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Beck, Robert W & Beck, Daniel LCemetery Call Work Sheet ate: ? / -7 / a a I ( CC /? '( G rlvowQ ?awi,Ge B,-P- ?`{, ? M Sh . Cohn Funeral Home / Monument Company: Contact Name: 1500 Tel. #: 4• q--7--75s- --7- -15 S Q,--s Fax #: Reason for call: Staking Request (Interment) ? Affidavit (Burial Rights) Monument (Marker) being placed (No fee for staking of monument) 0wticn R . ?4- .Q LC \ Qu? .--r Cuht J -" $ WL;,ej ,i,,. SP . 5 Other reason: N" t?J Q 0 4j C4,,, Interment: (One full burial and one um, or two urns per space) 5p,.ce s 3 r 6 = ow P-c ko"It ?f. 40 ull Burial Urn Space Owner of Plot: Deceased Name: Block Lot Space Date of Birth: Date of Death Date of Burial: Time $30.00 Staking Fee (Funeral Home) - received on: 5pacc Or 6w"c0 5? s pkc,, I ?t = 0 w KX4 6?- G- b. 3e-14: Slow u? (S ? (? . 0 w LA--0 60,-%, tj - a, 4C am/pm Copy of permit faxed to Joe Taylor/P&R - Fax No. 6551 on: 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 F 00 a M ° 00 w ^• N a rl 0 N 0 O rl rl 0 a 0 PQ 0 0 CC H z W w F z W r O O kn ?O r- M 01 t- r- kn ?c vn l? M a CN CN O- Vl ?O Vl l? vi D1 ? 01 D\ a1 - - Q\ ? 01 ? ? -• 01 W °N 1,p N N O O N N M N rZ-i 00 N N OO1 M [ OOH ?c N \O l? M ? O O W" ? W) ? In h m 01 r- r- W) \?o h ?o r- r- I'D o? o\ o, o, o, o, a, o\ a, rn o, o, a, Q O O^ O O N O O O O O W - C> ? _ DD N N O O M A O O O -, 0 0 0 0 0 0 0 00 xy 00 ONi O 0°N 0000 O? (71 O o0 Fy 00 00 D, DD 00 00 (1 00 00 00 00 D1 W x Q¢¢ x a 3¢ x?? Q? A UO w_ pw? Q z U ?1 U 0.w1 w-i 3 u: C, Q A 3 c7 ? ? ? r` ? C w C/) w z z O O F ? w U U U F -' a a ? U 3 3 7 A a F :5? w U Q a W ? a ? O O ? a x a w a ..? x a D a ?D a a x a x a x a x .a D w x F. F a1 w w w w w w w w r3, w w w w w a w W u W d W F a F U N ? ? -- N M "t Vl \O [? 00 Q1 ? -. . . . Vl W p A z x z a • $111/40.47,, A0,ALOF CITY OF CLEARWATER *OA POST OFFICE Box 4748,CLEARWATER,FLORIDA 33758-4748 .ro wzr CITY HALL, 112 SOUTH OSCEOLA AVENUE,CLEARWATER,FLORIDA 33756 4 D°1 TELEPHONE(727) 562-4090 FAx(727) 562-4086 OFFICIAL RECORDS AND LEGISLATIVE SERVICES April 27,2011 Robert W. Beck 1500 S. Evergreen Ave. Clearwater,FL 33756 Re: City of Clearwater Municipal Cemetery Block 5,Lot 11, Space 13 Dear Mr. Beck: Enclosed please find an affidavit prepared for your signature stating that your brother, Daniel L. Beck,and yourself are the sole descendants of Robert H. Beck,your uncle. Our records show that your uncle is the owner of Spaces 5, 6 and 13,Block 5,Lot 11 in the Clearwater Municipal Cemetery. Your mother,Virginia Beck,is interred in Space 14. The affidavit sets forth granting you rights to Space 13. Once you have completed and signed the affidavit and have it notarized,please return to our department, Official Records and Legislative Services. We will then,update our records to reflect this information. If you have any questions,please give me a call at 727-562-4093. Sincerely, 4 udith LaCosse Staff Assistant Enclosure T*s ■or' "EQUAL BIN LOY MEN"F AND AF FIRMA FIVE A(:"IION ENIPI OYI!IL" LaCosse, Judith From: LaCosse, Judith Sent: Tuesday, May 03, 2011 3:36 PM To: 'Janice Beck' Cc: Dougall-Sides, Leslie; Vaughan, Karen; Call, Rosemarie Subject: FW: 3 new owner deeds Attachments: Conveyance-Cemetery Lot-Beck-Space 15.doc Importance: High Mr. Beck, See email below from Leslie Dougall-Sides, Asst. City Attorney from our Legal Dept. Attached is an example of the "Consent to Conveyance" document required for the selling of a cemetery space. A conveyance for each space is in the mail to you. If you wish to sell a space in the future,this form must be signed by you and your brother as Grantors to a third party. The name of the buyer must me filled in as well and the document returned to us to be fully executed and signed by City Officials. The current fees associated with this transaction are$25.00 (Transfer fee) and $10.00(recording fee). These fees are subject to change in the future. The completed document will be sent for recording with Pinellas County and the buyer will get the original copy. If you have any questions, please give me a call. Best regards, Judith LaCosse Stuff Official Records& Legislative Services 727-562-4093 From: Dougall-Sides, Leslie Sent: Tuesday, May 03, 2011 12:41 PM To: LaCosse, Judith Cc: Vaughan, Karen Subject: RE: 3 new owner deeds Since there is no deed out from Robert H. Beck, it would be legally preferable if both brothers signed any deed of sale to third parties. Given this advice, it is up to ORLS how you want to handle it. From: LaCosse, Judith Sent: Monday, May 02, 2011 3:55 PM To: Dougall-Sides, Leslie Cc: Vaughan, Karen Subject: FW: 3 new owner deeds Importance: High Hi Leslie, 1 On April 27`h, we mailed the attached affidavits to Mr. Robert W. Beck and his brother, Daniel L. Beck stating that they are the sole descendants of their uncle, Robert H. Beck, for them to complete and return to us. These affidavits grant rights to Robert W. Beck and Daniel L. Beck assigns rights to his brother as well to space 13. Mr. Robert W. Beck came in on Friday to our dept. with his completed/signed affidavit. We're still waiting for his brother's Affidavit. We mentioned to Mr. Beck that when he's ready to sell space 13 (or space 15 & 16) in the future, another document, Consent to Conveyance, needs to be signed by him and his brother indicating ownership by them of these vacant spaces and we need to prepare a Consent to Conveyance form for each space when they're ready to sell. We also mentioned that the current fees associated with the "Consent to Conveyance" document are$25.00 (transfer fee), and $10.00 for recording of the document with the Pinellas County courthouse. These fees are also subject to change in the future. He mentioned that he just wants a copy of a deed with only his name on the deed and that his brother is giving him all the rights to these 3 spaces on the affidavits. See email below from Mr. Beck that I received this morning. He basically just wants a deed that states that he's the current owner in order for him to sell, if he decides to. We would like to get a resolution regarding this matter. I'm not sure what to tell him as he wants a copy of a deed that shows that he owns these three spaces. Please advise, Thank You. Judith LaCosse Staff Asst. Official Records&Legislative Services 727-562-4093 From: Janice Beck [mailto:janice3844 @msn.com] Sent: Friday, April 29, 2011 10:35 PM To: LaCosse, Judith Subject: 3 new owner deeds I was thinking, that your co-worker mentioned when you receive letter from my brother,just take his name off the new deed and make me the owner,that seems to be the way to make this easier for everyone.HAVE A GOOD WEEKEND ROBERT W> BECK....727-4477559 JAN 2 r 11` ,'� ��I �` S��'L- �i CITY OF CLEARWATER $4.....