HomeMy WebLinkAbout1-11-02Name k a i. -Air G C A u) 30(S -
Unit
Block
Lot
Date of Mark -out 6 /.,. Z / yr
Date of Burial
Name of Funeral Home
Authorized by
Time OD 4
,:O l4 G/•
Rui Estelline McCain
February 25, 1927 - June 11, 2017
Rui Estelline McCain, 90, passed away peacefully on June 11, 2017. Rui was
affectionately known as "Meemaw," originally by her grandchildren then more broadly by
members of her community. Born in Amarillo, TX, Rui moved to Florida at a young age,
finally settling in Fort Pierce, FL with her late husband Willie, of 50 years.
Rui was a mother, sister, daughter, grandmother, great-grandmother and a pillar of
compassion, honesty, and faith to everyone she encountered. She was the perfect
combination of warmth, kindness, laughter, and love. Rui was an active member of First
United Methodist Church, Charter member of Saint Lucie County Shrine Club Noble-ettes,
an Aquarius Temple Daughters of the Nile member, a member of the local Zuliema Club,
as well as, receiving the distinguished honor, the Matriarch Award of Elk's Park for
decades of devotion to the Fort Pierce Little League while her children, grandchildren, and
great-grandchildren performed.
Rui was preceded in death by her husband, Willie Ruffner; son. Steven Ruffner, brother
John Edwin Steger; and sister Annette Bachelor. Survivors include son, Dixon Ruffner,
daughter-in-law Debbi Ann; brothers, Jerry and J. Elby Steger; sisters Maurine Clark and
Laurine Stevens; grandsons Bret Ruffner, Ryan Ruffner, and Shane Ruffner;
granddaughters Ashley Culbertson and Tera Kump; and seven great-grandchildren.
CONTRIBUTIONS: Memorial Contributions can be made to First United Methodist Church
at 616 Orange Ave, Fort Pierce, FL 34947.
SERVICES: Funeral services will be held at First United Methodist Church, 616 Orange
Ave. Fort Pierce, FL 34947, on Thursday, June 15th at fpm. Arrangements are entrusted
to the care of Yates Funeral Home, Fort Pierce Chapel.
State of Florida, Department of Health, Bureau of Vital Statistics
--' — BURIAL TRANSIT PERMIT
HEALTH DATE PRINTED: June 14, 2017 TRACKING NUMBER: 2017094605
1. DECEDENT INFORMATION
Name of Deceased Date of Death
RUI ESTELLINE MCCAIN June 11, 2017
Place of Death - County City, Town or Location Name of facility, or street address If not a facility
ST LUCIE FORT PIERCE LAW NWOOD REGIONAL MEDICAL CTR
Name and Address of Funeral Home/Direct Disposal Establishment Fla. Le. NoJReg. No. Phone Number
YATES FUNERAL HOME & CREMATORY - FORT PIERCE F048144 F048144 (772) 461-7000
1101 SOUTH US HWY 1
FORT PIERCE, FLORIDA, 34950
Funeral Director/Direct Disposer Fla. Lic. NoJReg. No.
KELLY L. SQUIRES F042477
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-Fo43144-50e8
�'�-- Date Issued: June 11.2017
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
Place of Disposition: SEBASTIAN CEMETERY
Method of Disposition: BURIAL 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
CITY OF SEBASTIA *%ftwmmw&w`�
ADMINISTRATIVE SERVICES RECEIPT
NameYAeS f1 k 1-6n'L mC p ash
Date (all .11-7 yCheck #14365-7
L)
R❑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
�?1J1`f I kik. 'at LLoTa $�
— � Y r Total Paid
Init
Security Dep Held - Amount $ Check #
White - Dept. of Origin - Yellow - Admin. Svcs. - Pink - Applicant
Lb/l.i/L171f 11:4b 111L4b1U4L'7 YAItS 1-UNIINAL HUML
Ar ba5hHJET FAX
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
11
Ph f7723 5B8-2545
SES
MNI ai 4KU/KUNO
For hSformaflon contact:
Kip Kelso - Cemetery Sexton
Saoastian Municipal Cemetery
Ph. (772) 589-2545 / fax : (772) 226-9927
City ClorR's Office
City Hall, 1229 Main Street
&4)ostian, FL 32958
ONfce (772) 388-8219 or 388.13274
FUNERAL HOME:
ADDRESS:
PHONE a:
(C�ek Ona)
._. 17PEN BURIAL LOT
----.OPEN CREMAINS LOT
-- OPEN COLUMEARIUM NICHE
BURIAL DATE AND SERVICE TIME:
Lot a Block I ( Unit _
Lot Block Unit
Niche Block Untt
vV _
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rOR DECEASED:
rvarne
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NAME AND SIGNATURE OF LOT OWNER OR REP NTA7IVE
(Must provide proper dpcumentation of ownership)
Name
Date
I cattily that I have determined the OWnership of the above described Bite tne,t all site fees and
adminlStrative fees have been paid and autharite opening of same
NAME AND SIGNATURE OF LICENSED FUNERAL DIIRECTUR,
NaMe Signature "�'^ Date
Cemetery Sexton Certification: ...............
I certify that I have checked the ownership inforfnatlon by viewing the owner's deed and confirming
with Clerk's off7c, and Ihat oil fees have been paid
3i<�L
Cemet rySext n Dal
This form to be provided to Clerk's Office by Sexton for permanent record upoh comptallon.
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