Allman, Alice
Cemetery Call Work Sheet
Date:
Funeral Home: Oj2-? Monument Company:
Contact Name: Contact Name:
Tel. #: -- - ?)'3> Tel. #:
Fax #• 733 - 315t) I Fax #:
RE:
Deceased Name: DOD: (P DOB:
? DOB: (o
Owner of Property:
Block Lot (0 Space
Interment: Full Burial: Urn Space: do`?2
($30.00 Staking Fee) - (One full burial and one urn, or two urns)
Date of Burial:
Disinterment:
Time: am/pm S>ff C---e
c---c
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)
O N
0
X"
ATTN: Billy (a) Clearwater Funeral
This fax includes a map of the Clearwater Municipal Cemetery.
Deceased: Alice Allman
Gravesite: Block 12 / Lot 64 / Space 2
Full Space - vacant at present
Gravesite will be flagged by Friday, March 3rd
Urn Burial to take place Friday, March 3rd at 11:00 a.m.
Surrounding gravesites:
To the North: Harry Riggs (in space 4)
To the South: Henry Allman (husband of deceased, in space 1)
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
Please contact me with any questions.
Thank you,
Karen Vaughan
Official Records & Legislative Services
727-562-4091
51
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JAI GOIL MBANK 4285
ETERNAL REST FUNERAL HOME, INC.
2966BELCHERROAD THE RELATIONSHIP PEOPLE`
DUNEDIN, FL34698 63-4661631
(727) 733-2300 3/2/2006
0
PAY TO THE
ORDER OF Clearwater Cemetery **30.00
Thirty and 00/100??? DOLLARS
Clearwater Cemetery
8
MEMO:
Alice V. Allman (Staking fee)
11.004.28Su¦ 11:0631046681: 79'6700kC387111
BURIAL PERMIT
CLEARWATER CARETAKER
CLEARWATER. FL
Permission is hereby granted for burial of:
Name of Deceased: ALICE V ALLMAN
Owner of Property: ALICE V ALLMAN &
PERMIT # 2560
March 07, 2006
Burial Type: URN
Block : 12 Lot: 64 Space: 2 Date of Birth: September 28, 1926
Date of Death: February 18, 2006 Date of Burial: March 3, 2006
Funeral Home Director: BILLY AT CLEARWATER FUNERAL HOME
Time: 11 :00 Staking Fee: 30.00 Date Paid: March 6, 2006
Clearwater Cemetery
3?; KQ?
By
0710712108 10:28 7277333501 ETERNALRESTFUNERALW1 PAGE 02102
RECCRDF 6
062 PAGE 98
CLYDE
CEMETERY DEED
3 Jug 5 4 'G?
• 'I'BIS INDENTURE. Made this ---- 2-fth------ day of _dViaY -------------------- A- D-,
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 u5---_____
-----Scl Y dl_F @.s?G11----------------------------------------- ----------------------------- of the
County of __-- -inella.3--------------------- State of ___21-aridA------ : 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£
>?_ T?ta_ H>lnds_?sL_I?1?.u? gn_I2al laze ? ? R QS11, 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___Je.1------- heirs 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 ---- 61+.----- Slock___12______ Clearwater Cemetery,
as recorded in Plat Book ___-Q__ Page___33___ Public Records of Pinellas County, Florida.
Thic conveyance is subject to the condition that Grantee herein shall not assign or convey said properly
r
without the written consent of the Grantor, and to the further condition that sold property shell be used
only for cemetery purposes as human burial sites. .
TO HAVE AND TO HOLD the same to the only proper use, benefit,. and behoof of the said
party[----- of the second part----- Jlar.,__-,.___ heirs and assigns forever.
,.? IN WITNESS WITREOF, said City of Clearwater, a municipal corporation, has caused these presents
• to be executed in its came 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 CUY OF CT.YARWATFR, IkARIDA
in the presence of us: ,
C1 "'
-- - -c tie ---,?,_--_ . untersl
--
r"t 41 Approved as to forte and correct a: Atte C' 71
- - ?? p?-pgy i ? tz l q'ttp.'_ CI¢rk.
n State of Florida,
County of Pinellas:
Personally appeared before me, ___ RQber??_ {r?e?e1,__J?t?te s_ R=-5 ewar,_---_-
4 and ---- R-_a._ 41)A!t_1_e --------- ------------------------- to me well known to be Vie persons who
executc$ the foregoing instrument of conveyance in the capacity of Mayor Commissioner, City Manager, City
Clerk respeetivew, and they severally acknowledged that they executed said instrument in their respective
yam' `«, , ?p
° capacity by and on behalf of and as the free act and deed of the City of Clearwater, Florida, a municipal cor-
poration, for the uses and purposes therein expressed.
.? i?l?tsieB>' my hand and official seal at Clearwater, Florida, this the-----/- _____________day of
°S
?
(5 ) --- Notary paDllc state of P7od8a.
•
bi ro
t ' . > S TAT E AF Ft :O l P. T My Commission expires----------- ... __
w "3 1 ` pp TIMkNa1v A I?i 'P TAX Notary Public, State of Florida at Large
•? o. 7UN?5'64 MY COrnmissEon Expires Oct. 22, 1468
"LW _ oW?AP 0 9 II 6ondV0 by American surety Co, of N. Y.