„,0 Y,q ,\` <CZ POST OFFICE Box 4748,CLEARWATER,FLORIDA 33758-4748 CITY HALL, 112 SOUTH OSCEOLA AVENUE,CLEARWATER,FLORIDA 33756 0s` TELEPHONE(727) 562-4090 FAX(727) 562-4086 o®111 OFFICIAL RECORDS AND LEGISLATIVE SERVICES April 27,2011 Daniel L. Beck 4760 Margate Drive Jacksonville, FL 32207 Re: City of Clearwater Municipal Cemetery Block 5,Lot 11, Space 13 Dear Mr. Beck: Enclosed please find an affidavit prepared for your signature stating that your brother, Robert W.Beck,and yourself are the sole descendants of Robert H. Beck,your uncle. Our records show that your uncle is the owner of Spaces 5, 6 and 13,Block 5,Lot 11 in the Clearwater Municipal Cemetery. Your mother,Virginia Beck,is interred in Space 14. The affidavit sets forth your authority to assign rights to your brother,Robert W. Beck, to Space 13. Once you have completed and signed the affidavit and have it notarized,please return to our department, Official Records and Legislative Services. We will then,update our records to reflect this information. If you have any questions,please give me a call at 727-562-4093. Sincerely, gaL.-11- 40.wat- dith LaCosse Staff Assistant Enclosure Soy, "EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER" • LaCosse, Judith From: Dougall-Sides, Leslie Sent: Monday, April 25, 2011 2:07 PM To: LaCosse, Judith Subject: RE: Cemetery Matter- Beck Based upon the Affidavit,the City can sign the Consent to Transfer. Please have Mr. Beck fill out the form,then return to us for signature and recording. From: LaCosse, Judith Sent: Tuesday, April 19, 2011 9:47 AM To: Dougall-Sides, Leslie Subject: Cemetery Matter - Beck Importance: High Good Morning Leslie, See below email from Mr. Robert W. Beck. I have also attached an affidavit to Robert Beck's brother, Daniel L. Beck, for space 13 in Block 5, Lot 11. Also, see attached affidavits completed in the past and in our files for spaces 15 and 16 signed by both brothers. They are both claiming to be the sole surviving relatives,where does Mr. Beck go from here to be able to sell these spaces? Please advise, Thank You. Judith Lacosse Staff Asst. Official Records&Legislative Services 727-562-4093 From: Janice Beck [mailto:janice3844 @msn.com] Sent: Monday, April 18, 2011 11:20 AM To: LaCosse, Judith Subject: [BULK] RE: buriel records Importance: Low To my knowlege,my brother and myself are the only living relatives.What I hope for is to have owner ship of all 3 open vacant plot spaces on each space so that I can sell each one by itself,If I choose to do so.Thank you for the hard work.I need to know how many people working on this project so I can get a big greek salid ROBERT W> BECK JAN Subject: RE: buriel records Date: Mon, 18 Apr 2011 08:58:10 -0400 From: Judith.LaCosse@myClearwater.com To:janice3844@msn.com 1 Gobti Morning Mr. Beck, Thank you for providing us with your email address. Other than you and your brother, Daniel L. Beck, are there other living relatives that we need to know about? In our cemetery program, space 13 in Block 5, Lot 11, the owner is Robert H. Beck. You had mentioned that he was your uncle. Does he have any living relatives?? Please advise, Thank You. Judith LaCosse Staff Asst. Official Records& Legislative Services 727-562-4093 From: Janice Beck [mailto:janice3844 @msn.com] Sent: Friday, April 15, 2011 5:14 PM To: LaCosse, Judith Subject: buriel records I did not get home in time to call you friday,Called arround 5:00,was told you had already left for the day.You suggested use e-mail,Lets try and do this.I am not a whiz at this computer thang.I am a two finger user,real slow.Have a good weekend and will try again monday...robert w. beck...My phone:727-4477559.Home:1500 so. evergreen ave. clearwater,fl 33756-2263 JAN ❑ 2 LaCosse, Judith From: Dougall-Sides, Leslie Sent: Wednesday, April 13, 2011 1:02 PM To: Treuhaft, Linda; LaCosse, Judith Subject: RE: Cemetery Matter I disagree with granting Mr. Beck the ability to sell the plot without more information regarding ownerhip. Mr. Beck may not be the only descendant of the owner. Is the owner deceased? Either Mr. Beck must provide us with complete genealogical information, which we must verify, or our staff must do the research. From: Treuhaft, Linda Sent: Wednesday, April 13, 2011 12:44 PM To: LaCosse, Judith; Dougall-Sides, Leslie Subject: RE: Cemetery Matter Looks okay to me...Leslie? LLT From: LaCosse, Judith Sent: Monday, April 11, 2011 10:52 AM To: Dougall-Sides, Leslie Cc: Treuhaft, Linda Subject: FW: Cemetery Matter Importance: High Leslie, is the attached affidavit okay to provide to Mr. Beck. Not sure what other type of documentation is needed from us for him to sell the space to another person. << File: Affidavit-Beck.doc >> Please advise, Thanks, Judith From: LaCosse, Judith Sent: Thursday, April 07, 20113:06 PM To: Dougall-Sides, Leslie Cc: Treuhaft, Linda Subject: Cemetery Matter Importance: High Hi Leslie, A citizen by the name of Robert W. Beck came into our dept. this morning regarding the cemetery. His uncle, Robert H. Beck, is showing in our cemetery program as the owner of spaces 5. 