Thompson, Dawn/Farley Funeral Homes Cemetery Call Work Sheet
Date: I / / 9° I c)--
Funeral Home/ Monument Company: r ��. T. 44 .
Contact Name: �a,.)r• M- 7h0118-,>sovt �°na� 'c}a0 n <.r . A,ner• omit..C
Tel. #: 9 t-t 1 - `I g ! f c 5 I Fax#:
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
✓ Verifying Burial space C t d4-es '/3/,�.
crop.. �ciuJ:1 T ,o1
Other reason: /
**************************************************************************************************
Interment: (One full burial and one urn, or two urns per space) Lor �3
Full Burial Urn Space (`k,i ,er: guts 001- ectl
((qlo_ (510) -(F )
Owner of Plot: iA)Dr i -cie-Lei I3Qock `t , Lot B , Sr' 3
1 )
Deceased Name: Groh, ► A511. A_.'. N ( e-
.B- k
1co8 — 1930) -(tu;QJ)
Block Lot Space (moo c Lot 8 , s • 3--
Date of Birth: / / Date of Death ecam-3, 0 4 a_hkt.
Date of Burial: / / Time: am/pm
B icck '-r , Lot 6 5F. �3
$30.00 Staking Fee (Funeral Home) — received on: / /
Spf j
Copy of permit faxed to Joe Taylor/P&R — Fax No. 6551 on:
**************************************************************************************************
Disinterment: l/t-t/� _ ew. -Q- l
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
Revised 6/29/11
LaCosse, Judith
From: Dawn Thompson [dawn @farleyfuneralhome.com]
Sent: Tuesday, January 03, 2012 12:14 PM
To: LaCosse, Judith
Subject: Questions regarding makers at the Municipal Cemetery
Dear Judith,
Thank you for speaking with me this morning. Per your request I am emailing you with my questions regarding
makers at the cemetery. I will explain the situation and questions.
William Worline Baechler is the gentleman I am working with. His mother Ruth Worline Baechler (1910-1970) is
buried there,as well as his grandmother Nellie Black Worline (1898-1930). He also has a step father that he
thinks might be buried there.... Carlos Hartmann Baechler. Please note that William does spell his name
differently.
William (Bill) wants to purchase a marker that will include 4 names; his, his wife, his mother and grandmother, NOT
his stepfather.
He and his wife will not be buried there, he intends to be cremated and scattered, but he does want to have a
memorial marker in place with his name on it.
I need to know the following:
• Does he have the authority to do this? Is his name on a deed or a will that you know of? If so, I need to
see documentation.
• What size and type of markers do you allow? upright? flat bronze? is there a base required for the
marker?
• Do you install? ( I believe you answered that but I would like to have all my notes in writing).
• Will you allow him to have his name on a marker if not buried there?
If there is anything I have left out that you feel I need to know please fill me in!
Thank you so much for your time in this matter!
'Man&you,
(Dawn 911. 'Thompson
Farley Funeral.-tomes and Crematory
265 South Nokomis Ave.
Venice, Fl 34285
Phone 941.488.2291
Fax 941.488.0622
1
LaCosse, Judith
From: LaCosse, Judith
Sent: Wednesday, January 04, 2012 1:30 PM
To: 'Dawn Thompson'
Subject: RE: Questions regarding makers at the Municipal Cemetery
Attachments: Block 4 Lot B.pdf
Importance: High
Hello Dawn,
First of all, here are the burial locations found in the Clearwater Municipal Cemetery for the following persons:
Ruth Worline Baechler—Block 4, Lot B, Space 3—Full burial
Nellie Black Worline—Block 4, Lot B, Space 2—Full burial
Carlos Hartmann Baechler—Block 4, Lot B, Space 3—Urn burial
The owner of these spaces shown in our system is Nellie G.Worline (Spaces 1-4). Spaces 1 and 4 are vacant.
Mr. William Baeckler could purchase a marker to have his mom's and grandmother's name on it. As I mentioned
yesterday,the City of Clearwater's only responsibility is to mark the area for placement of a marker. A monument
company of funeral home will be in charge of installing the marker. We just need to know when and who will be doing
this so that we could notify our Parks and Rec. dept. to flag the area.
