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Gavin, Marjorie Cemetery Call Work Sheet Date: 'I?) - 1 -L < Funeral Home: V'?1Cf Monument Company: Contact Name: ?` ?{{c ??t ;_ N A- Contact Name: Tel. #: C- \?-- \ (s - ?) 7 ? Tel. #: Fax #• c - .;??'? ?? Fax #: RE: (Yl?-fl C?? i C i L?; U C,c??,' `? r1 r?S? X -t" f7 U,r Ax . Deceased Name: tic 6 Cw \ n DOD: -,?- -T DOB: Owner of Property: C.- Block Lot Space CDC 1I `4 Interment: Full Burial: Urn Space: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) Date of Burial: Time: am/ 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) `Clearwater TO: City of Clearwater, Florida Official Records & Legislative Services Department Phone (727) 562-4090 Fax (727) 562-4086 FAX MESSAGE Cliff Stewart LOCATION: Moss Feaster Funeral Home FAX NO.: 562-2916 COMMENTS: Map w/ location of Blk 14, Lot 44, Sp 00 for Marjorie Gavin. FROM: Stacy Keenan, (727-562-4097) DATE: August 16, 2005 NUMBER OF PAGES THIS MESSAGE (INCLUDING THIS PAGE): 3 31 32 33 34 - 37 33 39 4Q; 30 29 .28 27 24 23 22 21 II 12 13 14 IS 16 17 18 19. 120.1 10 9 8 7 6 5 4 3 2 1- I I 111 112 113 114 115 116 117 116 119 120 110 11091108110711061105 104 103 102 101 91 92 93 94 9S 96 97 98 99 100 90 89 88 87 86 6S 84 83 82 81 71 72 73 .74 77 7: 179 80 X70 69 68 6? 64165 3 62 61 51 52 53 54 5S 56 57 58 .59 60 50 49 48 47 46 45 44 43 42 41 31 32 33 34 33 36 40 30 29 28 27 24 26 25 M 23 21 11 12 13 14 IS 16 17 18' 19 20 10 9 8 7 6 S 4 3 2 I 26 . 27 1 2b 149 30 31 .32 33 ,341 95 :24 9 2 21. 20. 19 10 17 28 29 30 3,1 32 33 !4 35 33 7 26 25 24 xl 20 19 10 II 12 13 16, 17 18 9 8. 7, 6 3 L 3 2 1 96 73 72 49 48 25 24 9B 93 74 71 50 47 28 23 2 99 94 75 70 S! 46 27 22 3- 11.001 93 76 66 52 45 28 21 4 101 92 "/7 68 G 1 29 20 5 102 91 78 67 30 19 6 103 90 79 66 55 142.131 18 7 104 89 60 166.156 41 44 17 0. 1 105 88 81 64 57 40 #3 16 9. 106 07 82 63 58 39 34 IS 10 107 86 83 62 59 1 3a 1 35 14 II BS 84 61 60 37 36 13 1567-1 068 15691570 15711572 1573 574 5T5 5711 366 365 S64 583 562 361 360 359 358 337 $47 540 549 550 553 554 555 556 15401 5411 5421 5431 540 539 538 537 527 ¢28 529 530 531 532 533 334 535 536 526 325 524 523 522 521 520 519 518 517 307 508 509 510 511 512 513 r? 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OF P4?? QV4 PUBLIC WORKS ADMINISTRATION September 12, 2005 CITY OF C LEARWATE R POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 TELEPHONE (727) 562-4750 FAX (727) 562-4755 Mr. James H. Gavin 10723 Willow Creek Dr. Fort Wayne, In. 46845 RE: Check #107 (Staking Fee???) Dear Mr. Gavin: I am returning herewith the referenced check you made payable to the City of Clearwater on August 8, 2005. The check found its way to my desk; but I have no idea to which department it should be forwarded. I have been unsuccessful in contacting you by telephone. Please check any notification you may have received and direct the check specifically to that individual or department. I may be contacted at (727) 562- 4754 if you have any additional questions. Sincerely, SEP 27' . 7 Earl Barrett 111scul, ` Real Estate Services Manager =?ISLATS??r,• ,. ; /* Svl °ss/t?/ ? ?'i1? ?fE"C,?I? P/1?1' `?.?'s / j??7-441 ? /S4/ -sS?/?r?/"r AIM, I4ISARn, MAW (•? BILL JONSON, VICE-MAYOR JOIN I)ORAN, COUNCHIENIBF:R HOYT HAMILTON, COUNCILMEMBER ® CARLEN A. PFTERSEN, COUNCIINE.MBER "EQUAL EMPLOYMENT AND AFFIRMATNI: ACrION EMPLOYER" X60-? 9? ? 8s'8