6 and 13 of Block 5, Lot 11 in the Clearwater Municipal Cemetery. (We do not have a copy of a deed in our files) He needs an affidavit stating that he has rights to space 13, which is vacant. He would like to sell this space and already has someone that would like to buy it. Please advise what type of documents we need to prepare for this citizen? Thank you. Judith LaCosse Stuff Asst. Official Records & Legislative Services 727-562-4093 C ITY OF C LEARWATE R POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4090 FAX (727) 562-4086 OFFICIAL RECORDS AND LEGISLATIVE SERVICES September 20, 2007 Robert W. Beck 5100 S. Evergreen Avenue Clearwater, Florida 33756-2263 Re: City of Clearwater - Cemetery Space Dear Mr. Beck; Based on the submission of affidavits from your family members, we have granted you a right of interment in the Clearwater Municipal Cemetery, Block 5, Lot 11, Spaces 15 and 16. We will adjust our records to reflect this information. We appreciate your patience in this matter. Sincerely, I ? C. ,(U Nicole Sprague City Clerk Specialist - 0 "EQUAL EMPLOYMENT AND AFFIRDg4TIVE ACTION EMPLOYER" STATE OF FLORDIA c COUNTY OF e6 AFFIDAVIT OF ROBERT W. BECK I, Robert W. Beck, the undersigned, do hereby attest that I have been assigned interment rights by all the remaining survivors and heirs of George. D. Beck (deceased), who was the owner of Spaces 14, 15 and 16, Block 5, Lot 11, of the Clearwater Municipal Cemetery. The Affidavit of Daniel Beck is attached. Daniel L. Beck, along with myself Robert W. Beck are the sole surviving heirs of George D. Beck. Please take this Affidavit as your authority to assign interment rights in Spaces 15 and 16, Lot 11, Block 5, Clearwater Cemetery to myself, Robert W. Beck. I agree to release, indemnify, and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property. SIGNATURES: /`7 44? V -?? - Robert W. Beck SWORN TO and subscribed before me this Robert W. Beck, who is personally known to ADDRESS: N day kication 007, by orhas prod ed I'lidenti the form of an who di did not take an oath. ?-, (Print or type -DMW 0. MCFARLAND MY COMMISSION M DD 614968 EXPIRES: February 12, 2011 k"- ru u iC Urdenvriters My Commission expires: 1 / s C ITY OF C LEARWATE R POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4010 FAX (727) 562-4021 CITY" ATTORNEYS OFFICE August 28, 2007 Daniel L. Beck 4760 Margate Drive Jacksonville, Florida 32207 Re: Affidavit Spaces 15 & 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: Please find enclosed a corrected affidavit for your signature. If you have any other questions or comments, please feel free to contact me at 727-562-4012. Thank you. Sincerely, Donna M. Tormeno Paralegal /dt Enc. S "EQUAL EMPLOYMENT AND AFFIRMATIVE AcPION EMPLC? IiR STATE OF FLORIDA COUNTY OF AFFIDAVIT OF DANIEL L. BECK I, Daniel L. Beck, the undersigned, to hereby attest that I and my brother, Robert W. Beck, are the sole survivors and heirs of George D. Beck (deceased), who was the owner of Block 5, Lot 11, Spaces 14, 15 and 16, Clearwater Cemetery. Please take this affidavit as your authority to assign my interment rights in Spaces 15 and 16, Lot 11, Block 5, to my brother, Robert W. Beck. I agree to release, indemnify and hold the City of Clearwater harmless from liability in the event of any claim from the use of the above described property. SIGNATURE: Daniel L. Beck ADDRESS: SWORN TO and subscribed before me this day of , 2007, by Daniel L. Beck, who is personally known to me or who has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: CITY OF CLEARWATER POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 CITY HAIL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4010 FAx (727) 562-4021 CITY ATTORNEYS OFFICE August 28, 2007 Robert W. Beck 5100 S. Evergreen Avenue Clearwater, Florida 33756-2263 Re: Affidavit Spaces 15 and 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: Your brother called me yesterday and advised the that I had listed him as Daniel E. Beck, when in fact his name is Daniel L. Beck. I prepared a new affidavit for his signature and have mailed it to him. I am enclosing a corrected affidavit for your signature listing your brother as Daniel L. Beck. I would appreciate your signing this affidavit and returning it to Nicole Sprague in our Official Records Department. My apologies for this error. If you should have any further questions or comments, please feel free to call me at (727) 562-4012. Thank you Sincerely, Its.-?F Donna M. Tormeno Paralegal /dt cc: Nichole Sprague, City Clerk Specialist Enc. STATE OF FLORDIA COUNTY OF AFFIDAVIT OF ROBERT W. BECK I, Robert W. Beck, the undersigned, do hereby attest that I have been assigned interment rights by all the remaining survivors and heirs of George. D. Beck (deceased), who was the owner of Spaces 14, 15 and 16, Block 5, Lot 11, of the Clearwater Municipal Cemetery. The Affidavit of Daniel Beck is attached. Daniel L. Beck, along with myself Robert W. Beck are the sole surviving heirs of George D. Beck. Please take this Affidavit as your authority to assign interment rights in Spaces 15 and 16, Lot 11, Block 5, Clearwater Cemetery to myself, Robert W. Beck. I agree to release, indemnify, and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property. SIGNATURES: ADDRESS: Robert W. Beck SWORN TO and subscribed before me this day of , 2007, by Robert W. Beck, who is personally known to me or has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: STATE OF FL IA COUNTY OF AFFIDAVIT OF ROBERT W. BECK I, Robert W. Beck, the undersigned, do hereby attest that I have been assigned interment rights by all the remaining survivors and heirs of George. D. Beck (deceased), who was the owner of Spaces 14, 15 and 16, Block 5, Lot 11, of the Clearwater Municipal Cemetery. The Affidavit of Daniel Beck is attached. Daniel E. Beck, along with myself Robert W. Beck are the sole surviving heirs of George D. Beck. Please take this Affidavit as your authority to assign interment rights in Spaces 15 and 16, Lot 11, Block 5, Clearwater Cemetery to myself, Robert W. Beck. I agree to release, indemnify, and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property. SIGNATU S: Robert W. Beck ADDRESS: SWORN TO and subscribed before me thiqmor ay Robert W. Beck, who is personally known thas 2 007, by in the form of not take an (Print or type name) My Commission expires ..... •., DONALD 0 MCFARLAND MY COMMISSION N DD 614968 EXPIRES: February 12, 2011 Undon"e" bl P ?!? 