Kelleher, Kevin Cemetery Call Work Sheet
Date: S / -7 I L °h-.
Funeral Home / Monument Company: A be-9y Pcff 0 r.dand2e.
Contact Name: °■fi
Tel. #: `7a7 - S!7- a-3 Lf o Fax #:-7,0-S."- t 5 g a
Reason for call: V Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
Verifying Burial space
Other reason:
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space V
Owner of Plot: 13;. sow ft- • U e _
Deceased Name: re v' n lc .BA
Block Lot B a- Space j
Date of Birth: it / al / Date of Death It / a9 I 1 r + # i`tc13
Date of Burial: 5 / 1 cl / a n f a, Time: 1 :3 0 am&
c._.L ck act
$30.00 Staking Fee (Funeral Home) — received on: 6" / R / 4.O is
Copy of permit faxed to Joe Taylor/P&R — Fax No. 6551 on:
**************************************************************************************************
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
3.) Written authorization from the individual(s) who would be permitted to authorize burial
Revised 6/29/11
I .
LaCosse, Judith
From: Ortega, Marco
Sent: Monday, May 07, 2012 1:38 PM
To: LaCosse, Judith
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie
Subject: RE: Cemetery Staking Request
Pink flags...
From: LaCosse, Judith
Sent: Monday, May 07, 2012 12:18 PM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie
Subject: Cemetery Staking Request
Importance: High
Hi Marco,
We received a call this morning from Don at Abbey Affordable requesting a staking for an Urn burial for:
Kevin Kelleher in Block 7, Lot 82,Space 1—DOB—11/21/66- DOD 4/29/12
** (See attached status sheet regarding burials in this block and lot) **
Staking is needed by Saturday, May 19th at 1:30 p.m.
Please advise me with the color of the flags being used so that we could notify the funeral home.
Thanks for your help.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
1
May 7, 2012
Attn: Don
Funeral Home: Abbey Affordable
Fax: 727-517-1580
(This fax includes a copy of Cemetery Map)
#in the circle is the Block,#in the square is the Lot
Deceased: Kevin Kelleher
Gravesite: Block 7, Lot 82, Space 1
Urn Space
Gravesite flagged with Pink flags.
Date of burial: May 19, 2012 Time: 1:30 p.m.
Nearby Burials:
Space 2 = Wilson Valentine— Full burial
Space 3 = Modelle Valentine— Full burial
Space 4 = Wilson Valentine (Infant)
Staking Fee: $30.00
Please make check payable to: City of Clearwater
Mail to: City of Clearwater
Official Records Dept. — 2"d Floor
112 S. Osceola Ave.
Clearwater, FL 33756
Please contact me with any questions.
Thank you,
dith LaCosse
Official Records & Legislative Services
City of Clearwater
727-562-4090
•
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ABBEY AFFORDABLE CREMATION & 29454
FUNERAL SERVICES INC
p P.O.BOX 4190 63-751/631 11038 t
MINOLE,FL 33775 5335495916
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2012-May-31 07:58 PM City of Clearwater O.R.L_S. 727 562-4086 1/1
City of Clearwater, Florida
o Official Records and
CkarwaterLegislative Services Department
Phone(727) 562-4090
Fax(727)562-4086
FAX MESSAGE
TO: Don
LOCATION: Abbey Affordable
FAX: 727-517-1580
COMMENTS: Please forward the $30.00 staking fee due to us for
the burial of Kevin Kelleher on May 19, 2012. We
need to update our records.
Our address: 112 S. Osceola Ave., Clearwater, FL
33756
FROM: Judith LaCosse, (727-562-4093)
DATE: 5/31/2012
NUMBER OI?'PAGES MIS MESSAGE(INCLUDING TBIS PAGE): 1
RECEIVED
JUN 1 1 2012
OFFICIAL RECORDS AND
LEGISLATIVE SRVCS DEPT