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Pearman, Virginia. . a,. • Cemetery Call Work Sheet Date: 01 Funeral Home/ Monument Company: -?o L'a Contact Name: I Tel. #: q L? 6 - 30 55' • F- I \_ ?7'r?1•? - ? ?tr e ?n r ?a Fax #: 9 3 Reason for call: ?eVIt A.^?A- Deceased Name: ?i??- ?-?-4- {? ???? Date of Birth: ° 3 / (? 14- Date of Death ° i / I 1 Block I`t Lot a-l3 Space 00 Owner of Plot: RJilh ?? ???h - I-f s?a??? - ??of a? I ?- ?y?v . a?? 1? 7 1 Interment: (One full burial and one urn, or two urns per space) Full Burial ? Urn Space P { # 5 $30.00 Stakin5 Fee - received on: l a6 / a y F-r 1 u-? Date of Burial: ° a3 / ?a °? Time: /a O° arr m 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: C?al v6 (No Fee for Staking of Monument) C' 0 r c?.cQ R 6 0.?1 ATTN: Dow (a)- Rhodes Funeral Home C???? i L -33-) 9 0a 4,?? -3o SS Fax: 727-443-2.053 This fax includes a map of the Clearwater Municipal Cemetery. Deceased: Virginia Pearman Gravesite: Block 14 / Lot 213 / Space 00 Full Burial Space - vacant at present Gravesite has been Staked with orange flags by our Parks and Recreation Dept. Full Burial to take place Friday, January 23rd at 12:00 p.m. Surrounding gravesites: Ralph Pearman (Lot 211) 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 31 32. 3S 34 37 38 39 {O 30 29 26 27 24 23 22 21 rig 12 13 N 13 16 IT 1s ' Is 20 10 9 e 7 6 S 4 3 2 1 26 27 26 29 30 31 32 33 34 35 !a 37 '3e 12 U 10 9 25 24 23 22 21 20 19 16 17 16 15 14`13 - 29 29 30 it S2 33 S4 1S !6. 27 26 25.. 24 21- 20 19 10 11 It 13 - I8 11 le 9 0 7 6 54 3 2 1- 6 7 6 5 4 3 2 1 24 23 22 19 to 17 -9 10 JI 14 13 16 • 7 6 5 4 3 2 1 111 112 113 114 115 118 117 118 119 120 NO 109 108 .107 106 103 1104 1103 102 101 96 T3 T2 49 48. 25 24 ` 73 72 49 46 2S 24 96. 95 74 71 50 47.1 26 23 2 95 74 71 50 47 26 23 2 91 92. 93 - 94 45 96 97 -96 89 100 - - 4 75 70 51 46 27 2Y S 94 75 70 5F. 46 27 22 3 90 69 ee 187 186 1 !5 184 185 62 61 9f 9 . 100 93 T6 69 82 45' 28 21 4 93 176 69 152! 145 20 21 4 _j 71 72 73 74 77 J 70 T9 e0 - I 70 69 1141 67 ! 64 63 62 61 101 92 77 6a 29 20 5 92 77. 66 49 20 a - 102 91 75 6T 30 19 6 91 78 67 30 I! 6 SI 52 53 S4 1551 156 157 58 59 60 • . 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I I S?ce.,l 3 i- IJ 377 249 121 112 1 487 359 231 2 379 251 123 110 485 357 229 4 381 253 125 108 483 355 227 6 - 383 255 127 106 481 353 225 8 385 257 129 104 479 351 223 10 387 259 131 102 477 349 221 12 389 261 133 100 4 75 347 219 14 391 263 155 98 473 345 217 16 393 265 137 96 471 343 215 / 18 395 267 139 1 94 469 341 213 20 397 269 141 92 467 339 211 22 399 271 143 90 465 337 209 24 401 273 145 88 463 335 207 26 403 2 75 147 86 461 333 205 28 405 277 149 84 459 331 203 30 407 279 1 51 82 457 329 201 32 409 281 153 80 455 327 199 34 411 283 155 78 453 325 197 36 413 285 157 76 451 323 195 38 415 287 159 74 449 321 193 40 417 289 161 72 447 319 191 42 419 291 163 70 445 317 189 44 421 293 165 68 443 315 187 46 423 295 167 66 W Z) Z `W a w F- {.L ?S G LaCosse, Judith From: LaCosse, Judith Sent: Wednesday, January 21, 2009 2:06 PM To: Taylor, Joe Cc: Gilmore, Stephanie Subject: RE: Cemetery Staking!! Thanks, Joe...I called Dow at Rhodes Funeral Home and let her know. I also mentioned that they had to be careful with the full burial since the space is a little tight. Judith LaCosse Staff Assistant Official Records £s' Legislative Services City of Clearwater Phone: 727-562-4093 -----Original Message----- From: Taylor, Joe Sent: Wednesday, January 21, 2009 1:51 PM To: LaCosse, Judith Cc: Frith, Renee; Gilmore, Stephanie; Tokar, Mark Subject: RE: Cemetery Staking II I used orange flags. -----Original Message----- From: LaCosse, Judith Sent: Tuesday, January 20, 2009 2:41 PM To: Taylor, Joe Cc: Frith, Renee; Lewis, Eric; Gilmore, Stephanie Subject: Cemetery Staking H Joe, We received a call today from Dow at Rhodes Funeral Home regarding an interment (Full Burial) at the Clearwater Municipal Cemetery. Please stake Block 14, Lot 213, Space 00. The deceased person's name is Virginia Pearman who passed away yesterday January 19th. Ralph Pearman, her husband is buried in Block 14, Lot 211, Space 00. He's listed as the owner of both lots. The funeral home would like to have the interment on Friday, January 23rd at 12:00 PM. Again, this is for a full burial. Please advise if this staking would be possible for the burial on Friday, January 23rd and let me know the color of the flags you will be using as soon as possible so I could advise the funeral home. Thanks for your help. Sincerely, Judith LaCosse Staff Assistant Official Records & Legislative Services Cihj q f Clearwater Phone: 727-562-4093 I CLEARWATER CARETAKER CLEARWATER. FL BURIAL PERMIT Permission is hereby granted for burial of: Name of Deceased: VIRGINIA PEARMAN PERMIT # 2595 January 26, 2009 Burial Type: FULL Owner of Property: RALPH W PEARMAN & CONVERTED #214,139,140 Block : 14 Lot: 213 Space: 00 Date of Birth: February 3, 1916 Date of Death: January 19, 2009 Date of Burial: January 23, 2009 Funeral Home Director: BOB GRANT - RHODES FUNERAL / 446-3055 Time: 12:00 Staking Fee: 30.00 Date Paid: January 26, 2009 Clearwater Cemetery By ? / M ch ?4oa CEI I ii j ? Ul 41 i ?I -7 ?I O O O O? r u rH ... .C 8 rO O ril ^ =p?? III ?mM ? f p .18 ru rm W6m C N O Q ? I I