Briggs, Lester
• Cemetery Call Work Sheet
Date: < < //P
Funeral Home / Monument Company.
Contact Name:
Tel. #: 530 "_:?cvo0 Fax #: 53? '
Reason for call:
Deceased Name: Er`?' S
Date of Birth: I;' / '?' / i c! I't Date of Death 11 / D' l 3'?oLo
• Block Lot Space Owner of Plot:
Interment: (One full burial and one urn, or two urns per space)
Full Burial L-"-- Urn Space
$30.00 Staking Fee -received on: It /2)9/0(4p
Date of Burial: Time: t 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)''
1XI
-1.4
•
November 28, 2006
ATTN: Audrey Calabrette at Global Mortuary (Largo)
This fax includes a map of the Clearwater Municipal Cemetery.
Deceased: Lester Briggs
Gravesite: Block 16 / Lot 53 / Space 1
Full Space - vacant at present
Gravesite will be flagged by a.s.a.p. (I'll call when I know the time)
Full Burial to take place a.s.a.p. after flagging.
Surrounding gravesites:
To the North: Block 16/1-ot 53/Space 2 Laura Briggs
To theme+: Block 16/1-ot 46/Space 2 Lillian Tehan
• Staking Fee: $30.00
Please make check payable to: City of Clearwater
Mail to: City of Clearwater
Official Records Dept.
112 S. Osceola Avenue
Clearwater, FL 33756
Attn: Karen Vaughan
Please contact me with any questions.
Thank you,
Karen Vaughan
Official Records & Legislative Services
City of Clearwater
727-562-4091
cc: JoEllyn King, Parks & Recreation Dept.
City of Clearwater
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