9( r ic u Bonded Thru Notary STATE OF FLORDIA COUNTY OF AFFIDAVIT OF ROBERT W. BECK I, Robert W. Beck, the undersigned, do hereby attest that I have been assigned interment rights by all the remaining survivors and heirs of George. D. Beck (deceased), who was the owner of Spaces 14, 15 and 16, Block 5, Lot 11, of the Clearwater Municipal Cemetery. The Affidavit of Daniel Beck is attached. Daniel E. Beck, along with myself Robert W. Beck are the sole surviving heirs of George D. Beck. Please take this Affidavit as your authority to assign interment rights in Spaces 15 and 16, Lot 11, Block 5, Clearwater Cemetery to myself, Robert W. Beck. I agree to release, indemnify, and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property. SIGNATURES: ADDRESS: Robert W. Beck SWORN TO and subscribed before me this day of , 2007, by Robert W. Beck, who is personally known to me or has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: C ITY OF C LFAR CATER POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 CPIY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4010 FAx (727) 562-4021 CITY ATTORNEYS OFFICE August 22, 2007 Robert W. Beck 5100 S. Evergreen Avenue Clearwater, Florida 33756-2263 Re: Affidavit Spaces 15 and 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: Enclosed please find an affidavit for your signature setting forth the facts surrounding the above mentioned cemetery spaces in the Clearwater Municipal Cemetery. An affidavit has been sent to your brother, Daniel E. Beck, for his signature, surrendering his interment rights to Spaces 15 and 16 to you. The transfer will be handled by Nicole Sprague in the Official Records Department. Once she receives the affidavits from your brother and you, she will send you a Letter of Burial Rights giving you interment rights to those spaces. Ms. Sprague will then proceed to prepare and record the deed. Once this has been done, the original recorded deed will be sent to you. Should you have any questions, please contact Nicole Sprague at (727) 562-4097. Thank you. Sincerely, Leslie K. Dougall-Sides Assistant City Attorney /dt cc: Nichole Sprague, City Clerk Specialist Enc. QUAI m;,u)tli'i`!Th J7AFPIR tATIVJ? I?C'I:?'? STATE OF FLORDIA COUNTY OF AFFIDAVIT OF ROBERT W. BECK I, Robert W. Beck, the undersigned, do hereby attest that I have been assigned interment rights by all the remaining survivors and heirs of George. D. Beck (deceased), who was the owner of Spaces 14, 15 and 16, Block 5, Lot 11, of the Clearwater Municipal Cemetery. The Affidavit of Daniel Beck is attached. Daniel E. Beck, along with myself Robert W. Beck are the sole surviving heirs of George D. Beck. Please take this Affidavit as your authority to assign interment rights in Spaces 15 and 16, Lot 11, Block 5, Clearwater Cemetery to myself, Robert W. Beck. I agree to release, indemnify, and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property. SIGNATURES: ADDRESS: Robert W. Beck SWORN TO and subscribed before me this day of , 2007, by Robert W. Beck, who is personally known to me or has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: August 21, 2007 Robert W. Beck 5100 S. Evergreen Avenue Clearwater, Florida 33756-2263 Re: Affidavit Spaces 15 and 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: Enclosed please find an affidavit for your signature setting forth the facts surrounding the above mentioned cemetery spaces in the Clearwater Municipal Cemetery. An affidavit has been sent to your brother, Daniel E. Beck, for his signature, surrendering his interment rights to Spaces 15 and 16 to you. This transfer will be handled by Nicole Sprague in the City's Official Records Department. Once she receives the affidavits from your brother and you, she will send you a Letter of Burial Rights giving you interment rights to those spaces. Ms. Sprague will then proceed to prepare and record the deed. Once this has been done, the original recorded deed will be sent to you. Should you have any questions, please contact Nicole Sprague at (727) 562-4097. Thank you. Sincerely, Leslie K. Dougall-Sides Assistant City Attorney /dt Enc. ?r $ L, August 21, 2007 Daniel E. Beck 4760 Margate Drive Jacksonville, Florida 32207 Re: Affidavit Spaces 15 & 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: ftr? Enclosed please find an affidavit prepared for your signature stating that your brother, Robert W. Beck, and yourself are the sole survivors and heirs of George D. Beck, owner of Spaces 14, 15 and 16, in the Clearwater Municipal Cemetery. Your mother, Virginia Beck, is interred in Space No. 14. The affidavit sets forth your authority to assign your interment rights to those spaces to your brother, Robert W. Beck. P JJ4Av - ue signer the affidavit and have it notarized# pie return it in the enclosed stamped, self-addressed envelope to Nicole A. Sprague in our Official Records Department for processing. Thank you for your patience in this matter. Sincerely, Leslie K. Dougall-Sides Assistant City Attorney I? G /dt Enclosures Treuhaft, Linda From: Vaughan, Karen Sent: Thursday, February 01, 2007 11:15 AM To: Treuhaft, Linda Subject: RE: Robert Beck - affidavit for cemetery deed December, 2006 (1 don't have the exact date) Mr. Robert Beck contacted us about selling a gravesite his father owned at the Clearwater Municipal Cemetery. His mother is buried in the Clearwater Municipal Cemetery as well as his grandparents. Mr. Beck believes his father (George D. Beck) owned a total of 3 spaces. One of which was for him, but after his wife passed on he moved to Texas and remarried. He has since passed away and is buried in Texas. We cannot locate a deed showing ownership of plots by Mr. George D. Beck. However, our cemetery program does show Mr. J. D. Beck owning 3 spaces in Block 5, Lot 11. Space 14 is where his 1 st wife, Virginia, is buried. Spaces 15 S 16 are vacant. These are the 2 spaces that his son, Robert, would like to sell but doesn't have a deed showing ownership by his father. Susan Chase contacted Donna Tormeno by phone and asked for her assistance in locating a deed at the Pinellas County Court House. January 11, 2007 Donna was unable to locate the deed. I sent an email to Leslie Dougall-Sides for assistance. January 29, 2007 I was contacted by Donna Tormeno. I gave all written documentation regarding this issue to her. Thanks! