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HomeMy WebLinkAbout4-05-12Unit l F. Block Lot— Date of Mark -out Date of Burial Name of Funeral Home Authorized by Time ,Seaudnds Crematory 735 South Fleming Street, Sebastian, Florida (772)589-1933 For Seawinds Funeral Home We certify this container contains the Cremated Remains of KURT EVERS, JR who died on March 27, 2017 in the City of Sebastian, County of Indian River, and State of Florida. Your loved one was cremated on 17-73380-5077 zoog- Permit # Tag# 3 ay -r7 Cremator Date Of Cremation Thank you for allowing us to serve your family. Pa. -e I of 1 Obituary for Kurt Evers IS MEMORY OF KURT EVERS Kurt Evers, 79, of Barefoot Bay, Florida, passed away Monday, March 27, 2017. A celebration of his life with a military Color Guard will be held at 11:00 am, Friday, April 7, 2017 at the VFW Post 10210, 815 Louisiana Avenue, Sebastian, Florida, 32958, where he was an active member. Kurt was born October 1, 1937 in New York City, New York. He served in the United States 8th Army in the 88th Division Army Corps of Engineers, APO 971 Ascom City. He served his country in Korea from 1955 to 1957. He is survived by his daughters, Donna Steenkamp of Johannesburg, South Africa, and Cheryl Wheless of Winter Garden, Florida, as well as his brother Raymond Evers of New York, and four grandchildren. In lieu of flowers, the family requests that donations be sent to the VFW Post 10210 in care of the Relief Fund or the Scholarship Fund. The mailing address of the VFW Post is listed above. Family and friends may leave a memorial message or share a story by visiting Kurt Evers' memorial page at www.seawindfh.com. This obiman. is protected by copyright by Seawinds Funeral Home & Crematory. Proudly Serving the Communities of Brookside, Cumming.:, Fellsmere, Florida Ridge. Giflbrd. Indian River Shores. Nes ins. North Beach. Orchid Oslo, Riomar, Roseland. Royal Poinciana Park, Sebastian, South Beach, Vero Beach, Vero Lake Estates_ Wabasso, Wabasso Bcaeh, Winter Beach Micco, and Gran, Seawinds Funeral Iiome & Crematory is located in the state of Florida, United States. All rights reserved llltis obituary is also archived at ObitsforLifecom Sem%inds Funeral Home & Crematory Print http://www.seawindsf l.com/book-of-memories/2888412/Evers-Kurtlobituary.php?Printabl... 4/24/2017 CITY OF SEBASTIAN 10427 ADMINISTRATIVE SERVICES RECEIPT Name SC A I.01(,I ZS' jeVe.i,S JCash Date f Vheck# I ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 SecurityDeposft 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Sfte Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees Total Pai�M nilials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian Municipal Cemetery Contact Information: 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 Phone (772) 388-8209 ctesta(rDcityofsebasti an. orq Funeral Home: �EA1W1e~ds .4�y6'cAre Alw wa (Check) Open Burial Lot _-0416 pen Cremains Lot Open Columbarium Niche Burial Date and Service Deceased Lot_ Block_` Unit Lot�� Block�7 Unit Niche_ Block_ Unit_ (Circle) N S E W -Z�eaoZ'iY cG vY/! 1e.c t F /—/ p T �vE.e Name and Signature of Lot Owner or Representative: (Must provide proper documentation of ownership) Print 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 authorized opening of same. Name and Signature of Licensed Funer f Dir tor: 04 y �� Print Name Sig re Date 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 Certification: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Adult General Price List These prices are effective as of February 23, 2016 Prices subject to change without notice The goods and services shown below are those we can provide to our customers. You may choose only the items you desire. However, any funeral arrangements you select will include a charge for our basic services. If legal or other requirements mean you must buy any items you did not specifically ask for, we will explain the reason in writing on the statement we provide describing the funeral goods and services you selected. You will be charged only for the items you select. Please note that there may be extra charges for items such as cemetery fees, flowers, and newspaper notices or for items and services provided by funeral directors or direct disposers if funeral services are not purchased from the funeral homes named above. ITEMIZED SERVICES BASIC SERVICES OF THE FUNERAL DIRECTOR AND STAFF $1495.00 Arrangement interview, coordination of service plans, and 24 -hr. avri lability of personnel, bookkeeping, accounting fees, general clerical administration and securing and recording any authorizations and permits, as necessary. This fee for our basic services will be added to the total cost of the funeral arrangements you select. (This fee is already included in our charges for direct cremations, immediate burials, and forwarding or receiving remains.) You will not be charged again for services if you select these items. Supervision of funeral ceremony at facility other than funeral home $ 350.00 , Supervision of graveside service(no equipment provided) $ 175.00 Supervision of memorial seryice at facility other than funeral home. (Remains not present) $ 350.00 PREPARATION OF REMAINS Embalming $ 495.00 (Only one charge of embalming or refrigeration facility will be made) Except in certain special cases, embalming is not required by law. Embalming may be necessary, however, if you select certain funeral arrangements, such as a funeral with viewing. If you do not want embalming.. you usually have the right to choose an arrangement that does not require you to pay for it, such a direct cremation or immediate burial. Autopsy, tissue donation, restoration additional preparation fee (per