓.�,� _ ='R�i�•- ��'^ � � � . • � � Certificate No. 2351 �� Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Ronald &/or Pamela Postlethwaite 909 Gulfstream Avenue Sebastian, FL 32958 In and for consideration of the sum of $2,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lots: Unit 4, Block 5, Lots 28 & 29 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 6th day of November, 2012. CITY OF SEBASTIAN, FLORIDA ATTEST: 2 ' CAI Minner City Manager f ��. ri� Sally A. Maio, MMC tv Clerk JOYCE MARY BEAUJEAN POSTLETHWAITE Mrs. Joyce Mary Beaujean Postlethwaite, 79, died November 4, 2012 at VNA Hospice House in Vero Beach. Mrs. Postlethwaite was born July 25, 1933, in Mount Clemens, Michigan and lived in Sebastian, FL since 1994 coming from Wichita, KS. She was a member of St. Sebastian Catholic Church, Sebastian, FL. Survivors include her sons, Ronald J. Postlethwaite and his wife, Pamela of Sebastian, Richard Postlethwaite, FL and David G. Postlethwaite and his wife, Chrissy of Jupiter; daughters, Sandra Dillon and her husband, Rusty of Augusta, Kansas and Catherine Dirksen and her husband, Mike of Wichita, Kansas; sister, Bonnie Beveridge and her husband, Don of Lakeland, FL; brother, Jim Beaujean of Mount Clemens, Michigan. Mrs. Postlewaite was preceded in death by her husband, Gilbert E. Postlethwaite. , � - -� ElARlD3DEI'ARCbiE�T OF s ,.' State of Florida, Department of Health, Bureau of Vital Statistics HEAI�T BURIAL TRANSIT PERMIT DATE PRINTED: November 5, 2012 TRACKING NUMBER: 2012151980 1. DECEDENT INFORMATION Name of Deceased Date of Death JOYCE MARY BEAUJEAN POSTLETHWAITE November 4, 2012 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No./Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director/Direct Disposer Fla. Lic. No./Reg. No. WILLIAM B. WHITTAKER F026900 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: 2012-FOa1870-5080 . QG� �� • Date Issued: November 5, 20�2 1� Meade Grigg, 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 PIeC6 Of DISpOSlt1011: SEBASTIAN CEMETERY Method of Disposition: BURiAL Date of Disposition: �� v` ( v S gn ure of ext n r person-in-c rge (or by the funeral director/direct disposer when there is no sexton) DH 326E, 1/11 64V-1.011, Florida Administrative Code . �� -! ; � �:, � ,1� � - Name��' / Unit_� Block S� Lot � Date of Mark-out ��./ � / � � . Date of Burial ! l�7 /� � Time � � �o'� �' C"v ��"'° ` ST'sl�,� • Name of Funeral Home !� � � ` ` Authorized bys. �,�n��-� �!`�^�`="-�N�� W N � q m i 0 $ �, 0 n � � � f � T a e°i m � � � � s � °v � � Y r a °. c 0 , 1 a � � � .� g 0 w U o $ °o g °o °o = 0 ° o o � o °o 0 �,,� j N O OwAO c0 � (D � O °o 0 0 0 °o ° m �o m m v o w d c� 5z, � � n �• °� �'° � m n � �c m � m � � N -� � �D ,� p � Q � �' �n � � � � � (v '?� a° � '� d � W � � � v 6 c � 1 � I � I I I I � � m 3 � 1 � 1 � A � � n � x � � D 3 0 � � a C) � � mm0 � m�m � N W -i0y T � �s A Z m � � rn U CITY OF p r`,�,�� ti�� I�u °�� : CITY OF SEBA5TI,4N ' SeaCO�St CHECK NO.; O 8�F �,,,5 Q. 's� �sc�� 1225 MAIN STREET NAT�oN^L sAN�c $ 415 8 :.:� ��SEBASiIAN,F�OFIDA323�8 �� SEBASTIAN, FL 32958 � ��„� GENERALACCOUNT HaME OF PE�ICAN ISLAND � PAY TO THE ORDER ********150 DOLLARS AND NO CENTS Ronald Postlethwaite 909 Gulfstream Avenue Sebastian FL 32958 63-515 670 VENDOR CHECK DATE CHECK AMOUNT I 62 11/16/201 $150.0 V ID IF�NOT PAID WITHIN 90 DAYS � __ ��-�-��-_ ___ _._ _ _.._ _:_ -- out� __.__,_..__.____---._._--__..______.....___._.__ ___----_...______._...._,_._._.._...._ �..__. TWO SIGNATURES REQUIRED �i■084 L 58i�' �:06 700 5 L 58�: 4 3 2 7 LO 388 L��' 84158 �� A:�� SFgASTIAN, FL 32958 INVOICE DATE INVOICENUMBER 11/07/12 Refund 111612 0 � 415 8 INVOICE DESCRIPTION NET �NVOICE RMOUNT PONO. VOUCHER Joyce Postlethwaite U-4,B k 5, Lot 28 150.00 93426 626 Ronald Postlethwaite 150.00 84158 ��'� �Gr� F� ��q 4oQ MF'b <E��r.