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Maggio, EleanorCemeterv Call Work Sheet R,6,0-- s Va t Cb . Date: It 3Sa-- $??- a.13$ Funeral Home/ Monument Company: Moss fe44t 4, v Contact Name: 1?•c.k C?. Qa-,, Tel. #: Fax #: -7 3 Reason for call: F l?.? ?? M w ti- ?c.r.,n ?sw Nov. Deceased Name: ? ?Zwh Vr-4 M Date of Birth: / / ° 9 Date of Death I l / 9 / a- o o Block Lot 5t Space Owner of Plot: ****************************************** * ***************************************************** Interment: (One full burial and one urn, or two urns per space) Full Burial Urn Space Piz $30.00 Staking Fee - received on: °", Date of Burial: ° g_ Time: am/pm ************************************************************************************************** Disinterment: The following authorization should be obtained prior to disinterment: 1.) A disinterment permit and burial/cremation transit permit 2.) Written authorization from the individual(s) who currently own the burial rights for the plot; and 3.) Written authorization from the individual(s) who would be permitted to authorize burial Monument Being Placed: (No Fee for Staking of Monument) R b Li'A s v.-u.Q.t- C. c4-; ?`? w ATTN: Rick Chesler (a)_ Moss Feaster Fax: 727-562-2073 This fax includes a map of the Clearwater Municipal Cemetery. Deceased: Eleanor Maggio Gravesite: Block 16 / Lot 54 / Space 2 Full Space - vacant at present Gravesite has been flagged with orange flags by our Parks and Recreation Dept. Full Burial to take place Saturday, November 21 between 12:00 p.m. & 12:30 p.m. Surrounding gravesites: John Seltzer (space 1) Charles Miller (space 3) Oscar Johnson (space 4) Staking Fee: $30.00 Please make check payable to: City of Clearwater Mail to: City of Clearwater Official Records Dept. 112 S. Osceola Avenue Clearwater, FL 33756 Please contact me with any questions. Thank you, Judith LaCosse Staff Assistant Official Records & Legislative Services 727-562-4093 Y'f- to t0 - OT- el 1 V nn? 32 1 53 1 54 1 5S I S41 1 57 158 31 S2 s! S4 - 37 S6 Sf 40 30 29 20 27 ? 21 2! 22 21 11 12 13 14 IS 18 17 to 19 20 10 9 • 7 6 5 4 3 2 I I11 112 IIS 114 113 IIB 117 118 119 120 110 109 108 107 1 O6 105 104 103 102 101 91 9? 93 94 95 96 97 98 99 100 90 as 88 87 86 65 64 B3 82 81 71 72 73 74 77 78 79 e0 70 6H 68 87 ? 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Date of Birth: Date of Death Block Lot Space a, - rg e l?° 9 • Owner of Plot:`` M4 Interment: (One full burial and one urn, or two urns per space) Full Burial Urn Space $30.00 Staking Fee - received on: Date of Burial: Time: am/pm ************************************************************************************************** Disinterment: The following authorization should be obtained prior to disinterment: 1.) A disinterment permit and burial/cremation transit permit 2.) Written authorization from the individual(s) who currently own the burial rights for the plot; and 3.) Written authorization from the individual(s) who would be permitted to authorize burial 9-re)"' Q t" -n, ke, . Monument Being Placed: (No Fee for Staking of Monument) • ?? ; dw? ? 1?? ? fly. ? a? ? o . 1(- 10 N??1 2? ?rl? ?p X11 ?VIIC l ?L ?Q4 ?/{g Gtr Ir LaCosse, Judith From: LaCosse, Judith Sent: Thursday, June 03, 2010 2:26 PM To: Taylor, Joe; Tokar, Mark Cc: Gilmore, Stephanie; Vaughan, Karen; Sprague, Nicole Subject: RE: Cemetery Staking - Placement of marker Thanks, Joe.] will notify the cemetery lettering company ! Judith From: Taylor, Joe Sent: Thursday, June 03, 2010 1:34 PM To: LaCosse, Judith; Tokar, Mark Cc: Gilmore, Stephanie; Vaughan, Karen; Sprague, Nicole Subject: RE: Cemetery Staking - Placement of marker orange flags. From: LaCosse, Judith Sent: Wednesday, June 02, 2010 3:04 PM To: Taylor, Joe; Tokar, Mark Cc: Gilmore, Stephanie; Vaughan, Karen; Sprague, Nicole Subject: RE: Cemetery Staking - Placement of marker Importance: High Joe, We just received another staking request today for placement of a small marker for the following: Maggio, Eleanor C. - Buried in Block 16, Lot 54, Space 2 in November of 2009. Other burials nearby in Blk 16, Lot 54: Space 1 = John Seltzer - Urn Space 3 = Charles Miller - Urn Space 4 = Oscar Johnson - Full Please flag space 2 and let me know the color of flags so that we could notify Brian Couture's Cemetery Lettering Co. They would like the area flagged by this Friday, June 4tn Thanks again for all your help. ,ludith LaCosse Stuff Asst. Of ficiul Records & Legislative Services , 12 /-56?-4093 rl N N 0 4.r O RS kn O 04 V O ?Q 4-o O w+ H ?c 00 00 a 00 ~O V1 N S W N Or ?i 0000 O o0 00 a O N O? O W Fr O N N O 01 O? 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