Upright bronze, marble or granite markers or tablets are permitted in this block and lot.
Since we don't have a copy of any deed in our files and Mr. Baeckler and his wife will not be buried at this cemetery in
the future,the city will not allow him to have their names on the marker.
I hope this answers all of your questions. Also, please let me know the correct spelling of their names so that we could
make the changes in our system. As you can see by the attached document showing the burials in Block 4, Lot B we
have different spellings on the names. Is it Baeckler or Baechler?? We also have Karlos with a K?
Please advise and if you have any other questions, please give me a call.
Best regards,
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
From: Dawn Thompson [mailto:dawn@farleyfuneralhome.comj
Sent: Tuesday, January 03, 2012 12:14 PM
To: LaCosse, Judith
Subject: Questions regarding makers at the Municipal Cemetery
Dear Judith,
1
Thank you for speaking with me this morning. Per your request I am emailing you with my questions regarding
makers at the cemetery. I will explain the situation and questions.
William Worline Baeckler is the gentleman I am working with. His mother Ruth Worline Baechler (1910-1970) is
buried there,as well as his grandmother Nellie Black Worline (1898-1930). He also has a step father that he
thinks might be buried there.... Carlos Hartmann Baechler. Please note that William does spell his name
differently.
William (Bill) wants to purchase a marker that will include 4 names; his, his wife, his mother and grandmother, NOT
his stepfather.
He and his wife will not be buried there, he intends to be cremated and scattered, but he does want to have a
memorial marker in place with his name on it.
I need to know the following:
• Does he have the authority to do this? Is his name on a deed or a will that you know of? If so, I need to
see documentation.
• What size and type of markers do you allow? upright? flat bronze? is there a base required for the
marker?
• Do you install? ( I believe you answered that but I would like to have all my notes in writing).
• Will you allow him to have his name on a marker if not buried there?
If there is anything I have left out that you feel I need to know please fill me in!
Thank you so much for your time in this matter!
'f(ankyou,
Dawn 511. 'Thompson
Farley FuneralJfomes and Crematory
265 South Nokomis Ave.
Venice, Fl 34285
Phone 941.488.2291
Fax 941.488.0622
2
, Crystal Reports Viewer Page 1 of 1
‘j '412 t4 F 01 1 / 1 Main Report t 100%
Status of Block: 4 Lot: B as of 01/04/2012
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH I
2 FULL WORLINE NELLIE G 1/1/1901 01/01/1901 1,
3 FULL BAECHLOR RUTH 1/29/1971 02/01/1971 2
3 URN BAECHLER KARLOS 1/1/1982 08/24/1982 8,
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
N 1 1 / 1
http://msb-crystal-ent/businessobj ects/enterprise 11/infoview/viewers/rpt/DHTMLViewer.as... 1/4/2012
LaCosse, Judith
From: Akin, Pam
Sent: Thursday, January 19, 2012 2:46 PM
To: 'Bill Baeckler'; LaCosse, Judith
Cc: Treuhaft, Linda
Subject: RE: RE: Questions regarding makers at the Municipal Cemetery
Dear Mr. Baeckler,
Mrs. LaCosse's e-mail below is an accurate reflection of the City Ordinances and policy.You may have a marker placed
on your grandmother's grave with her name on it. In the absence of a deed or an order from a probate court,you may
not have your ashes placed in your mother's plot. Nor may you have a marker with your name and or your wife's name
placed in your mother's plot. You may wish to seek advice from a private attorney concerning alternates you may have
to obtain title.
From: Bill Baeckler [mailto:suncoast43 @ comcast.net]
Sent: Wednesday, January 18, 2012 11:01 AM
To: Treuhaft, Linda
Cc: 'Dawn Thompson'; LaCosse, Judith
Subject: FW: RE: Questions regarding makers at the Municipal Cemetery
Importance: High
Dear Linda Treuhaft:
This is a question about my legal right to place a marker at Clearwater Municipal Cemetery on Bk 4, Lot B. a 4 space plot
in name of Nellie G.Worline (my grandmother).
