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Lacios, Athena NI Cemetery Call Work Sheet Date: -71)q- Funeral Home: Monument Company: Contact Name: Ke ,-, Ike e e-w Contact Name: Tel. #: -7,? -7 - L?Lr (, - 3 o .S S Tel. #: Fax #: Fax #: RE: k' t\j C Deceased Name: +K?. FJ ti DOD• 2/ 13 5 DOB: ??- n 4 $ X14-hd! . 1 /?-t-?' S . G? ci- C t J? Owner of Property: T S . gjk S ?0 3 S Block r Lot 3 a Space <)-3 Interment: Full Burial: Urn Space: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) Date of Burial: -7/1 1/,, Time: (a: amffi'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: (No Fee for Staking of Monument) LaCosse, Judith From: King, JoEllyn Sent: Friday, July 15, 2005 9:11 AM To: LaCosse, Judith; Lewis, Eric Cc: Call, Rosemarie; Chase, Susan; Kaushal, Mona; Keenan, Stacy; Vaughan, Karen; Zitouni, Trish; Murphree, Brian; Gracie, Rhonda Subject: RE: Cemetery Staking!!! Follow Up Flag: Follow up Due By: Monday, July 18, 2005 6:30 AM Flag Status: Flagged We will mark out with pink flags by 8:00 AM Monday July 18th- problems I will call you. Thanks for the heads up! Jo Ellyn -----Original Message----- From: LaCosse, Judith Sent: Thursday, July 14, 2005 3:31 PM To: King, JoEllyn; Lewis, Eric Cc: Call, Rosemarie; Chase, Susan; Kaushal, Mona; Keenan, Stacy; Vaughan, Karen; Zitouni, Trish Subject: Cemetery Staking!!! Importance: High Hello, Rhodes Funeral Home has requested a staking for the (FULL) burial of Athena N. Lacios in Block 5, Lot 32, Space 23. The burial is scheduled for Tuesday July 19th at 12:30 pm. Please let me know the color of the flags you will be using to stake the area. Other burials surrounding Block 5, Lot 32, Space 23: To the South - Space 22 - Philip S. Lacios, (Husband of Athena N. Lacios) To the North - Space 24 - Irene S. Binikos To the West - Space 16 - Charles H. Kramer & Space 15 - Ella C. Sawyers Block 5, Lot 33 to the East - Space 6 - Ella Wagner & Space 5 - John Wagner Let me know if you need any other information and thanks for your help. Judith La(.osse StaffA.ssistant Official Records a. Legislative ,Services City of Clearwater 562-4093