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HomeMy WebLinkAbout1-B-22GENE A.TUMBLIN April 5, 1930 - September 7, 2014 Mr. Gene A. Tumblin, 84, died September 7, 2014 at Vitas Hospice at Courtenay Springs in Merritt Island. He was born in Moultrie, Florida and lived in Palm Bay coming from Titusville, FL in 2004. Gene was a retired US Army veteran. He was a member of First Baptist Church of Fellsmere, Feilsmere, FL where he was active as a Deacon. Survivors include his wife Inez Tumblin of Palm Bay, FL; stepson, Bobby Stone of Fort Pierce, FL; stepdaughters, Glenda Bortel of Vero Beach, FL and Karen Stone of Palm Bay, FL; 10 grandchildren; 21 great grandchildren; brother, Cecil Tumblin of Pace, FL. He was preceded in death by his son, Gary Stone; brothers, Jerome B. Tumblin and William D. Tumlin Jr.; sister, Mary (Dot) Fredell. CITY OF SEBASTIAN CITY CLERK'S OFFICE 4918 RECEIPT Name. ru 11 ),LZ ro L) i 1 n ❑ Cash Date q- 1 cam' X Check# No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Did Specs. 001501 341910 LDCICode of Ordinances 001501 341930 Election Qualifying Fees 801010 343800 Cemetery Lots Lot/Niche ?-2- Block Unit i 001501 343805 Cemetery Feesl� ,�j � C) r 9—" Total Paid Initials White - Dept. at Origin • Yellow - Finance • Pink • Applicant State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: September 9, 2014 TRACKING NUMBER: 2 01 41 30046 1. DECEDENT INFORMATION Name of Deceased Date of Death GENE A TUMBLIN September 7, 2014 Place of Death - County City, Town or Location Name of facility, or street address if not a facility BREVARD MERRITT ISLAND VITAS HOSPICE @ COURTENAY SPRINGS Name and Address of Funeral HomeiDirect 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: 2014,170418711-1137 Date Issued: September 8, 2014 4. ter, 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 E 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, 10112 64V- 1.011, Florida Administrative Code 04/22/2015 #4380 P. 001/001 10:42 ..—b C.Ya a av: ..wrin rir L 15t1JET PAX • n� • w t� Clip of Sebbautu i 1chs11ialr('r1ltrJery P .It )721 Atp, 270 Co.II 14•17:1 l)a-u027 Vult : This II tar It+fornIRtl0n41 putpoaan trjaIr:l ni Poonwpwak vi 1ciiv+ilan C•vnn•icrt `ure: 'ITh It for tilogic 1forkeirr under 7 fi..\ r.rrr 1ft(,n'rr)(I.I%a pnur-LJ fnumho ion° ) Mru►c tctura Iv ; city al SabaiiJa,t ticbactlan l'cntettry I911 !North('rntra;Abc, You tall A1i.ni In+ur{•d ]295„1 Eiy ,-rbAlhl- �I1elNltrh ( p I'cn'rIcry Scatnn date 5/9.o//�_ • srze _ na_.1 IH {a e VP2-0 1 -o xd ' a Imo- tt ' Mame$ DJflo : N/8 Gene. (Lmk (% ' Nit : 0.0.8. I-130 I3.o,11. ,.. 1717(517-2.5 Legal Desorlpltfon . ( aVT Link : I NiAg_tcv. 4//t°6// Squat*Pt . �""-- r Jay p "T"~-- ApproveChrcioctay : 4� Example ; STRUNK FUNERAL HOME o.Contra&CREMATORY 1623 SEBASTIAN, Fl.32951 (772)589.1000 .