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HomeMy WebLinkAbout01-01-35OSCAR LOUDERMILK I' 1 w November 15, 1927 —August 2, 2014 Mr. Oscar Gordon Loudermilk, 86, died August 2, 2014 at Consulate Health Care of Vero Beach in Vero Beach. He was born in Port Salerno, Florida and moved to Sebastian, FL in 1957 and then to Fellsmere, FL in 2000. He was an Army veteran having served during WWII. He retired from Carpenter Union Carpenter's Local Union #1685. He was a member of Sebastian River Baptist Church, Sebastian, FL and First Baptist Church of Fellsmere, FL. He was a member of the Carpenter's Local Union #1685, Jaycee's, Veterans of Foreign Wars, VFW Post #10210, Sebastian, FL, American Legion Post 189, Sebastian, FL, Masonic Temple Lodge No 232, Sebastian, Florida and TOPS. Survivors include sons, Dave Loudermilk of Roanoke, Virginia, Doug Loudermilk of Lawndale, North Carolina and Willis Loudermilk of Fellsmere; daughters, Eddi Winter of Micco, Rebecca Loudermilk Tillis of Vero Beach and Joyce Cline of Fellsmere; 12 Grandchildren, 15 Great Grandchildren. A /� 1 Total Paid A-) t V InRials White - Dept. of Origin • Yellow - Finance • Pink - Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 4902 + k/DC,�d�rlr�t Name LI Cash Date ' t t� i ¢;Check # f f 7 0 7 `� No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 CopieslBid Specs. 001501341910 LDC /Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Niche ,3- Block knit 001501 343805 Cemetery Fees A /� 1 Total Paid A-) t V InRials White - Dept. of Origin • Yellow - Finance • Pink - Applicant In Name Unit Block / Lot 35� �,e060" /All Date of Mark -out - o Date of Burial i -3 Time � Name of Funeral Home. Authorized by ANNA PEARL LOUDERMILK Mrs. Anna Pearl Loudermilk, 79, went to be with her Lord and Savior on May 28, 2013. She was born June 12, 1933 in Crawfordsville, Indiana and lived most of her life in Sebastian before moving to Fellsmere. Anna retired from Riverfront Groves after 30 years of service. She was the Owner /Operator of Family Ceramics in Sebastian for 14 years. She was a member of Sebastian River Baptist Church, Sebastian; Member of the Ladies Auxiliary to the Veterans of Foreign Wars; Past - President of the Ladies Auxiliary of the Carpenter's Local Union # 1685; member of TOPS and member of the Ladies Auxiliary of the Jaycees. Survivors include her husband of 62 years, Oscar Gordon Loudermilk of Fellsmere; sons, Dave Loudermilk of Roanoke, Virginia, Doug Loudermilk of Lawndale, North Carolina and Willis Loudermilk of Fellsmere; daughters, Eddi Winter of Micco, Rebecca Tillis of Vero Beach and Joyce Cline of Fellsmere; 12 grandchildren, 15 great - grandchildren. She was preceded in death by her parents, 6 brothers and 3 sisters. e�f r -Fa ft, er ne Tucleer Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of.- AnnAPearl Loudermilk May 28, 2013 (Date of Death) Strunk Funeral Home & Crematory (Funeral Home in Charge) 03195 (Cremation ID Number) June 3, 2013 (Date of Cremation) Sebastian, Florida (City and State) By: r motor Signature) CITY OF SEBASTIAN CITY CLERK'S OFFICE /, (� RECEIPT `o- 7 Name <W an an M Lo 1�1.1.� e I r � � (k 0 Cash Date ! / /8' (Check # tY No. 001001208001 001501 322900 001501 341920 001501 341910 001501 341930 601010 343800 001501 343805 Amount Paid Sales Tax Garage Sales Copies /Bid Specs. LDCICode of Ordinances Election Qualifying Fees Cemetery Lots _ LoMiche , Block Unit Cemetery Fees _ Total Paid Initials White — Dept. of Origin • Yellow — Finance • Pink • Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY Ma HOME OF PXAN Ismv For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8215 or 388 -8214 Fax: (772) 589 -5570 FUNERAL HOME: ST��U "d� FUNERAL HOME & C13�ME -ORY t-» ►e_ r..sr..l A— ADDRESS: SEBASTIAN, FL 32958 PHONE #: -) - _.-_ -- (Check One) OPEN BURIAL LOT Lot Block _� Unit I OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Block Unit BURIAL DATE AND SERVICE TIME: t' 6 %0 N q 3__ W � Wry_) FOR DECEASED: Anna- e UACCMI I K Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide roper documentation of ownership) LEC; clan 1- o��►,e�vl.c l I�-- ,�, �0� 1 z��3 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. NA AE AND SIGNATURE OF LICENSER FAJNE14AL DIRECTOR: lq6dV 4k- R) �(O-fIVL[1- IPJ ��j 26 1--s Name Signature J Date Cemetery Sexton Certification: certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and at all fees have been paid: AX C&Miery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Fl oiunAnrrarat>ivr nF . State of Florida, Department of Health, Bureau of Vital Statistics HELT BURIAL TRANSIT PERMIT DATE PRINTED: May 30, 2013 TRACKING NUMBER: 2013079857 1. DECEDENT INFORMATION Name of Deceased Date of Death ANN PEARL LOUDERMILK May 28, 2013 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH INDIAN RIVER MEDICAL CENTER Name and Address of Funeral HomelDirect 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. TIMOTHY W. MARVIN F022789 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: 2013- FO41870 -5087 Date Issued: May 30, 2013 u. 3 Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: 13- 19 -D5- � I 4. CEMETERY OR CREMATORY 111 Place of Disposition: VERO BEACH CREMATORY %/J f it/ Method of Disposition: CREMATION Date of Disposition 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. DH 326E, 10/12 64V- 1.011, Florida Administrative Code it ;Yl oG tai NIL 7' r. -- - - - - - - - -- -- N7 rye r. 117 P_ C) it ;Yl oG tai