HomeMy WebLinkAbout4-02-22Name
Unit
Block
Lot (g'
Date of Mark -out
Date of Burial—T "T' Time awovp° l`
e, Pee-
Name of Funeral Home✓ ^"
Authorized by
PATRICIA OCH
Patricia Och, 71, of Sebastian! FL passed away peacefully with family
at her side on February 15, 2014, after a courageous, 7 year battle
with multiple system atrophy. Born February 20, 1942 in Braddock,
PA, she graduated from Scott High School in 1960, studied music at
Duquesne University, and studied for the Vincentian Sisters of Charity
at La Roche College.
A church organist from the age of 13, she directed the choir from 1980
through 1997 at her home parish of St. John the Evangelists in
Latrobe, PA. She later played at St. Sebastian in Sebastian, FL, where
she lived from 1997 until present.
Patti was a selfless, compassionate person who without fail, gave of
herself, putting the needs of others ahead of her own. Among her
many interests were music, animals, hiking, drawing, and traveling,
she took great joy sharing in these and all the gifts of God's creation
with those around her. Above all, she devoted her life to God and her
family. She will be missed immeasurably by all of us whose lives she
touched.
She was preceded in death by her father and mother, Paul & Ann
Serbak.
She is survived by her husband of 45 years, Rich of Sebastian, FL;
sons, Duane of Houston, Shawn & Keith of West Palm Beach;
grandsons, Nathan & Jeremy and brother, Paul.
Certificate No. 2411
CITY OF DEB- 3AST1I `= 1
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Richard Och
381 Fleming Street
Sebastian, FL 32958
In and for consideration of the sum of $2,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lots:
Unit 4, Block 2, Lots 21 & 22
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 18th day of February, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
Interim City Manager
ATTEST:
Sally,A. Maio, MMC
City Clerk
!C!4 State of Florida, Department of Health, Bureau of Vital Statistics
HEA BURIAL TRANSIT PERMIT
DATE PRINTED: February 18, 2014 TRACKING NUMBER: 2014024747
1. DECEDENT INFORMATION
Name of Deceased Date of Death
PATRICIA S OCH February 15, 2014
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER SEBASTIAN SEBASTIAN RIVER MEDICAL 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. /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: 2014- FO41870 -5028
t Date Issued: February 17, 2014
�c J
Meade Grigg, 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 k
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 SEBASTIAN
CITY CLERK'S OFFICE 4848
RECEIPT
Namea„)1 1 Unk oCk
^
�
Date o _ / q- q
No.
001001208001
001501 322900
001501341920
001501 341910
001501 341930
601010 343800
001501343805
❑ Cash
Check#
Amount Paid
Sales Tax
Garage Sales
Copies /Bid Specs.
LDCICode of Ordinances
Election Qualifying Fees
Cemetery Lots
Lot/Niche , Block , Unit _
Cemetery Fees
o C
%IMM
Alw�� �j
Total Paid ( /.✓0 • ®6
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
FUNERAL HOME
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
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
Strunk Funeral Home and Crematory
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE #: 772- 589 -1000
(Check One)
X OPEN BURIAL LOT
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
Lot 22 Block 2 Unit 4
Lot Block Unit
Niche Block Unit
N S E W
BURIAL DATE AND SERVICE TIME: wed., 02/19/2014 —10 AM Church service
FOR DECEASED: Patricia S. Och
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
st provide proper documentation of ownership)
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.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
Tim Marvin
�— kn)WLII M ILA 1
Name Signature
�
i8 /j4
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:
C me ry SVtoV Date/
This form to be provided to Cl s Office by Sexton for permanent record upon completion.
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4845
RECEIPT
Name �� L1 ❑ Cash
Date 2 ❑ Check #
No.
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies /Bid Specs.
001501 341910
LDCICode of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots 2J -)G0 4' c)
{�
Lot/Niche 1G 2, Block _ , Unit I
001501 343805
Cemetery Fees
(1`' r -�'✓`2 Total Paid'' f �
Initials
White - Dept. of Origin • Yellow - Finance • Pink . Applicant