Guzior, Lydia M
Cemetery Call Work Sheet
Date:
Funeral Home: ?-Ieix J R-.4T hte tv -8" Monument Company:
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Contact Name: Lid he Ke e Contact Name:
Tel. #: a U- 09&'-L- Tel. #: -?a 7 - "7.3 3 - a-3 b o
Fax #:
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Fax #:
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Deceased Name:
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DOD: DOB:
Owner of Property: be-4c'- Me?'S-t?
Block 15 Lot 108 Space --*3?
Interment: Full Burial:
($30.00 Staking Fee) - (One full burial and one urn, or two urns)
Date of Burial:
Disinterment:
Time: am/pm
Urn Space:
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) ?y
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S:/Jlacosse/Cemetery Call Work Sheet.doc 6/8/04
LaCosse, Judith
From: King, JoEllyn
Sent: Friday, June 18, 2004 7:14 AM
To: LaCosse, Judith
Cc: Murphree, Brian; Norman, Lois; Gracie, Rhonda
Subject: RE: Staking
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-----Original Message-----
From: LaCosse, Judith
Sent: Thursday, June 17, 2004 1:26 PM
To: King, JoEllyn
Cc: Murphree, Brian; Norman, Lois
Subject: Staking
Hi JoEllyn,
I got a telephone call today from Lawrence Guzior. He would like to have a marker installed tomorrow at his mom's
gravesite by Clearwater Funeral Home Eternal Rest Memory Park.
If it's not too late please stake Block 15, Lot 108, Space 3. The deceased person's name is Lydia M. Guzior who has
cremated and buried with her mom, Erasma Marta at foot of grave.
The owner's name is Delia Mendez.
Other burials nearby Block 15, Lot 108:
Space 4 - William Stoll V - (DOD 8/4/01)
Space 1 - Marta Martin - (DOD 3/17/92)
Space 2 - (No one buried there)
If it's not too late to have this staking done for tomorrow please let me know the color of the flags you will be using. If
It's too short of a notice please let me know and I will let Mr. Guzior know.
Thanks,
I appreciate it.
Judith
x4093
ORLS
UK;osse, Judith
From: LaCosse, Judith
Sent: Thursday, June 17, 2004 1:26 PM
To: King, JoEllyn
Cc: Murphree, Brian; Norman, Lois
Subject: Staking
Hi JoEllyn,
I got a telephone call today from Lawrence Guzior. He would like to have a marker installed tomorrow at his mom's
gravesite by Clearwater Funeral Home Eternal Rest Memory Park.
If it's not too late please stake Block 15, Lot 108, Space 3. The deceased person's name is Lydia M. Guzior who*eelt
cremated and buried with her mom, Erasma Marta at foot of grave.
The owner's name is Delia Mendez.
Other burials nearby Block 15, Lot 108:
Space 4 - William Stoll V - (DOD 8/4/01)
Space 1 - Marta Martin - (DOD 3/17/92)
Space 2 - (No one buried there)
If it's not too late to have this staking done for tomorrow please let me know the color of the flags you will be using. If It's
too short of a notice please let me know and I will let Mr. Guzior know.
Thanks,
I appreciate it.
Judith
x4093
ORLS
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