Hornsby, EdC I T Y OF C L E A R W A T E R
POST OFFICEBOX4748
CLEARWATEI?LORIDA 34618-4748
Department of the
City Clerk
Mr. Ed Hornsby
5150 Pemlico
Tallahassee, FL 32308
Dear Mr. Hornsby:
September 11, 1992
Enclosed is the document which will authorize me to change the
burial permit information for Frank Smith from Space 1, Lot 29,
Block 12 to Space 4, Lot 29, Block 12.
In addition, we will be able to indicate on our records that
Space 1, Lot 29, Block 12 has been reserved for Ivy Hornsby as you
indicated to me on the phone this morning.
Please have Judy sign as having power of attorney for Ivy, fill
in her Orlando address information, and attach a copy of the
official power of attorney. Please have two people witness Judy's
signature and fill in their respective addresses.
If we may be of service in the future, please call.
Yours very truly,
0
Camille Motley,
Central Records Specialist
cm
Encs.
0 h '->
C I T Y OF C L E A R W ATE R
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618-4748
Department of the
City Clerk
September 11, 1992
Cynthia Goudeau, City Clerk
City of Clearwater Municipal Cemetery
P. 0. Box 4748
Clearwater, FL 34618
Dear Mrs. Goudeau;
Please take this letter as your authority to grant Right of Interment in the following property at
Clearwater Municipal Cemetery:
Space:
Lot No..
Block:
For:
AND RESERVE
Space:
Lot No..
Block:
For:
Very truly yours,
4
29
12
Frank Smith
1
29
12
Ivy Hornsby
Judith Ann Burton (Power of Attorney) Address:
for Ivy Hornsby
(Lot owner)
Witness: Witnesses' address: