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Adams, Gladys MCemetery Call Work Sheet Date: 7 / 7 Funeral Home/ Monument Company: Fiei'1t yd r Sf Contact Name:/ Tel. #: Fax #: ?2 ?2 Reason for call: M(1 U -V> Nick Allmain - 'rnGPfk: Deceased Name: A b X11,! S , Date of Birth: 0 ?l Date of Death l 1 / o1©O Q • Block 19-1 Lot (A Space Owner of Plot: A I1 u A 111"YIGI irl Interment: (One full burial and one urn, or two urns per space) Full Burial Urn Space X $30.00 Staking Fee - received on: / / Date of Burial: / C) Time: am 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) CEMETERY BURIAL INFORMATION BY BLOCK/LOT/SPACE • BLOCK : 12 LOT: 64 DECEASED NAME: HENRY O ALLMAN BLOCK: 12 LOT: 64 SPACE: 1 BURIALTYPE: FULL BORN: 09 / 06 / 1920 DIED: 04 / 23 / 1964 INTERRED: 04 / 25 / 1964 INTERMENT NOTES: DECEASED NAME: ALICE V ALLMAN BLOCK: 12 LOT: 64 SPACE: 2 BURIALTYPE: URN BORN: 09 / 28 / 1926 DIED: 02 / 18 / 2006 INTERRED: 03 / 03 / 2006 INTERMENT NOTES: RECEIVED $30.00 STAKING FEE FROM ETERNAL REST FUNERAL HOME, INC. DECEASED NAME: HARRY M RIGGS BLOCK: 12 LOT: 64 SPACE: 4, BURIALTYPE: FULL BORN: 01 / 01 / 1901 DIED: 03 / 02 / 1964 INTERRED: 03 / 02 / 1964 INTERMENT NOTES: ****END OF BLOCK : 12 LOT: 64 **** • • Page 59 of 97 0710712008 10:28 7277333501 REGORDF CLYDE J.. C] I iN -t r'a E .,a Y 4 it ?. a ? r a ' s JON 5 II ua AM M ETERNALRESTFUNERALHM 194-2 PAGE CEMETERY DEED TWS INDENTURE. Made this ---- ath------ day of __,IVjaY -------------------- .A,- D-, 19_ -& between the City of Clearwater, Florida, a municipal corporation created and existing under the laws of the State of Florida, party of the first part, and __ ?ILSA_Al] Q?_Y _Allm?tll,__P?l2A_1??_1$--______ -°-_--5?1Yzdl ----------------------------------------- ----------------------------- of the County of ---- lini-_ a,85__________________,, State of ___Flarid8------- , party--- of the second part; W I T N E S S E T H : That the said party of the first part, for and in consideration of the sum o! >? ThLti_ Fi3xndr_?s1_I?.n ti ?n_Ra] la?em ? ?„R?CQl, to it in hand paid by the said party--- of the second part, the receipt whereof is hereby acknowledged, has, remised, released, and quitclaimed, unto the said part-y__ of the second part, and----bar forever, all the right, title and interest, which the said party of the first part has in and to the following described parcel of land, lying and being in Pinellas County, State of Florida to wit: Space Lot ____ Bloclk___12_____ Clearwater Cemetery, as reoorded in Plat Book ___$.0.__ Page___ a__ Public Records of Pinellas County, Florida. This conveyance is subject to the condition that Grantee hersin shall not assign or convey said property without the written consent of the Grantor, and to the further condition that said property shall be used only for cemetery purposes as human burial sites, . TO HAW AND TO HOWL the same to the only proper use, benefit,. and behoof of the said pszt------ of the second part --..-...k..e-r -_-- heirs and assigns forever, IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, 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 its City Clerk on this the day and year first above written. Signed, Sealed and Delivered in the presence of us: --6=?`-'- W=-- ---------- Approved as to Amm and correct a: --? - - - - City AftornCY State of Florida, County of Pinellas: C CTlti:ARWATF t, F70111I)A ?? r 1 untersl r' Atte J y" l' / ?oty' Cleric'. Personally appeared before me, __-RQber??_ }eae1X,__J?r?te s_ Rx-S ------ and --------- ------------------------ to me well known to be the pepons who executed the foregoing instrument of eonireyance in the capacity of Mayor Commissioner, City Manager, City Clerk respectively, and they severally acknowledged that they executed said instrument in their respective capacity by and on behalf of and as the free act and deed of the City of Clearwater, Florida, a municipal cor- porstion, for the uses apd purposes therein expressed. ;Witness' s hand and official seal at Clearwater, Florida, this the-----/- -------------- day of ?_- Notary Public State of Florida. STtaTE or Ft:O { (DMy Coffimission expire s-----------,__..----- [IO JMENTAP,. TA MP TAX Notary Public, State of Florida at Large 4 My Ctunmisson Expirea oct. 22, 1966 BeodeG stam E /t fT?, Y CfiCan Surety Co, of N. Y. Rtiasor'2s t? V PAGE 02102 07107/2008 10:28 7277333501 ETERNALRESTFUNERALHM Eternal Rest Memories 'ark & Funeral Dome 2966 Belcher Road Dunedin, Florida 34698 Tel 4 727-733-2300 ]Fax ## 727-733-3501 Fax Message # of Pages: . PAX .,N.: <9 S t,I BJ.GCT: PAGE 01/02 0 1 F XOO DO NOT R PCEIVE ALL THE PAGES PLEASE CALL THE ABOVE Vaughan, Karen From: Vaughan, Karen Sent: Tuesday, July 11, 2006 3:34 PM To: King, JoEllyn Cc: Taylor, Joe; Lewis, Eric Subject: FW: CORRECTION!!!! M flagging request Importance: High It's spaces 2 and 3 (not 1 and 2)!!!!!!!!!!!!!! sorry! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 karen.vaughan@myclearwater.com -----Original Message----- From: Vaughan, Karen Sent: Tuesday, July 11, 2006 3:31 PM To: King, JoEllyn; Taylor, Joe; Lewis, Eric Subject: flagging request Hi! Please flag the following 2 spaces by Thursday p.m. (for marker placement on Friday, 7/14): Block 12 - Lot 64 - Spaces [Vaughan, Karen] 2 AND 3 To the North Harry Rigg in 12-64-space 4 To the South Henry Allman in 12-64-space 1 *************************************** I'm faxing you a map also. Lot 64 is right on Myrtle Ave. on East side. Thanks! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 karen.vaughan@myclearwater.com . . '^ 7 bw! o?- /-Joe/- TUSKAWI LLA STREET LL, 4.r W Q _4 N N N n LIA ..,, . 1 i91 N 9L °? 4 S U' W O V O < N M A ,.: A O O h f M N n O M N - m N N f ? . s ` N __ N N N N N N Ii. Ml as gyp' M/ MI N A O A ° N u' r m O? 2 N N N 3 - 4 ~ ? f M n Y MI N • N - N N N A ? N /! ?f W r O O? O - N N N N N N N N N 0 N O N A N n v - ?- r ID / Rp 10 r 00o, /cc-+ ?F A A N fV? ` `? ? N A w 1G? O N • O ? a N 3 : a ?S A s - . 1?} l c.? R l t r,?,o?v? Gam, ,. e ?n r?.t A t rY,c2,n Vaughan, Karen From: Taylor, Joe Sent: Wednesday, July 12, 2006 1:38 PM To: King, JoEllyn; Vaughan, Karen Cc: Lewis, Eric Subject: RE: flagging request We used green flags and marked each space separately. -----Original Message----- From: King, JoEllyn Sent: Wednesday, July 12, 2006 7:58 AM To: Vaughan, Karen Cc: Taylor, Joe; Lewis, Eric Subject: RE: flagging request 104 will let you know when taken care of and what color flags. Thanks, Jo Ellyn JoEllyn King Parks Service Supervisor I City of Clearwater 462-6563 x232 -----Original Message----- From: Vaughan, Karen Sent: Tuesday, July 11, 2006 3:31 PM To: King, JoEllyn; Taylor, Joe; Lewis, Eric Subject: flagging request Hi! Please flag the following 2 spaces by Thursday p.m. (for marker placement on Friday, 7/14): Block 12 - Lot 64 - Spaces 1 AND 2 To the North Harry Rigg in 12-64-space 4 To the South Henry Allman in 12-64-space 1 I'm faxing you a map also. Lot 64 is right on Myrtle Ave. on East side. Thanks! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 karen.vaughan@myclearwater.com