McMullin, Lillian 21 zztt2
Cemetery Call Work Sheet
irate: a- / 11 / 3-01a-1 n l ]� ] &AV)Funeral Home/ Monument Company: 1 V( 17f1ci \ C�Tlm E U t*
Contact Name: Mthbn Kari Ssa • We,ctver€ Sc=- L 5. con„
Tel. #:013) 445-3)13 Fax #: Ltwers -F• .
Reason for call: ✓ Staking Request (Interment/Disinterment) j r1c I ICLCJ S
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
Verifying Burial space
Other reason:
Interment: (One full burial and one um, or two urns per space)
•ull Burial Urn Space
Owner of Plot: I \L t '" tiASOM
Deceased Name: LI\\L ,Dull
Block Lot I 1 Space d■
Date of Birth: 11-/ / 23 Date of Death 2 / l(Q /
Date of Burial: 2 / 12-/ 12 Time: 1.1 . CDpm
$30.00 Staking Fee (Funeral Home) - received on: 5 / 7 / /Q-
Copy of permit emailed to Mark Tokar, Marco Ortega/P&R on: 5 / / a°(a
**************************************************************************************************
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
410 3.) Written authorization from the individual(s) who would be permitted to authorize burial
7a. - Setit e -Q
Revised 10/28/11 1-14 ill a- ekh -L. ew. � ne r-e.e.. I
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,
LaCosse, Judith
OreOM: Ortega, Marco
nt: Tuesday, February 21, 2012 8:06 AM
o: Gilmore, Stephanie
Cc: LaCosse, Judith
Subject: Re: Cemetery Staking
Marked with pink flags.
On Feb 17, 2012, at 2:36 PM, "Gilmore,Stephanie" <Stephanie.Gilmore( myClearwater.com>wrote:
Hi Marco,
We received a call this afternoon from Anthony at National Cremation requesting a staking for an Full
burial for:
Lillian McMullin in Block 9, Lot 19,Space 2.
Staking is needed by next Wednesday, February 22 for a full burial, scheduled at 11:00 a.m.
Please advise as soon as you can the color of the flags being used so that we could notify the funeral
• home.
Thanks for your help.
Stephanie Gilmore
City Clerk Specialist
City of Clearwater
(727)562-4227
Stephanie.Gilmore@myclearwater.com
•
1
LaCosse, Judith
From: LaCosse, Judith
Sent: Monday, April 30, 2012 12:01 PM
To: 'karissa.weaver @sci-us.com'
Subject: FW: Cemetery Staking Fee- Lillian McMullin
Importance: High
Ms. Weaver,
Please forward the $30.00 staking fee due to us for the burial of Lillian McMullin. We need this fee to update our
records in the cemetery program.
Thank You.
Judith dith La Bosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
From: LaCosse, Judith
Sent: Friday, April 20, 2012 11:20 AM
To: 'karissa.weaver @sci-us.com'
Subject: FW: Cemetery Staking Fee - Lillian McMullin
Importance: High
Hi Ms. Weaver,
We still haven't received the staking fee of$30.00 for the burial of Lillian McMullin.
Please give me a call if you have any questions.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
From: LaCosse, Judith
Sent: Thursday, March 08, 2012 4:25 PM
To: 'karissa.weaver @sci-us.com'
Subject: Cemetery Staking Fee - Lillian McMullin
Importance: High
Hi Karissa,
Per our telephone conversation this afternoon, I've noticed we haven't yet received the$30.00 staking fee. Back on
February 17th we received a call from Anthony from your funeral home requesting a staking be done for the full burial of
Lillian McMullin in Block 9, Lot 19,Space 2.
1
Please send us a check in the amount of$30.00 to cover the staking fee when you get a chance.
Thank You.
Judith LaCosse
Staff Assistan t
Official Records and
Legislative Services Dept.
727-562-4 093
2
•..TH&CH # • P =L -T BAC C•NT .' IM,iL TED.WATERMARK
National Cremation and Burial Socie Bank of America
16-66 50000410
308 East College Ave
Ruskin, FL 33570 1220
04/30/2012
PAY Thirty and 00/100 Dollars
4
PAY TO.THE CITY OF CLEARWATER ***********$30,00
ORDER OF 112 S OSCEOLA AVE
CLEARWATER, FL 33756
th
Memo: Cemetery Staking Fee for L.Mc Matti() IVP
05000041,00 1: L2200066 /1: 0668 2'.0000 2u■
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