The URL can be used to link to this page

Home My WebLink About1-27-30HAROLD E ROYAL February 11, 1928 - September 20, 2017 Mr. Harold E. Royal, 89, died September 20, 2017 at The Palms Rehabilitation and Healthcare Center in Palm Bay. He was born in Fellsmere, Florida and was a lifelong resident. Harold was a US Army veteran and served during the Korean War. He retired as a dragline operator for the Fellsmere drainage District after 25 years. Survivors include sons Thomas Royal (Sharon), Dan Royal and Don Royal, grandson Thomas Royal (Alexis), great-granddaughter Trinity Royal all of Fellsmere. He was preceded in death by his wife of 54 years Bea. Memorial contributions may be made to Alzheimers/Parkinson Association, 2300 5th Avenue Suite 150, Vero Beach, FL 32960 in memory of Harold E. Royal. Visitation will be 11:00 AM to 12:00 PM on Monday, September 25, 2017 at Strunk Funeral Home, Sebastian. Funeral service will be 12:00 PM at the funeral home chapel. Military honors provided by the Sebastian Area Veterans Color Guard. Born: February 11, 1928 Death: September 20, 2017 CITY OF SEBASTIAN 10927 ADMINISTRATIVE SERVICES RECEIPT Name 'T4R .n 1 ° a Q 0 Cash Date 9 aa. i7 YCheck#-77aa 0 Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 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 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees 0 natsdt 34-3 stns D/C IS). llm r 1 6 k A7 LCT .3v -:92 Le Initials Total Paid 'b2L" White - Dept. of Origin . Yellow - Admin. Svcs.. Pink -Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY FAX ion �, For information contact: 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 Office (772) 388-8215 or 388-8214 ctesta(ci.citvofsebastian.org FUNERAL HOME: Strunk Funeral Home and Crematory— SEBASTIAN ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) xxxxx OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIM FOR DECEASED: Harold E. Roval Lot-30—Block-27—Unit 1 Lot—Block—Unit Niche Block Unit N S E W Monday, 9/25/2017, 12:00 PM Chapel service followed by burial Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Thomas Royal T-kIovu.as RDl iaL 9/21/2017 Name Signature 13815 97th Street, Fellsmere, Florida, 32948 1 certify that I have determined the ownership of the above described site that all fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin Name TK J✓ omK Signature Date site fees and administrative 9/21/2017 Date Cemetery Sexton Certification: 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 Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. State of Florida, Department of Health, Bureau of Vital Statistics — —" — BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: September 21, 2017 TRACKING NUMBER: 2017150787 1. DECEDENT INFORMATION Name of Deceased Date of Death HAROLD E ROYAL September 20, 2017 Place of Death - County City, Town or Location Name of facility, or street address if not a facility BREVARD PALM BAY THE PALMS REHABILITATION AND HEALTHCARE CENTER 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.IReg. 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: 2017-F -5162 �— Date Issued: Septemberber 21, 21, 2017 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 ((fAd CL Place of Disposition: SEBASTIAN CEMETERY M X1'1 �i c17� —1 Method of Disposition: BURIAL Date of Dispositioh: 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 09/21/2017 18:08 FUNERALI FOR BURIAL Ofrrce (772) FUNERAL! ADDRESS: PHONE#: (Check One) ARM OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE FOR DECEASED: Name NAME AND SIGNATURE OF LOT OW (Must provide proper docymentation of Thomas Royal Name 13815 97th Street, Fehmere, Florida, 32M I certify that I have determined the owners) fees have been paid and authorize openin NAME AND SIGNATURE OF LICENSED Tim Marvin Name Cemetery Sexton Certification: I certify that I have checked the ownership i office and that all fees have been paid: This form to be Provided to Clerk's Office 'S REQUEST TO IN SEBASTIAN I For information � Kelso, .Come; Phone: (772) 589-254 Fa)r: (772) 228-9927 Clerks Office — Cathy ity Hall, 1225 Main Str Sebastian, FL 32958 5 or 388-8214 ctestar 9/25/2017,12:00 OR REPRESENT Signature p of the above descrit of same. UNERAL DIRECTOR: OF S .!PAL 777075 P.001/001 nit 7 it ice followed by burial that all biW fees and administrative T»t Mann Signature )formation by viewing the owner's c 2 Date Sexton for permanent re rd upon confirming with Clerk's Il d1.