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 Fax: 727-562-4086 karen.vaughan@myclearwater.com -----Original Message----- From: Treuhaft, Linda Sent: Wednesday, January 31, 2007 6:55 AM To: Vaughan, Karen Cc: Dougall-Sides, Leslie Subject: FW: Robert Beck - affidavit for cemetery deed Karen, would you please put down in writing, in chronological order, all the steps you've taken towards resolving this matter? Please then email it to me and I will draft an Affidavit for you to sign. Thanks. LLT -----Original Message----- From: Tormeno, Donna Sent: Tuesday, January 30, 2007 4:10 PM To: Treuhaft, Linda Subject: Robert Beck - affidavit for cemetery deed Linda, I meant to discuss this with you. I'm leaving you the information on the cemetery lots originally purchased by George D. Beck and his wife, Virginia. Virginia Beck is buried in the Clearwater Municipal Cemetery along with Robert Beck's (son of George) grandparents, Effie and Robert. A copy of Virginia's death certificate is attached. George D. Beck remarried and died in Texas and is buried there. The funeral was handled by the Rosewood Funeral Home in Humble, Texas. They have the Rosewood Memorial Park and we need to call Rosewood and find out if George is interred there. George died on November 20, 1994. Robert Beck, the son, has a brother Daniel E. Beck, who lives in Jacksonville. He said he has talked to his brother about the cemetery plot down here and his brother is agreeable to try to sell it. His brother is willing to sign anything that needs to be signed. The problem is - they can't find the original deed for the cemetery plots. Karen Vaughan has found a listing for the deeds made out to J.D. Beck - and thinks this is a typo. Leslie said we would want to include an affidavit for Karen to sign also. I spoke to Robert Beck directly and told him it might be a couple of weeks until we have all the information together and told him to call our main line and ask for either you or I (since I'll be out). He's not in any hurry - he's been trying to get a copy of his father's death certificate, etc., to no avail. Humble, Texas does not seem to move quickly. Anyway, that's where everything stands. And remember, the affidavit is a very rough draft. Thanks. << File: Affidavit- Beck. DOC >> Donna Tormeno Paralegal City Attorney's Office 727-562-4012 Vaughan, Karen From: Vaughan, Karen Sent: Thursday, January 11, 2007 2:13 PM To: Dougall-Sides, Leslie Cc: LaCosse, Judith Subject: Cemetery issue / Beck Leslie, Mr. Robert Beck contacted us about selling a gravesite his father owned at the Clearwater Municipal Cemetery. His mother is buried in the Clearwater Municipal Cemetery as well as his grandparents. Mr. Beck believes his father owned a total of 3 spaces. One of which was for him, but after his wife passed on he moved to Texas and remarried. He has since passed away and is buried in Texas. We cannot locate a deed showing ownership of plots by Mr. George D. Beck. However, our cemetery program does show Mr. J. D. Beck owning 3 spaces in Block 5, Lot 11. Space 14 is where his 1st wife, Virginia, is buried. Spaces 15 & 16 are vacant. These are the 2 spaces that his son, Robert, would like to sell but doesn't have a deed showing ownership by his father. Donna Tormino has searched the County Records as well and couldn't find anything for George D. or J.D. Beck. I am not sure how to proceed with this issue. Please advise. Thanks! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 Fax: 727-562-4086 karen.vaughan@myclearwater.com ITY OF C LEARWATER POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4010 FAX (727) 562-4021 CITY ATTORNEYS OFFICE August 22, 2007 Daniel E. Beck 4760 Margate Drive Jacksonville, Florida 32207 Re: Affidavit Spaces 15 & 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: Enclosed please find an affidavit prepared for your signature stating that your brother, Robert W. Beck, and yourself are the sole survivors and heirs of George D. Beck, owner of Spaces 14, 15 and 16, in the Clearwater Municipal Cemetery. Your mother, Virginia Beck, is interred in Space No. 14. The affidavit sets forth your authority to assign your interment rights to those spaces to your brother, Robert W. Beck. Once you have signed the affidavit and have it notarized, please return it in the enclosed stamped, self-addressed envelope to Nicole A. Sprague in our Official Records Department for processing. Thank you for your patience in this matter. Sincerely, Leslie K. Dougall-Sides Assistant City Attorney /dt cc: Nicole Sprague, City Clerk Specialist Enclosures "EQUAL. Ch4PL0`CMElV'!' A 'D ?PIRNu1TIVE E C'I1Oi?i .f-,MPL(}YER" STATE OF FLORIDA COUNTY OF AFFIDAVIT OF DANIEL E. BECK I, Daniel E. Beck, the undersigned, to hereby attest that I and my brother, Robert W. Beck, are the sole survivors and heirs of George D. Beck (deceased), who was the owner of Block 5, Lot 11, Spaces 14, 15 and 16, Clearwater Cemetery. Please take this affidavit as your authority to assign my interment rights in Spaces 15 and 16, Lot 11, Block 5, to my brother, Robert W. Beck. I agree to release, indemnify and hold the City of Clearwater harmless from liability in the event of any claim from the use of the above described property. SIGNATURE: ADDRESS: Daniel E. Beck SWORN TO and subscribed before me this day of 2007, by Daniel E. Beck, who is personally known to me or who has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: ??f MC ?afi P,yf °.? a CITY AITORVFY'S OFFICE C ITY OF C LEARWATER POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748 Cny HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWAI'ER, FLORIDA 33756 TELEPHONE (727) 562-4010 FAx (727) 562-4021 August 22, 2007 Robert W. Beck S-1WS. Evergreen Avenue Clearwater, Florida 33756-2263 Re: Affidavit Spaces 15 and 16, Block 5, Lot 11 Clearwater Municipal Cemetery Dear Mr. Beck: Enclosed please find an affidavit for your signature setting forth the facts surrounding the above mentioned cemetery spaces in the Clearwater Municipal Cemetery. An affidavit has been sent to your brother, Daniel E. Beck, for his signature, surrendering his interment rights to Spaces 15 and 16 to you. The transfer will be handled by Nicole Sprague in the Official Records Department. Once she receives the affidavits from your brother and you, she will send you a Letter of Burial Rights giving you interment rights to those spaces. Ms. Sprague will then proceed to prepare and record the deed. Once