Barrett, Mary E
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Cemetery Call Work Sheet
Date: / ( / a-0 10
Funeral Home / Monument Company:
Contact Name: D°w'
Tel. #: `f`f G - 30 5;
Fax #: Lt?3 - o a 5 3
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Reason for call: t3L_.\z k-Q
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Deceased Name: ?grre (I Mwry E .
Date of Birth: g l S l I ??L Date of Death S / a3 / ao?d
Block Is Lot 31 Space a
Owner of Plot: Merry D rLrr P. Jarre'f"f' - -FdJ
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space ? ????"? ??4?? ??-?• I
$30.00 Staking Fee - received on: / ?"' / to? ?`v? ?•,n,ia•?C
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Date of Burial: / 'f- / d I C2 Time: )I 0a a pm
e""
Disinterment:
The following authorization should be obtained prior to disinterment: (7/1 °1((r"
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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CEMETERY SEARCH NAMES AND NOTES REQUEST
FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: SPACE: 2
OWNER 1: MARY E BARRETT
SPACE TYPE: FULL
COMMENTS:
None
DECEASED NAME: JOHN P BARRETT
BLOCK: 7 LOT: 178 SPACE: 2
BORN: 01 / 01 / 1880 DIED: 01 / 01 / 1941 INTERRED: 01 / 01 / 1941 BURIAL TYPE: FULL
INTERMENT NOTES:
NONE
DECEASED NAME: ROBERT P BARRETT
BLOCK: 15 LOT: 27 SPACE: 2
BORN: 01 / 24 / 1914 DIED: 03 / 01 / 1990 INTERRED: 03 / 05 / 1990 BURIAL TYPE: FULL
INTERMENT NOTES:
CREMATED REMAINS
Page 1 of 1
F':F.NEiLL-06 Colmly FLA. t'
IN5'T :t 90--071074 BOOK 7225 F•A1iiE 1.330
CEMETERY E1EED
THIS INDENTURE made this day of )1Z.(Z,'1•e_./' 1990
between the City of Clearwater, Florida, a municipal corporation, as Grantor,
and Mary Eileen Barrett, whose mailing address is-1657 Turner Street, Clearwater
of the County of Pinellas, State of Florida, as Grantee:
WITNESSETH: That the said Grantor, for and in consideration of the sum
of $200.00, to it in hand paid by the said Grantee, the receipt whereof is hereby
acknowledged, has remised released and quit-claimed unto the said Grantee, and
nF.ConDitlG her heirs forever, all the right, title and interest, which the said Grantor has
T CA-!=.-in and to the following described parcel of land, lying and being in Pinellas
---1? County, State of Florida, to wit: Space C Lot 27, Block 15, Clearwater Cemetery,
`"... as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida.
--- - - This conveyance is subject to the condition that Grantee herein shall
--- --not assign or convey said property without the written consent of the Grantor,
it,- and to the further condition that said property shall be used only for cemetery
purposes as human burial sites and is subject to such other rules and regulations
- ----the City of Clearwater may adopt pertaining to use of said property.
--- TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof
of the said Grantee and her heirs and assigns forever.
IN WITNESS WHEREOF, said Grantor has caused these presents to be executed
in its name by its Mayor Commissioner, by its City Manager, and to be attested
and its corporate seal affixed by the City Clerk on the day and year first above
written.
CITY Of CLEARWATER, FLORIDA
Signed, Sealed and Delivered /
in the presence; pf us: By Nl
a - Ron H. Rabun, City Manager
Co t rsi!ned:
o'
Approved as to form and correctness: Rita arvey, Mayor Commi ioner
Attest:
cn ;
!= M. A. Galbraith, Jr., Cit Attorney eA-rzl?
m Cyn is :Gi?t?deattff, City,eJerk
r 7,; State of Florida, ;r' .• . ;?;
x --%a County of Pinellas: (((?\` _,'
?.:,;?•,, Personally appeared before me Rita Garvey, Ron H. Ra?un;•and Cynthia E.
T, Goudeau to me well known to be the persons who executed the foregoing instrument
rif of conveyance in the capacity of Mayor Commissioner, City Manager, and City Clerk
f._ ., respectively, and they severally acknowledged that they executed said instrument
C) in their respective capacity by and on behalf of and as the free act and deed
a=
w of the City of Clearwater, Florida, for the uses and purposes therein expressed.
Witness my hand and official seal at Clearwater, Florida this the
z?day of 11990.
?tU
Oxnrn?htary Tax rr1. S_. _.. - - __-.
Y.arleen F. Do Maker, Ch,k, Njr!lla< Crrwy
ny . Dnpu,y Clark
This instrument was prepared by:
M. A. Galbraith, Jr., City Attorney
City of Clearwater, P. 0. Box 4748
Clearwater, Florida 34618
;dam"??•?'_:.'-?
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--Rotaryl/b tic State of f1oridaO.,
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KhRLEE_td F. 1)EFA_AKEER, CL_E_FiK
Moo I.A. 1.990 2' 43PM
LaCosse, Judith
From: Taylor, Joe
Sent: Wednesday, June 02, 2010 1:37 PM
To: LaCosse, Judith; Tokar, Mark
Cc: Gilmore, Stephanie; Vaughan, Karen; Sprague, Nicole
Subject: RE: Cemetery Staking for Urn Burial - Barrett
We used yellow flags.
From: LaCosse, Judith
Sent: Tuesday, June 01, 2010 3:49 PM
To: Taylor, Joe; Tokar, Mark
Cc: Gilmore, Stephanie; Vaughan, Karen; Sprague, Nicole
Subject: Cemetery Staking for Urn Burial - Barrett
Importance: High
Hi Joe,
We received a call this afternoon from Rhodes Funeral Home requesting a staking for a urn space burial for:
Mary E. Barrett, owner of space below who passed away on May 23rd.
Block 15, Lot 27, Space 2 (C)
Other burials nearby in Blk 15, Lot 27:
Space 1 = Arthur Walling - Urn; Mary Walling - Urn
Space 2 = Robert Barrett - Full
Space 3 = Albert Capraro - Full
Space 4 = Andrew Dahm - Full
Staking is needed for burial this Friday, June 4th at 12:30 P.m. (Memorial Service at 11:00 a.m.)
Please advise as soon as you can the color of flags being used so that we could notify the funeral home.
Thanks for your help.
Jcrclith LaCosse
Str{ .J'Asst.
Official Records & Legislative Sei-viees
.'2 %-Sf 2-4093
June 2, 2010
Attn: Dow
Funeral Home: Rhodes Funeral Home
Fax: 727-443-0253
(This fax includes a map of the Clearwater Municipal Cemetery)
Deceased: Mary E. Barrett
Gravesite: Block 15, Lot 27, Space 2
Urn Space
Gravesite flagged with Yellow flags.
Nearby Burials:
Space 1 = Arthur Walling & Mary Walling - Urns
Space 2 = Robert Barrett - Full
Space 3 = Albert Capraro- Full
Space 4 = Andrew Dahm - Full
Staking Fee: 30.00
Please make check payable to: City of Clearwater
Mail to: City of Clearwater
Official Records Dept. - 2"d Floor
112 S. Osceola Ave.
Clearwater, FL 33756
Please contact me with any questions.
Thank you,
Judith LaCosse
Official Records & Legislative Services
City of Clearwater
727-562-4090
Master copy
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