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OFFICIAL RECORDS AND
LEGISLATIVE SERVICES
CITY OF CLEARWATER
POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748
CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4090 FAx (727) 562-4086
June 15, 2004
Sarah G. Watson
801 Chestnut St.
Apt. 1203
Clearwater, FL 33756
Dear Ms. Watson:
Per our telephone conversation, we have cancelled your request to purchase an
urn space. You mentioned that you already had made other arrangements to
have your ashes scattered on the sea.
Your check in the amount of $144.19 is being returned to you.
I wish you a long and healthy life.
Sincerely,
dith LaCosse
Staff Assistant
Official Records & Legislative Services
Attachment
BRIAN J. AUNGST, MAYOR-COMMISSIONER
HO17 HAMll.TON, VICE MAYOR-COMMISSIONER WHITNEY GRAY, CO.MnllSS1ONFR
FRANK HIBB,4RD, COMMISSIONER 9 BILL f ONSON, COM.tiuSSIONER
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLMTR"
SARAH G. WATSON OR Snake River
PAULINE G. DESIMONE 1 057
801 CHESTNUT ST. APT. 1203
CLEARWATER, FL 337565655 63-271631 FL
D,It D ?C 1357
Pay totlte it U
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I Bank of America. AC1lwroe31OW777 Bank of America Advantage-
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Cemetery Call Work Sheet
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Funeral Home: Monument Company:
Contact Name: Sa? s?ru Contact Name:
Tel. #: q ? q - y Tel. #:
Fax #:
Fax #:
RE: 'tia ll s 4-° k,&- q +",s , tip L c e a ut? &R, a,t
Deceased Name: DOD: DOB:
Owner of Property:
Block Lot Space
Interment: Full Burial: Urn Space:
($30.00 Staking Fee) - (One full burial and one urn, or two urns)
Date of Burial: Time: am/pm
Disinterment:
The following authorization should be obtained prior to disinterment:
l.) 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)
S:/Jlacosse/Cemetery Call Work Sheet.doc 6/8/04
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