this has been done, the original recorded deed will be sent to you. Should you have any questions, please contact Nicole Sprague at (727) 562-4097. Thank you. Sincerely, Leslie K. Dougall-Sides Assistant City Attorney /dt cc: Nichole Sprague, City Clerk Specialist Enc. 0 "EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER" STATE OF FLORIDA COUNTY OF )) ( ( L/ 4 ?, AFFIDAVIT OF DANIEL L. BECK I, Daniel L. Beck, the undersigned, to hereby attest that I and my brother, Robert W. Beck, are the sole survivors and heirs of George D. Beck (deceased), who was the owner of Block 5, Lot 11, Spaces 14, 15 and 16, Clearwater Cemetery. Please take this affidavit as your authority to assign my interment rights in Spaces 15 and 16, Lot 11, Block 5, to my brother, Robert W. Beck. I agree to release, indemnify and hold the City of Clearwater harmless from liability in the event of any claim from the use of the above described property. SI TU ADDRESS: Daniel L. Beck <r tT SWORN TO and subscribed before me this day of , 2007, by Daniel L. Beck, who is personally known to me or who has produced 4entification in the form of L rj L ?? 3?0 -- /7Z-91 - y V r - and who did/did not take an oath. otary Public ?--? (Print or type name) My Commission expires: RTHUR 2#D0604227 11, 2010state Insurance CEMETERY SEARCH NAMES AND NOTES REQUEST FOUND AS CURRENT OWNER OF BLOCK: 5 LOT: 11 SPACE: 15 OWNER 1: J. D. BECK SPACE TYPE: COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 5 LOT: 11 SPACE: 14 OWNER 1: J. D. BECK SPACE TYPE: COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 5 LOT: 11 SPACE: 16 OWNER 1: J. D. BECK SPACE TYPE: COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 5 LOT: 11 SPACE: 13 OWNER 1: R. H. BECK SPACE TYPE: COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 5 LOT: 11 SPACE: 5 OWNER 1: ROBERT H BECK SPACE TYPE: COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 5 LOT: 11 SPACE: 6 OWNER 1: ROBERT H BECK SPACE TYPE: COMMENTS: None Page 1 of 4 CEMETERY SEARCH NAMES AND NOTES REQUEST FOUND AS CURRENT OWNER OF BLOCK: 7 LOT: 115 SPACE: 1 OWNER 1: LOUISE GROESBECK SPACE TYPE: COMMENTS: None DECEASED NAME: EFFIE P BECK BLOCK: 5 LOT: 11 SPACE: 6 BORN: 01 / 01 / 1891 DIED: 11 / 09 / 1970 INTERRED: 11 / 10 / 1970 BURIAL TYPE: FULL INTERMENT NOTES: NONE DECEASED NAME: INFANT BECK BLOCK: 2 LOT: 26 SPACE: 2 BORN: 01 / 01 / 1943 DIED: 01 / 01 / 1943 INTERRED: 01 / 01 / 1943 BURIAL TYPE: INFANT INTERMENT NOTES: NONE DECEASED NAME: IRENE B BECK BLOCK: 2 LOT: 26 SPACE: 3 BORN: 01 / 01 / 1902 DIED: 01 / 01 / 1946 INTERRED: 01 / 01 / 1946 BURIAL TYPE: FULL INTERMENT NOTES: NONE DECEASED NAME: ROBERT H BECK BLOCK: 5 LOT: 11 SPACE: 5 BORN: 01 / 01 / 1885 DIED: 10 / 19 / 1970 INTERRED: 10 / 20 / 1970 BURIAL TYPE: FULL INTERMENT NOTES: NONE DECEASED NAME: VIRGINIA L BECK BLOCK: 5 LOT: 11 SPACE: 14 BORN: 01 / 01 / 1912 DIED: 01 / 01 / 1963 INTERRED: 02 / 27 / 1963 BURIAL TYPE: FULL INTERMENT NOTES: NONE Page 2 of 4 ti a ?: a _ _W _ B-,-x4/48, C EAIWA R; LORIDA 33758-4 / `k8 i 7GUT-. Gsuoi - Y NUF , LEARWATER., FLORIDA 33156 c?r?E (727) 5S -4090 FAX 72 i; 562-4086 FF_CO2DS r`iir) .,.`_=-SLA"iFVE SERVICES December 27, 2006 Mr. Robert W. Beck 1500 S. Evergreen Clearwater, FL 33756 Dear Mr. Beck: We have been unable to locate a deed showing ownership of gravesites by Mr. George D. Beck for the Clearwater Municipal Cemetery. We have researched our records at the City of Clearwater and also records at the Pinellas County Courthouse. Sincerely, Karen B. Vaughan Sr. Staff Assistant Official Records & Legislative Services (727) 562-4091 Cemetery Call Work Sheet • ? v ?co Date: Ojwc Funeral Home/ Monument Company: C-?-c J3-? Contact Name: Tel. #: Fax #: , Reason for call: -? 5/ Deceased Name: Date of Birth: Date of Death • Block Lot Space 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) ??• ??? 65?? E C?P vi vc?tr+ra- J C. File No. -.10.36B ------ Name _Varg_inia _ Lane Beck ---- DateFebru 21i, _19_63 8.E. Cleveland St. Clearwater - Local Address _ 1 .?? --------------------------- Other Address Survivors: Husbanc3:_ Gecr e Dz =T Beek Clearwater --------------- Two Sons*. Robert W. Beck, U _S Army-, Germany _---_--^_-___--_-_- Daniel L. Beck, Clearwater Mother: Mrs... Lucy L_ Reddick, Clearwater --------------------------------------- Brother: J. W. Reddick, Auburndale, Fjoj?*da --(OVER) - _---- IVIember: ?. ? Christian Church; American Le ion_Auxiliary;-Pinellas -Chapter of Muscular (Lodges, Civic Clubs, Churches, etc.) - - D_ystsP1?:Yi...................... ----------------------------------------------------------- Evening Independent---___; Clearwater Sun_ CH __ ; St. Petersburg Times !K _-; Tampa Tribune------ Paid Funeral Notices: ------------------- Clearwater Area r? __ How long here? I-Q-va.Ls/in Clearwater Area How long here? IQv.as?.51 Came from Georgia----_ Retired, or active as --------------------------------------------- Funeral Services to be held at _Am_Chapel Wedne teyP?b??Y ?Ts_??63Hour 2?Q P.M. The Rev. Robert E. Coleman Jr. D -------------- Conducted by ---------------------------'----- Ministers_First Christian Church ---------------_- Minister's Fee $-------- Casket Open? Interment at ..... C1e arwater ---------------------------------------------------- ------ Cemetery -Clearwater Cemetery ------------ NE `4 Block- ------ DateFebruary 27,963 Hour _3.15 P."I_-__-- Conducted by___--Same---_ Pallbearers: Active Capt__ John _C__ Pmts _________ Honorary Walter Duncan Alfred Neumann -- --------------------------------- William Freeman --------------_-- Karrenarloug-h _______ John Jacobs ------------- ------- -.R.---Q-T1nhann - Peter Treola ------------------ John Purdy -- --- _ Rohr Mains -Edward Guy --------------- Georte -V-cal ---- Boutonnieres Ordered _yes 12 _-__-_-_- From__A1ic9 Mae_ Paid ------------------ -_ $----------- Music Organ: Does Jesus Care;: Hark,.. Hark, My Soul; _Rock _of Ages; Abide With Me; - _ --------- -------------------------------- Jesus; Lover of My Soul; Nearer, My God, To Thee; Safe In The Arens of Jesus; ------------------------------------------------------------ God Will Take Care'of You. -------------------------------------------------- Vocalist ---------------------------- Fee $ _ Accompanied by I?Trs ._ Herschel ?,. Ruble Shipped to -------------------------------------------- (Receiving Funeral Director) (Town) (State) ---- Receiving Funeral Director Notified: ------------------------------------ mate ---------------- Escort _--_ _______________________________ via Caemation at --------------------------------- Date ---------------- Family Present -------- .Ashes sent to ------------- -------------------_ ---_- Date p cu U: ? m "- U x. _ ?? p o cs am 'u ? ' Q y r ^ C3? C[f f•I.V z( •J ^Y •?