Moravec, Shirley Coachmanrip
Cemetery Call Work Sheet
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Date: 3 / 3 / ac) 11
Funeral Home/ Monument Company: Moss feat",-
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Contact Name:
Tel. #
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Fax #:
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Deceased Name: `7Oup? 4)66
Date of Birth: Date of Death
Block a Lot "7 Space 3
Owner of Plot:
Interment: (One full burial and one urn, or two urns per space)
Full Burial
Urn Space
$30.00 Staking Fee - received on: / /
Date of Burial: Time: am/pm
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)
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0319312011 10:50 7275622043 MOSS FEASTER PAGE 01/03
Dignity
moss. Teaser Tuneraf7fom" and C*matzan Sem*a
1320 Main Street
Ouned- TL 34695
Phone (727) 562-2040
Fax (727) 562-2043
YnNik,mossfeasterdunedin.com
FACSIMILE TRANSMITTAL COVER RAGE
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IMPORTANT-CONFIDENTIAL INFs5WAWqyvouvo This message is Intended only for the use of enttty In which It Is addressed and may tontain o that is privy ed, cpWenttal aA
exempt from d"?losure under applicable law. Any other (Is ibuton Is stA,-tly prohibited. IremlvW this e n error, please
notify us immediately by telephone and return the orfglnal transmission to us by mail wewt mawg 0 may,
A PROUD PROVUR Of DyGWY MEMOPJAL
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Number of Pages (including cover page):
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APPLICATION FOR INSTALLATION OR REMOVAL OP A MONUMENT
?? r , Authorization To be Completed by QWnornf Burial Rights
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LaCosse, Judith
From: LaCosse, Judith
Sent: Thursday, March 03, 2011 2:30 PM
To: Taylor, Joe
Cc: Official Records and Legislative Services
Subject: RE: Cemetery Questions
Thanks Joe. We appreciate your quick response. You have been very helpful.
.Iaditlr LaCosse
Staff Asst.
Official Records & Legislative Services
727-562-4093
From: Taylor, Joe
Sent: Thursday, March 03, 2011 1:38 PM
To: LaCosse, Judith
Cc: Wells, Alexis
Subject: RE: Cemetery Questions
Hi Judy,
I am really not the person to answer these questions, I would think the answers would come from your office. Logically I
would say yes to both questions. I don't know of any space that has three urns in it although there is plenty of room.
As for the monument it should be ok as long as the space is larger than the width of the monument, typically a space is
48" wide and block 2 allows raised monuments.
Sorry I couldn't be of more assistance.
From: LaCosse, Judith
Sent: Thursday, March 03, 2011 11:53 AM
To: Taylor, Joe
Cc: Official Records and Legislative Services
Subject: Cemetery Questions
Importance: High
Hi Joe,
I have a couple of questions regarding the cemetery. I thought maybe you might know the answers.
According to the Clearwater Cemetery Rules and Restrictions, two burials in one space shall be permitted provided one
person has been cremated or is a baby; and only one burial shall be allowed in an infant or urn space.
The first question came from a citizen who wants to know if three cremations are allowed in one adult space. (See
attached copy of our Rules and Restrictions). Do you know if this is allowed and if there's room?
<< File: Cemetery rules and restrictions. pdf >>
The second question came from Karen at Moss Feaster. (See attached fax)
Joseph Moravec (urn) is buried in Block 2, Lot 7, Space 3. His wife, Shirley, will be buried when the time comes in the
same space (urn). Ms. Moravec has bought a monument (see attached dimensions). Karen at Moss Feaster would like
to confirm if this monument is acceptable for placement on space 3.
<< File: Cemetery matter-Moravec.pdf >>
Any assistance that you could give me will be much appreciated. Any questions, please give me a call.
Thanks,
Judith LaCosse
Staff Asst.
Official Records & Legislative Services
727-562-4093