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To: Kay O'Halloran (City Clerk)
From: Kip G. Kelso jr. (Sexton) •
Date; 9/11 /91
Re; Burial of Forace G. Hamrick
MS. O'Halloran:
As you requested, these were the people present at the service
of mr. Hamrick,
( 1 . ) David Hincemon (Strunk Funeral Home. )
(2. ) Esau (grave digger inter-line vault . )
(3 . ) Fred ( " 11 '' '' "" 90 . )
(4 . ) Kip G. Kelso jr. (Sexton)
Your staff who works with the Cemetery has all the proper paper
work on this project.
Thank You
Kip G. Kelso jr.
(Sexton)
se
4 ES 3
City of Sebastian
POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 ❑ FAX (407) 589-5570
M E M 0
TO: Dan Eckis, Director of Public Works ,/
FROM: Kip Kelso, Cemetery Sexton 4.4 Cc/1\v
SUBJECT: Disinterment and Reinterment of Doc Hamrick i � Zr
DATE: September 5, 1991
On August 21, 1991 Mr. Greg Judah was buried in his family plot.
Prior to this his mother who owns these lots came in and said that
there is someone buried in one of her ( 10) ten lots. This person
is Hamrick, he was buried in 1970. What we have to do is move
this person to another lot. I had a talk with the City Clerk on
this matter and she wants a requisition because we have to get a Vault
Company to do this. I found out it will cost $450.00 to complete
this project. Please see examples attached.
If you have any questions you would like to discuss with me let
me know.
Thank you.
KK: lml
attachments
61y k,/,9&
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STATE OF FLORIDA IT:- .V
DEPARTMENT HEALTH & REHABILITATIVEORVICES � 1r
VITAL STATISTICS �7,, -/- /-,., ,,
APPLICATION FOR PERMIT TO DISINTER, TRANSPORT & REINTER
A. Application is hereby made for a permit to DISINTER, TRANSPORT &
1 REINTER the following human remains: (Type or Print)
1. Name First Middle Last Date Month Day Year
of of
Deceased GRACE GRADY HAMRICK Death OCTOBER 4, 1970
2. Place County City, Town or Location Age Race Sex
of INDIAN RIVER SEBASTIAN 70 WHITE MALE
Death
3. Place of Cemetery Address
Original SEBASTIAN CEMETERY SEBASTIAN, FLORIDA
Burial
4. Place Cemetery Address
of SEBASTIAN SEBASTIAN, FLORIDA
Reinterment
5a. Funeral Director/ Name Address
Direct Disposer STRUNK FUNERAL HOME
p DAVID HINCEMON
Disinterring 1623 N. CENTRAL AVE. , SEBASTIAN, FLA. 32958
5b. Funeral Director/ Name Address
Direct Disposer DAVID HINCEMON STRUNK FUNERAL HOME
Reinterring ,/ 1623 N. CENTRAL AVENUE, SEBASTIAN, FLA. 32958
6 . Funeral Director/ Sig a la.Lic.No. /Reg.No. Date Signed
Direct Disposer
Making Application 6(----// - 2- z� SEPT.9,1991
I
PERMIT TO DISINTER, TRANSPORT & REINTER
B. Permission is hereby granted to DISINTER, TRANSPORT & REINTER the
above human remains: NO PERMIT # NECESSARY DUE DISINTER & REINTER IN SAME CEMETERY
PER JOAN LEWIS,REGISTRAR Permit No.
Registrar or Sub-Registrar
Signature Date Issued
C. Endorsement of Cemetery Agent
For
Disinterment: Date: 9/11/91 Cemetery SEBASTIAN CEMETERY
Agent
For
Reinterment: Date: 9/11/91 Cemetery SEBASTIAN CEMETERY
Agent:
This Permit must be surrendered by the Funeral Director/Direct Disposer to
the Cemetery Agent where reinterment is made. The Cemetery Agent (or
Funeral Director/Direct Disposer if there is no sexton) must forward this
Permit within 10 days to the local County Health Department in the County
li
where reinterment occurred.
HRS Form 431, OCT 91 (replaces previous editions and HRS Form-7-5:orm 757)