-I .V 4 Aii P ,aU orac? ?aca, tNv+ i 44 8 -9 V4 ow $4 t3 49 9 0) f44 f) E w ? A ?t r4?t IV 4t 40 9 113 1, a } I CC 0 44 ¢°3 s-•°! Td 43 ?# s 4-1 U ? I This 2e- comes a legal rec- ord when properly executed and will be placed in per- manent rile. W r i t e plainly with per- manent black ink or typewriter Funeral director must file the cer- tificate with the l o c a l registrar within 72 hours af- ter death or before making any disposi- tion of body. All iteas are to be complete & accurate. Y.S.#812 Rev.iSS6 STATE BOARD OF HEALTH BUREAU OF VITAL STATISTICS BIRTH No?ollr C=V CERTIFICATE OF DEATH FLORIDA STATE FILE No 1. !LACE OF DEATH CODE NO. a. COUNTY - ---m NV. 2. USUAL ESI DENCE(WAere da .d lied. if imlihdi..: Rwidena before .d.ti..ien) STATE Pinellas b. COUNTY Florida Pinellas b. CITY. TOWN. OR LOCATION e. IS PLACE OF DEATH C. CITY. TOWN. OR LOCATION e. IS RESIDENCE INSIDE CITY LIMITS? Clea water YE -;O O CITY LIM INSIDE Cl r - NO ? earwater YE DO d. NAME OF (If not in hospital, give street address) e. LENGTH OF d.-STREET ADDRESS NO S HOSPITAL OR INSTITUTION Mor-ton F. Pi ant HoS ?. a J STAY IN Ib I p 1 U E. Cleveland Street ON A FARM? YES [[0:] rlo 3. NAME OF First Middle Last DECEASED 4. DATE Month Dag Year (Type or print) V1 ini.a Lane Be do DEATFFebxu ary 24, 1963 5. SEX 6. COLOR OR RACE 7. MARRIED NEVER MARRIED[: a- DATE OF BIRTH 9. AGE (In years IF UNDER I YEAR F UNDER 24 W lovember 191912 , emale white f ? 1a4QirtAdag) M .a. b7--- 0 WIDOWED DIVORCED 5 10a. USUAL OCCUPATION (Give kind of work done during most of working life, even if retired) 106. KIND OF BUSINESS OR INDUSTRY 11. BIRTHPLACE (State or foreign country) 12. CITIZEN OF WHAT COUNtRYr homemaker Own Home Morven Georgia tTSA 13. FATHER'S NAME M MOTHER' MAIDEN NAME John Wesley Reddick Lu Lane 15. WAS DECEASED E (Y- . .o - un4o. ) VER IN U. S. ARMED FORCES? 1 ar w dst .f . i (If e J 16. SOCIAL SECURITY NO. 17- INFORMANTS. SIGNATURE G D Beck rs . . + x ,e e. er. Ye . w a 265-01-2455 . . no Address1508 E. Cleveland St. Clearwater le IS. CAUSE OF DEATH [Enter only one cause per line for (a), (b). and (4.1 INTERVAL BETWEEN PART 1. DEATH WAS CAUSED BY: IMMEDIATE CAUSE (a) Cute _Myocardial Infarction AND DEATH ?5rs Conditions, if any. DUE TO (b) which e re t pav st'f o above cause (a) z , stating the under- lying cause loaf: DUE TO (t) -- O PART 11. OTHER SIGNIFICANT CONDITIONS CON?RIBUTING. TO DEATH BUT NOT RELATED TO THE TERMINAL DISEASE CONDITION GIVEN IN Y d U PERFORMED? !f::] H .YES ? No 1La.I 2Oa. (Probably) - 20b. DESCRIBE HOLY INJURY OCCURRED- (Enter nature of injury in Part I or Part 11 of itirn 18.) ACCIDENT SUICIDE HOMICIDE V ? ? ? < 20e. TIME OF Flour Month, Day, Year V INJURY a. M. D P. m. W 20d. INJURY OCCURRED 20e. PLACE OF INJURY (e. p., in or about home, 20f. CITY. TOWN. OR LOCATION - COUNTY STATE 1 WHILE AT ? NOT WHILE ? farm, factory, street, office bldg., etc.) WORK AT WORK 21. I attended the deceased from 2Q-21- 3 to 2-24-63 end last sav¢ h. ?I her llve on 2 -` ? -? Death occurred at 8 :01 P. m on the date stated above; and to the beat of my knowledge, from the causes stated 22a. SIGNATURE (Degree or title) 226. ADDRESS T?E Sr- ED O? t?illiam R. Tench, M.D. Clearwater, Fllarida °- V 23a. BuR1AL. CREMATION. M. DATE 23c. NAME OF CEMETERY OR CREMATORY 23d. LOCATION (City, town. or county) (State) (S `") Biirria1- p 2-27-63 Clearwater Cemetery Clearwater Florida ' . 24. FUNERAL DIRECT OR'S SIGNA URE ADDRESS 25. DATE RECD. BY LOCAL REG 26. REGISTRAR'S SIGNATURE . Mo uleasw aster A d , a yc l r er 1170 fck ?r V, , 'A G v .? 17 ? t f A T -_ <cF oc '7,1 CLEAAitWAT-R I.ORiDA 33758-474$ - 1 - 3 SOUTH OSCEOLA AVENUE, ULEARWATER, FLORIDA 33756 ELEEPHONE (727) 562-4090 F,?x (727) 562-4086 .PEcom-)s.AiDD _ . _; ISLA T IVE SERVICES December 27, 2006 Mr. Robert W. Beck 1500 S. Evergreen Clearwater, FL 33756 Dear Mr. Beck: We have been unable to locate a deed showing ownership of gravesites by Mr. George D. Beck for the Clearwater Municipal Cemetery. We have researched our records at the City of Clearwater and also records at the Pinellas County Courthouse. Sincerely, Karen B. Vaughan Sr. Staff Assistant Official Records & Legislative Services (727) 562-4091 *. _r . ,ry Y" ? e J, I BLOC c f g o 1 tes d Effie Beck 11-? 0'-70 / ,`Virginia L. Beck mo-2-27-63 ,. V Robert H. Beck .? - ??g5 -10-26-70 e f' T : 0A- `J fi Lea Donna Carr jg9 '/12-29-75 ` _ Q v '' Michael A. Matteis Cyf1S " 2-15--73 Emory M. Carr I6 1-6 : 75 , Grace D. Wood Tessa V. Mellinger o /j qj-2-1&-77 a °' a t- Wni : H. Wood - Herbert H. Mellinger 1881 =1955 Z 8 10-66 , . ', I y 1 1 -ten / ` A • ?f"? ???? ?S i 4el / L^L' r L. RECEIVED JAN ? 2 2007 OFFICIAL RECORDS AND LECIS E SR S DEPT L_ ? ? v.. .?Q 07LA/-? .? Page 5 of 83 BARRY, Irene A., b. 1900 d. 1981 BARRY, Wallace Ehrle, b. 1891 d. 1976 BARTELLE, Francis F., b. 1893 d. 1965 BARTELLE, Hazel T., b. 1892 d. 1972 BARTHOLOMEW, Otto L., b. 1903 d. 1973 BARTLETT, Infant, b. n/a d. 1958 BASCOMB, John W., b. 1926 d. 1989 BASS, Amos F., b. 1904 d. 1966 BASS, Fletcher R., b. 1875 d. 1905 BASS, Lloyd J., b. 1933 d. 1990 BASS, Rhoda J., b. 1830 d. 1906 BASS, Robert, b. 1825 d. 1899 BASSETT, Catharine, b. 1882 d. 1956 BASSETT, Ella M., b. 1888 d. 1948 BASSETT, Fannie C., b. 1882 d. 1956 BASSETT, Mae Brush, b. 1872 d. 1957 BASSETT, Sarah E., b. 1859 d. 1947 BATCHELOR, Bronson, b. 1892 d. 1948 BATCHELOR, Dadid O., b. 1865 d. 1948 BATCHELOR, Hattie B., b. 1867 d. 1958 BATCHELOR, Helen, b. 1985 d. 1985 BATES, Daniel Earl, b. 1958 d. 1961 BATES, Howard W., b. 1896 d. 1955 BATES, Stanley C., b. 1909 d. 1948 BATTERSON, Elbert S., b. 1879 d. 1950 BATTLE, Alex, b. 1921 d. 1987 BATTLE, Clarence, Sr., b. 1922 d. 1990 BATTLE, Ella M., b. 1937 d. 1980 BAUER, Laura J., b. 1926 d. 1989 BAUER, Lewis B., b. n/a d. 1963 BAUER, Nancy E.., b. n/a d. 1963 BAUGH, Annie T., b. 1864 d. 1950 BAUGH, James B., b. 1851 d. 1944 BAXLEY, Infant, b. 1970 d. 1970 BEANE, Edna M., b. 1890 d. 1939 BEATTY, Annie Laura, b. 1877 d. 1896 BEAULIEU, Thomas, b. 1900 d. 1978 BEAULIEU, Viola Bertha, b. 1896 d. 1956 BEAVERS, James Benjamin, Rev., b. 1882 d. BEAVERS, Viola A., b. 1890 d. 1987 BECHSTEIN, Infant, b. 1968 d. 1968 BECHTEL, Hazel M., b. 1903 d. 1948 BECHTELHEIMER, Harry A., b. 1878 d. 1957 BECHTELHEIMER, Mayme A. b. 1874 d. 1965 BECK, Effie ., 1 d. 1970 C1 -e, i ?i-i41?, _ eK V4 A 5 , ?X ? Ly i? 0`6- 1979 1 % C$ECK, Georq D., b. n/a d. n/ BECK, Infant, b. 1943 d. 1943 BECK, Irene B., b. 1902 d. 1946 BECK, Robert H., Jr., b. 1911 d. 1956 BEC Ro er o is, b. 85 _---?" - BECK, Virginia I., b. 1912 d. 1953__ .