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Pilieri, AdaCemetery Call Work Sheet Date: 4 CXP Funeral Home: Wln - -%ment Company: Contact Name: Contact Name: Tel. #• S.) 7 -• 7"7 Tel. #: Fax #: G>-? - 1 1-10 Fax #: RE: II a*, o C-Mw-7/5 1-1 . Cpl ``f r _pa C.. 1>1 Deceased Name: ?? ?C7r1 DOD: °9Z Owner of Property: Block Lot 14-1-7 Space DOB: aa-/ICt I I Interment: Full Burial: Urn Space: 30.00 Staking Fee - (One full burial and one urn, or two urns) Date of Burial: Disinterment: Time: am/pm The following authorization should be obtained prior to disinterment: I .) 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) (Q1a CU-4-0 WK'S C s4)ac.?. ?o? 31 1132 33 34 37 36 39 40 30 29 28 27 24 23 22 2i t l 2 13 14 S 16 17 I8 19 20 [ o 9 d 7 6 s 4 3 2 1 111 l12 113 114 115 118 117 118 119 120 IId 109 108 107 106 105I 1041 103I 102I 101 91 92 93 9,11111 9q 96 97 96 98 100 90 89 88 87 8 6 85 84 03 82 61 71 72 73 74 - 77 78 79 80 70 69 68 67 64 63 62 61 51 52 S3 S4 SS 58 57 58 39 60 50 49 48 47 46 43 44 43 42 41 31 32 33 34 3S 36 37 38 39 40 30 29 20 27 26 25 24 23 22 21 11 12 13 114115 16 17 18 18 20 11019 lei? 6 S 4 3 2 1 167 568 569 570 571 572 373 574 573 376 "'[56615651564156'515621561 160 559 538 557 547 548 549 550 - 353 54 : 555 536 15401 5411 5421 5431 A 1 5401 391 538 1537 15271528152 9 S30 531 532 533 534 535 636 S26 152515241523152 2 521 S20 S19 518 317 150715081509 510151 L512 513 r? .? 150615051504150315021501 S00 S I?$I I_ _ J SEE SHEET 3 .di YRTL.F 9S 94 61 80 63 64 d43 96 93 82 79 66 83 v J(N ?d < \ G 'C V/ D r r D V' r r, M ?+? VTJ D f D V U 8 7 6 51 4 3 2 1 24 23 22 19 16 17 9 t0 11 14 45 16 B 7 6 S 4 3 2 I, 73 72 49 48 25 24 95 74 71 SO 47 26 23 2 94 75 T' 31 16 27 22 3 93 76 69 52' AS 28 21 4 92 77 66 29 20 5 91 76 67 30 If t 90 78 66 SS 42 3 R M 89 80 3 56 41 2 88 61 64 6T 40 33 16 d19 87 82 63 50 39 86 83 62 59 38 3S 14 11 84 61 60 37 36 13 88 67 66 45 44 23 22 1 87 6B 6S 46 43 24 21 2 86 69 64 47 42 25 20 3 83 70 611 4 8 41 26 19 4 84 71 62 49 40 27 16 S r? 83 72 61 SO 39 2B 17 6 82 73 60 51 36 29 16 7 81 74 59 52 37 30 15 8 80 75 58 33 36 31 11 9 AVENUF_ 2s 1• is s 6 31 32 27 24 17 14 7 / N 17 36 31 26 23 16 - • ! I1 I{ 43 38 27 2T. 1I T6 37 30 2f 22 I9 I2 f 2 20 IS 42 39 26-1231 10 7 41 40 2S 214 9 6 21 20 I1 10 1 21 i4 %y 24 21 ? 5 =.2. - 9 IC 19 I +?1 3 fJ+? 1 • I ..";i 2 I -- JJJ I7 I f6 I S v 26 11, Al 2 29 30 31 32 33 34 2S 24 23 22 21 20 19 If 17 28 29 30 31 32 33 34 35 36 27 26 25 24 21 20 19 10 11 12 13 - 18 17 18 f 81 7 6 S 4 3 2 1 96 T3 72 49 48 23 24 98 95 74 71 50 47 28 23 2 99 914 71 70 51 46 27 22 S 100 913 76 69 1 ,5? 45 28 21 4 lot 92 7 68 29 20 S 102 91 19 6 103 90 79 66 SS 42 31 I9 7 104 69 60 6S S6 41 2 17 9 105 A8 81 64 57 40 33 16 9 106 97 82 63 58 39 34 15 10 107 196 83 62 59 38 35 14 11 {IS 84 61 1 60_ 137 36 13 177 1176 15S 154 133 132 111 110 89 178 9TS 156 153 134 1 131 112 109 90 1T9 974 1S7 152 135 130 113 108 91 180 1 173 IS8 151 136 129 114 107 92 181 472 159_ 1 1S0 137 128 113 106 93 11821 1711 160 149 138 127 116 105 94 183 170 161 148 139 126 117 104 95 166 ',168 16311461141 1124 119 1102 97 A04 I9 ?e r l • Ic zx s3 L20 Li, Fe I S 8 23 I't 21 16 9 4 A I Z 4 32 13 ?` 10 3 H 23 10 2J 14 11 1 3 G 28 L-- 1 24 13 12 I 1 1F ! 77 If tJ1i A z,•, tA-? ? ? C-b -µ-c s?-?? ; -Dcyv; cQ -&e `-?-e?- Awe-?-P v-e-lz ?? Lc?,? I u 4 ( +> 4t--e - W 1 t I 1 o„Y, Cm w0-- '?y?, ?- Sfa`-e 4 Cwt 1 6--e ( -?- + A? ?1 o scat ?c?. Vaughan, Karen From: Keenan, Stacy Sent: Friday, February 24, 2006 1:57 PM To: Gracie, Rhonda; King, JoEllyn; LaCosse, Judith; Lewis, Eric; Vaughan, Karen Subject: Staking for Urn spot - Ada Pilieri Importance: High Jo Ellyn: Please stake the following space for interment of urn: Block 7, Lot 167, Space 1. The service will take place Wednes©y (01-06) in the morning. Please let me (or Karen) know what color flag you will be using. Thanks for all your help! To the East: Blk 7, Lot 166, Space 1: Cora Etters Mannix To the North: Blk 7, Lot 166, Space 2: Michele Mantovano To the West: Blk 7, Lot 168, Space 1: Walter H. Cloyd To the South: Blk 7, Lot 186, Space 4: Louise M. Faiver Let me know if you need anything else. Thank you, Stacy Keenan Clerk Specialist - ORLS (727)562-4097 1 R. LEE WILLIAMS & SON FUNERAL HOME, INC. 3530 49TH STREET N. SAINT PETERSBURG, FL 33710-2150 (727) 527-1177 FIRST HOME BANK SEMINOLE, FL 63-1455/631 17997 2/28/2006 PAY TO THE City of Clearwater $ **30.00 ORDER OF Thirty and 00/100***,,,?*.***,..*,*.*.*,?,,,?**,.*.,«?**,.*..****,t**.***,***********..****.,t.*.*...*,?*****.,.,?*.**,?*,..****..**, DOLLARS City of Clearwater Attn: Karen Vaughan 112 S. Osceola Ave. Clearwater, Fla.33766 u¦0L799?v 1:063114551: 00 L700 1 1 2 411'