�M ��~ CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only Input Date Fiscal Period Document # Entered By Document Amount # of Lines T� To Be Completed By Department Due Date 11 %16/2012 Single Check Y/ N Y V Organization Object LN TC Reference Code Code 601010 343800 Number of Lines Description The City inadvertently charged the family for the after the funeral home already collected the fee. RE: Joyce Postlethwaite U4, B5, L28 ISSUE CHECK TO � 1vAME Ronald Postlethwaite �ADDRESS 909 Gulfstream Avenue CITY Sebashan STATE FL DRAW CHECK F M SEE BELOW APPROVED B DATE BUDGET APP 0 MAIL ATTACHED DOCUMENATION (Except for remit slips, a copy of documentation along with the originau �� OTHER INSTRUCTIONS Please 2ive Ieanette and 1 HC Hash �or Number Project Code Amount $150.00 Amount $150.00 ZIP CODE 1/7/2012 32958 ues " g department should attach a co y of the check . , . . ■r... ��.r�� • . � � F � ► � � � � ► � `► � �' 1 � � . • ' . ► � \ ` �� , ` . .� � � �t � � • ,� . � � � • � . r • . �,. . `� \ � ■�� 0 r � � ■�«� � � n �� ■�� 7 N � N � S .�i O i . $ r � 0 �o � < � � T 7 Y m • � � r � v � v � ei d m S; 0 � � . Q � � � � ♦ °o 0 w A W O CT o z v o °o o $ g o o d o c'n v+ ci+ � o �° 0 Ca W 0 0 0 0 A A A j pWO t0 c0 N O � � p O O O r c� (.i � � �� m v o m � � � n �• 4�n � � m � � � � � O � � (n �'c d m o y o� � �n° � � �' � � a �,i � � Tf� � � '" � � � � c � .0 � � �� Z 3 � \� � ❑ � n � � � � # a 3 0 c M � �V d a n A �� m0 � � N � --� O y T � T s n = m � � � Q7 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING 1N SEBASTIAN MUNICIPAL CEMETERY cuva HOME OF PELICAN KIAMY For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's O�ce City Hall, 1225 Main Street Sebastian, FL 32958 O�ce (772) 388-8295 or 388-8214 SiRUNK �UNERI��Ii��f�5�C9��°I�; :��Y FUNERAL HOME: 1623 No. Central Ave. . ADDRESS: 6772) 589-1000 PHONE #: ( h Onej Q , ( OPEN BURIAL LOT Lot 2U Block 5 Unit `i- OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM N1CHE Niche Block Unit N S E W q�� BURIAL DATE AND SERVICE TIME: � �G�j � � � �C.�I �� — �Q � � " � FOR DECEASED: d� C� I_ ` �.�C(.,I� -(�l �1�1�� Y�. Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: /" �st provide prop documentation of ownership} ��..� G�- (aS-� P��vQ,.t..�(-� �,��C�-(�-� ► � �. � 2� Name Signature Date I 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 DIRF 70R: T j/�I I� I IG� �J I��-�'�-��-�t.. ��-I �� Name Signature Date Cemetery Sexton Certification: ^ � I certify that I have checked the ownership inforrnation by viewing the owner's deed and confirming with Clerk's office and Ehat all fees have been paid: � � 6 i'7� Ceme ery � ex on Dat This form to be provided to Clerk's Office by Sexton for permanent record upon cornpletion. FUNERAL DIRECTOR'S REQUEST 70 CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBAS7IAN MUNICIPAL CEMETERY SE,�T�N ItOME u� PEIICAN ISUND � For information coniact: Kip Ke/so - Cemetery Sexion Sebasfian Municipal Cemstery (772) 589-2545 Cify Clerk's Office City Hall, t 225 Main Street Sebastran, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 583-5574 FUNERAL HOME: ��y/� ADDRESS: PHONE #: - (Check One) � �_OPEN BURIAL LOT Lot zS � Block S Unit � �PEN CREMAINS LOT Lot __�Biock Unit _�JPEN COLUMBARIUM NICti� Niche Bfock Unit �. _ W BURIAL DATE AND SERVICE TIME: 1�-�=�— :oD {�' �G/�(ra�t �. • FOR DECEASED: � C ivame NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Musl provide proper documentatior� of ownership)^ ^ � �'d`'` I f `�.�j..a D�te � • • •�, ,� . � �.�� I certify that I have determined the ownershr�iof the above described site that aH site fees and administrative fees have been paid and authorize openirzg ot same NA�v1E AND SIGNATURE OF UCENSED FUNERA� DIREG�TGFt. �� ' Name Signature Date --------------------------------------------------------------------------------------� Cemetery Sexton Certification: I certify thal I have checked the ownership inforn��at�on by viewing with Cierk's offiee and that aN fe�s have been pa�d � � e ete Sexton Oate ------------------------------------ the owner's deed and confirming 7his forrT� to be provided to Clerk's Office by Sexton for permanent record upon completion.