Also my mother Ruth Worline Baechler is in that location. I would like to have my ashes placed there and noted on a
marker I will purchase. However I have no deed or
Documentation, but I can provide geneology evidence; would that be sufficient to allow a marker w/ names of Nellie,
Ruth and myself?Another question,
Would it be permissible to add my wife's name to the marker, even if she does not wish her ashes to be placed there?
Thank you very much!
William Worline Baeckler
Suncoast43 @comcast.net
941-321-3833 cell
From: Dawn Thompson [mailto:dawn @farleyfuneralhome.com]
Sent: Thursday, January 05, 2012 8:18 AM
To: Bill Baeckler
Subject: FW: RE: Questions regarding makers at the Municipal Cemetery
Importance: High
Good morning Bill!
How are you on this chilly morn??? Bbbbbuuurrrrrrr!
This is the email I rec'd from Judith. Let me know how you want to proceed.
1
Original Message
From: Judith.LaCosse @myClearwater.com
Sent: Wednesday, January 4, 2012 1:29pm
To: dawn @farleyfuneralhome.com
Subject: RE: Questions regarding makers at the Municipal Cemetery
Hello Dawn,
First of all, here are the burial locations found in the Clearwater Municipal Cemetery for the following persons:
Ruth Worline Baechler—Block 4, Lot B, Space 3—Full burial
Nellie Black Worline—Block 4, Lot B, Space 2—Full burial
Carlos Hartmann Baechler—Block 4, Lot B, Space 3—Urn burial
The owner of these spaces shown in our system is Nellie G.Worline (Spaces 1-4). Spaces 1 and 4 are vacant.
Mr. William Baeckler could purchase a marker to have his mom's and grandmother's name on it. As I mentioned
yesterday,the City of Clearwater's only responsibility is to mark the area for placement of a marker. A monument
company of funeral home will be in charge of installing the marker. We just need to know when and who will be doing
this so that we could notify our Parks and Rec. dept. to flag the area.
Upright bronze, marble or granite markers or tablets are permitted in this block and lot.
Since we don't have a copy of any deed in our files and Mr. Baeckler and his wife will not be buried at this cemetery in
the future,the city will not allow him to have their names on the marker.
I hope this answers all of your questions. Also, please let me know the correct spelling of their names so that we could
make the changes in our system. As you can see by the attached document showing the burials in Block 4, Lot B we
have different spellings on the names. Is it Baeckler or Baechler?? We also have Karlos with a K ?
Please advise and if you have any other questions, please give me a call.
Best regards,
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
From: Dawn Thompson [mailto:dawn @farleyfuneralhome.com]
Sent: Tuesday, January 03, 2012 12:14 PM
To: LaCosse, Judith
Subject: Questions regarding makers at the Municipal Cemetery
Dear Judith,
Thank you for speaking with me this morning. Per your request I am emailing you with my questions regarding
makers at the cemetery. I will explain the situation and questions.
William Worline Baeckler is the gentleman I am working with. His mother Ruth Worline Baechler (1910-1970) is
buried there, as well as his grandmother Nellie Black Worline (1898-1930). He also has a step father that he
2
thinks might be buried there.... Carlos Hartmann Buechler. Please note that William does spell his name
differently.
William (Bill) wants to purchase a marker that will include 4 names; his, his wife, his mother and grandmother, NOT
his stepfather.
He and his wife will not be buried there, he intends to be cremated and scattered, but he does want to have a
memorial marker in place with his name on it.
I need to know the following:
• Does he have the authority to do this? Is his name on a deed or a will that you know of? If so, I need to
see documentation.
• What size and type of markers do you allow? upright? flat bronze? is there a base required for the
marker?
• Do you install? ( I believe you answered that but I would like to have all my notes in writing).
• Will you allow him to have his name on a marker if not buried there?
If there is anything I have left out that you feel I need to know please fill me in!
Thank you so much for your time in this matter!
'1'iiiankyou,
(Dawn IY. Thompson
Farley Funera(.yfomes and Crematory
265 South Nokomis Ave.
Venice,Fl 34285
Phone 941.488.2291
Fax 941.488.0622
3