hour) Other preparations of remains CREMATION USE OF FACILITIES -STAFF AND SUPERVISION Use of facilities and staff for visitation per day or part of the day Same day service 2 hour visitation Use of facilities and staff for funeral service _ Use of facilities and staff for memorial service Use of facilities for refrigeration of unembalmed remains for 1-3 days Use of facilities for refrigeration ofunembalmed remains for each additional -3 days Use of facilities and staff for Private Family viewing (no Embalming) Use of Staff for Supervision of Committal service with Cremated Remains USE OF AUTOMOTIVE EOUIPMENT " Transfer of remains to funeral home from health care facility within a radius of 25 miles First limousine within 25 mile radius of funeral home (for a maximum of 3 hours) Overtime hourly rate for limousine exceeding 3 hours Hearse Service Utility Vehicle Transportation to or from common carrier (Melbourne, FL - Airport) Additional one-way mileage charge after 25 miles (per loaded mile) $ 195.00 $ 240.00 $ 295.00 $ 485.00 $ 385.00 $ 385.00 $ 385.00 $ 195.00 $ 150.00 $ 195.00 $ 385.00 $ 495.00 $ 200.00 $ 75.00 $ 295.00 $ 145.00 $ 175.00 $ 3.00 FORWARDING REMAINS TO ANOTHER FUNERAL HOME $ 1,595.00 This charge includes transfer of the remains, basic services of the funeral director and staff, embalming, and local ground transportation to a common carrier. It does not include use of facilities for viewing or funeral ceremony prior to forwarding of the remains, any merchandise, clerical, fuel or archiving fees shipping charges, or outside shipping container. RECEIVING OF REMAINS FROM ANOTHER FUNERAL HOME $ 1,795.00 DIRECT INTERMENT, NO VISITATION This charge includes local grougd transportation from common carrier, basic services of funeral director and staff, and automotive equipment to transfer deceased to place of disposition, It does not include embalming services, use of facilities for viewing or funeral ceremony, any merchandise, clerical, fuel or archiving fees. RECEIVING OF REMAINS FROM ANOTHER FUNERAL HOME $ 2,795.00 FUNERAL HOME CHAPEI, SERVICE WITH VISITATION This charge includes local ground transportation from common carrier, basic services of funeral director and staff, use of facilities and stat}' for viewing and for funeral ceremony, other preparation of remains as necessary, transfer of deceased to place oT disposition. It does not include embalming services, any merchandise, clerical, fuel or archiving fees. GRAVESIDE SERVICE WITHOUT VISITATION OR VIEWING $ 1,995.00 This charge includes local ground transportation from common carrier, basic services of funeral director and staff supervision of graveside serviet, aqd automotive equipment to transfer deceased to local place of disposition. It does not include embalming services, use of facilities for viewing or funeral ceremony, any merchandise, clerical, fuel or archiving fees. IMMEDIATE BURIAL $ 1,595.00 - $ 23,590.00 Our charge for immediate -burial includes, transfer of the remains, basic services of funeral director and staff, supervision of burial at gravesite, tither preparations of the remains, w necessary, use of refrigeration facility, and local transportation to the; cemetelry. It does not include embalming services, use of facilities for viewing or funeral ceremony, any merebandise,.clerical, fuel or archiving fees. Immediate burial with casket $3,390.00 - $ 24,490.00 Immediate burial with casket provided by purchaser $1,595.00 $1,195.00-$ 3,290.00 Our charge for a direct cremation includes transfer of the remains, use of refrigeration facility, basic services of the funeral director and staff, transfer to crematory, and the cremation fee. It does not include embalming services, use of facilities for viewing or funeral ceremony, any merchandise, clerical, fuel or archiving fees. If you want to arrange a direct cremation you dan use an alternative container. Alternative containers encase the body and can be made of materials like fiberboard or composition materials (with or without covering). The containers we provide are heavy cardboard (fiberboard), and composition materials. The crematory used by this facility does not permit the use ofcontainers for direct cremation which are made of non -rigid materials or metal. Direct cremation with casket $ 2,490.00 - $ 3,290.00 Direct cremation with alternative container $ 1,400.00 -$ 1,740.00 Direct cremation with casket or alternative container provided by purchaser $ 1,195.00 ADDITIONAL SERVICES OF FUNERAL HOME AND STAFF Insurance filing fee $ 100.00 Additional fees for Saturday service $ 250.00 Additional fees for Sunday or holiday service $ 350.00 Cremation expedite fee $ 195.00 ADVANCE ARRANGEMENT OPTIONS Travel Assurance Plan $ 450.00 ! CfIY OF : ! 11 III 1 SEBASTIA/INI HOME OF PELICAN ISLAND li. 1 1111 1 11 Certificate No. 2369 ! 1 ! CITY Of SEBASTIAN 4 Certificate of Interment Rights hi hi 1 III IN ACCORDANCE with provisions of the Code of Ordinances of the City of ! , Sebastian, it is hereby certified that: �l I Kurt Evers ! y 1202 Chipewa Drive Barefoot Bay, FL 32976 II ! In and for consideration of the sum of $4,000.00 is entitled to full interment !1'! 1 rights in the Sebastian Municipal Cemetery for the following lots: Unit 4, Block 5, Lots 11 & 12 ! I '" ■ of the Sebastian Municipal Cemetery, j1 as maintained on file in the records of the City Clerk ill 1 for use in accordance with the conditions, ordinances, resolutions rules and it regulations prescribed therefore by the City of Sebastian. i'11 !N l', CONVEYED THIS 22nd day of April, 2013. i■ h„ CITY OF SEBASTIAN, FLORIDA ATTEST: 1111' !!; I [,I (7 A fo, , 11 _ ,, A l Minner Sally , . Maio, MMC !!! I City Manager City Clerk !i! I 1111!11;11 1 II !