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HomeMy WebLinkAbout4-05-32Cl'fYOF ,. ,v�•- . . HOME OF PEUCAN ISLAND . Certificate No. 2328 ��� �� �������� : Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Rinda .7. Tuck 941 Franciscan Avenue 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 5, Lots 31 & 32 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 2�d day Of Aprll� 2012. CITY OF SEBASTIAN, FLORIDA ATTEST: � � �'_----` _ AI Minner City Manager ally A Maio, MMC ity Clerk FLO,�^DEP^KT"'ENT°F State of Florida, Department of Health, Vital Statistics HEALT APPUCATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day �eceased Ronald Bruce Tuck °f March 26, 2012 Deatn 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. er Indian River Medical Center Indian River Vero Beach inst. Year 3. Name of Medical Address Phone Number Certifier Melissa Dean M.D. 1345 36th Street, Suite B Vero Beach, Florida 32960 �772� 567-1500 Medical Examiner hysician 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code� Estabfishment Strunk Funeral Home 1623 North Central Avenue Sebastian, F041870 (772) 589-1000 and Crematory Florida 32958 5. Check a. � The medical certification has been completed and signed. A completed certificate cf death accompanies this Appropriate applic ' n. Box a�l � j �l ,� �I � ( (J�� � b��--, �,. �__. was contacted on He/she verified that this� �I/ [as�rom natural causes, that there was no accident nor other external cause of death, and that (� will complete and sign the medica! �ort�f�at�nn �f r.ause of death within 72 hours. c. ❑ was contacted on Helshe uerified ihat . Medical Examiner, wiil complete and sign the ... ..- . — -r �__.�....:.�.:.. �� �,,,,.� B �URIAL - TRANSIT PERMiT Permission is hereby granted to dispose of this body. Permit No. 1228-12-151 �'�1 five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician ha� been contacted by the funeral director and will not be able to complete the medicai certification of cause-of-death section of the death certiiicate wiYhin 72 hours. � No extension of time fo i ing death certificate has been requested. f2e�istrar or �� Y� Date Date Certificate Subregistrar Signature Issued: 3/26/2012 Due: 3/31/2012 c. � Approval Number: AUTHORIZATIO�! for CREMATION, DISSECTION, or BURIAL-AT-SEA Date Medical Examiner, , gave authorization by teiephone to Funeral Director/Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. Method of Disposition: �BURIAL ❑CREMATION Signature of Sexton or Person-in-Charge � STORAGE �OTHER (Specify) � CEMETERY OR CREMATORY I Place of Disposition Sebastiar� Cemetery Date of Disposition Tuesday, April ' 3, 2012 I - �� u,�,. ,.,..,,...._ This permit must be endorsed by the Sexton or person-in-char e or y e unera irec or within 10 days to the local County Health Department in the county where disposition occurred. Dishibution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer DH 326, 8/97 (Obsoletes all previous editions) Pink: Local Registrar (Stock Number: 5740-000-0326-2) RONALD "RON" BRUCE TUCK Born: February 24, 1936 - Palmersville, TN Passed Away: March 27, 2012 - Vero Beach, FL Mr. Ronald °Ron" Bruce Tuck, 67, died March 26, 2012 at Indian River Medical Center, Vero Beach. He was born in Palmersville, Tennessee and lived in Sebastian for 25 years coming from West Melbourne, Florida. He was a fourth, fifth and sixth grade teacher in Beardstown, IL for six years and Sebastian, FL for 3 years; he was a Citrus Manager for Sun-Ag, Inc in Fellsmere, FL for 28 years and a Draftsman for Green Brothers Construction, Sebastian, FL for 6 years. Survivors include his wife of 43 years, Rinda J. Tuck of Sebastian; son, Russell R. Tuck and his wife, Pauline of Vero Beach; daughter, Robyn L. Tuck of Vero Beach; sisters, Barbara Simons and her husband, )ack of Belle, MO, Brenda Green and her husband, Bill of Vero Beach; father-in-law, Willard Monroe Murrie; nephews, Allen Green and his wife, Tammy, Bruce Green and his wife, ]ulie, Mike Simons and his wife, Heather, Mark Simons and his wife, Lori, James Simons and his wife, Emily, Daniel Simons, Michael Money and his wife, Paula, Daniel Money and his wife, Jennifer, Adam Waddell and his wife, Karen; nieces, Jackie Monahan and her husband, Kevin of Columbus, MO, Becky Fortner and her husband, Kevin, Joy Burris and her husband, )eremy, Molly Matthews and her husband, John; sister-in-laws, Carol Money and her husband, Mike, Alisa Waddell and her husband, Keith; grandchildren, Jason and Jeremiah, Chase and Colby. Name-,�Gt�/s �� ts�/�' I IC �� �/'�/�. 5 Unit Block .,,J� Lot J � Date of Mark-out J� ���i � - "1 / / �i� • Ti m e . 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