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Fi�....Y.»L• . , t . . �`ar-- �t�..�. .i+ j '+ � + .l' N am e �e d 1l�.� �- � � ✓ � X /� � /�+P � Unit + Block Lot Date of Mark-out �� / �� Date of Burial � /� � � Time �fl� � / , Name of Funeral Home ��K u N�5 Authorized by � l ` � ` . N �� � r S � C °. � 0 m' 0 • < � � T �' e�, • � � y 0 � � � � r' d ^ a � � � � � � 0 0 0 A W � U °' $ o o ° ° �+ v, � ° o eCi � o ° o o p o � � A --` A 1V N O O �,�j � c0 � � O � � 0 O � � tnp f o � T r n t�D � � � � � c�i m � m � ' $ �' � -� m m o `cn � c: d x N /�i � O �(p �4�i �O n (IS fD (�� 7 W N y � c � � ❑ L � c� � � I n H � S a 3 O� 0 � � c: U 2 A I� n � � � � n � r � , m�o � m�m -'+Oy T y T s mz � � � w 1:3:7:\�1�7��'1�1�\�I[�:I�:Z•y:�1�I�:7-1 Mrs. Brande Lynn Vickers Rivera, 36, died July 26, 2012 at VNA Hospice House in Vero Beach. Brande was born February 19, 1976 in Vero Beach and had been a lifetime resident of Indian River County. Earlier this year she earned a Masters Degree of Science from Christine E. Lynn College of Nursing Florida Atlantic University and was a member of the Sigma Theta Tau Honor Society which recently honored her with the Scholar Award. Brande was the Education Coordinator for the Medical Surgical Division at The Indian River Medical Center and was scheduled to take the Nurse Practitioner's exam on July 27, 2012. She attended the St. Sebastian Catholic Church in Sebastian. Survivors include her husband, Eulalio Rivera, Jr. of Sebastian; parents Rebecca and Jim Harris of Sebastian; brother Stephen Lee Vickers, Jr., of Sebastian; step-sister Ranee Harris of Sebastian and grandfather Jack K. Vickers of Johnson City, TN. Brande was preceded in death by her father, Stephen Lee Vickers. FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY cmn HOME OF Pfl1CAN KLATU Fot information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Offrce City Hall, 1225 Main Street Se6astian, FL 32958 Office (772) 388-8215 or 388-8214 Fax_ (772) 589-5570 FUNERAL HOME: Strunk Funeral Hames � Crematory ADDRESS: 916 17th Street _ Vero Beach . FL 32960 PHONE #: 772/562-2325 (Check One) XX OPEN BURIAL LOT Lot 31 Block 8 Unit 1 OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM N1CHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: Thursday, August 2, 2012 - 11 :00 AM FOR DECEASED: Brande Lynn Rivera Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Stephen Lee Vickers S� � �� 7/30/2012 Name Si nature 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 F RAL DIRE R: Glenn Strunk 7 /30 /2012 Name .�'� Signature Date Cemet�ry Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and th t all fees have been paid: 7 �`° / Z ' Cem ery S xt n Date This form to be provided to Clerk's Office by Sexton for permanent record upon cornpletion. L/� ( <� _ � "y FLORti�.�DFI'AgC6iE�i4E: �� State of Florida, Department of Health, Bureau of Vital Statistics ����T BURIAL TRANSIT PERMIT DATE PRINTED: July 31, 2012 TRACKING NUMBER: 2012102392 1. DECEDENT INFORMATION Name of Deceased Date of Death BRANDE LYNN RIVERA July 26, 2012 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE Name and Address of Funeral HomelDirect Disposal Establishment Fla. Lic. No./Reg. No. Phone Number STRUNK FUNERAL HOME AND CREMATORY- VERO BEACH F041804 F041804 (77�) 562-2325 916 17TH ST VERO BEACH, FLORIDA, 32960 Funeral Director/Direct Disposer Fla. Lic. No./Reg. No. GLENN STRUNK F042972 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: 2012-F041804-5073 _ G/ � r� Date Issued: Juiy 27, 2ot 2 ci, t J 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 Method of Dispositio . BURIAL Date of Disposition: S '�,. - /`i ' Signa re of sex n•or person-in-ch ge (or by the funeral director/direct disposer when there is no sexton) DH 326E, 1/11 64V-1.011, Florida Administrative Code