--- "'--BECFiR, David E., b. 1866 d. 1950 BECKER, Martha H., b. 1879 d. 1950 BECKER, Robert M., b. 1880 d. 1960 BECKER, Sarah C., b. 1871 d. 1949 BECKFORD, Carrie Lee, b. 1912 d. 1985 BEDDO, Blanche R., b. n/a d. 1964 BEDDO, Don, b. n/a d. 1959 BEDDO, Ted, Jr., b. 1877 d. 1933 Qr http://ftp.rootsweb.com/pub/Usgenweb/fl/pinellas/cemetery/clearwater,txt 1/17/2007 ??//1 "/ 1/ ?r ?V ? ? , ?7 J'{ YY ' ? ??, e e??9 ??'l..?a'> / `? _ \•'.d'[,? d,./. .1 ?. ? ??? DSO v '-Z'`°9'?-ivi_'_i!''•-z•_A1}t 1 .1' 1 I ( { l ? .....w° . ,.,n ! z? _ I r j 1 Y 2?> r? "'FIVF ?GISI TJVF jpV(?,s ; '1)01 -TIC tk0 w, U- STATE OF FLORIDA ) ?JS. COUNTY OF 1-/m ) C AFFIDAVIT OF ROBERT W. BECK I, Robert W. Beek, being first duly sworn, deposes and says: 0" C-Vu --A (L'?A +0 h- 4 0-)() &- I vi r 'P . 1. I, Robert W. Beck, am the natural born son of Virginia L. Beck and George D. Beck. 2. My father, George D. Beck, purchased three spaces in the Clearwater Cemetery in Block 5, Lot 11. The spaces were space 14, 15 and 16. 3. I am unable to locate a deed showing ownership of these plots by my father, George D. Beck. 4. My mother, Virginia Beck died on February 24, 1963, is buried at Clearwater Municipal Cemetery, in Space 14, Block 5, Lot 11. 5. My father, George D. Beck, passed away on November 20, 1994, and is buried in Humble, Harris County, Texas. 6. Cemetery spaces 15 and 16, Block 5, Lot 11, are vacant. 7. My brother, Daniel E. Beck of Jacksonville, Florida, and I are the sole surviving heirs of Virginia Beck and George D. Beck. Further Affiant sayeth not. Robert W. Beck STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of , 2007, by Robert W. Beck, who is personally known to me and who did/did not take an oath. Notary Public (Print or type name) My Commission Expires: 2 STATE OF FLORDIA COUNTY OF AFFIDAVIT OF ROBERT W. BECK ?ell f7 I, Robert W. Beck, the undersigned, do hereby attest that I have been assigned interment rights by all the remaining survivors and heirs of George. D. Beck (deceased), who was the owner of Spaces 14, 15 and 16, Block 5, Lot 11, of the Clearwater Municipal Cemetery. The Affidavit of Daniel Beck is attached. Daniel E. Beck, along with myself Robert W. Beck are the sole surviving heirs of George D. Beck. Please take this Affidavit as your authority to assign interment rights in Spaces 15 and 16, Lot 11, Block 5, Clearwater Cemetery to myself, Robert W. Beck. I agree to release, indemnify, and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property. SIGNATURES: Robert W. Beck ADDRESS: SWORN TO and subscribed before me this day of , 2007, by Robert W. Beck, who is personally known to me or has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: STATE OF FLORIDA ) Fiz 9,;z-1 COUNTY OF ) [(J' AFFIDAVIT OF DANIEL E. BECK I, Daniel E. Beck, the undersigned, to hereby attest that I and my brother, Robert W. Beck, are the sole survivors and heirs of George D. Beck (deceased), who va the owner of Block 5, Lot 11, Spaces 14, 15 and 16, Clearwater Cemetery. '?,,i7 Please take this affidavit as your authority to assign my interment rights in Spaces 15 and 16, Lot 11, Block 5, to my brother, Robert W. Beck. I agree to release, indemnify and hold the City of Clearwater harmless from liability in the event of any claim from the use of the above described property. SIGNATURE: ADDRESS: Daniel E. Beck SWORN TO and subscribed before me this day of , 2007, by Daniel Beck, who is personally known to me or who has produced identification in the form of and who did/did not take an oath. Notary Public (Print or type name) My Commission expires: qs "- S ii s i cF rs ti I?tt i1 ,r i t 'c s ?..•a a ?gy"m" z OFFICE of VITAL STATISTICS CERTIFIED COPY CERTIFICATION OF BIRTH 11 STATE FILE NUMBER: CHILD'S NAME: 1091938-028201 ROBERT WESLEY BECK DATE OF BIRTH: NOVEMBER 4, 1938 SEX: MALE COUNTY OF BIRTH: PINELLAS DATE FILED: DECEMBER 7, 1938 MOTHER'S MAIDEN NAME: VIRGININ LANE"'REDDICK FATHER'S NAME: GEORGE DANIEL BECK DATE ISSUED: OCTOBER 13, 2010 • : .J , RE Q State Registrar 2010995533 - ?F THE srgT 4iP THE ABOVE SIGNATURE CERTIFIES THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD ON FILE IN THIS OFFICE. THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH A WATERMARK OF THE GREAT rtiOw AnErwxrmwr OF SEAL OF THE STATE OF FLORIDA ON THE FRONT, AND THE BACK CONTAINS SPECIAL LINES WITH TEXT WARNING: HEALT vn - -- m AND SEALS IN THERMOCHROMIC INK. , '.. DH FORM 1 946 (08-04) ,..,.. :...... I III III VIII III I ( III I V III V III (II II I III I II I IIII I iti .= ns• C? pp ?P w? ,? . VITAL RECORD 267547x1 r .•r:::,:,.::?,1 1.11 - * 2 6 7 5 4 7 8 1 (in Pitmes. hereon the snib Asst 440 rttusb 14is f9affirate to be s%meb bg its bulu mt4vri officer mib its (9mTorote *zd to be hereunto ttffixe. Namilu Wiry 'Father's fail name Georg Daniel Beek tesi?enu Clearviater, .Florida ;rtl?tacP Tampa, Florida ?a#e Dec • 20, 1912 ?TII#ller'smaiDennamr Virginia. Lane Reddi r!c ir# true Valdosta. Georgia pe,, Nov. 19. 1912 ?R" hi1 Mace IIf marriage of arersts Clear-rater, 4 l o r i d a va#e of marriage of pa=r ent¢ September 14. 1934 Form B-Hollister Birth Certificate. Design © 1925, Franklin C. Hollister, Chicago % MOM i&, f1m, e• . Y 7 "remember thy Treator I' ? in the days of thy youth„ d r' ?,t ?tk ?f3 i '^ J?? ?,lG ? T?4f?1 ? ?``sWl I 'f t s qti ? ? rS SUPERINTENDENT. • j?a a+ F ? ?1 J ?I ' !E >f t r RASY'e IOOTPRINT -? f -ski ti t u