Capitanio, Mary (2) • Cemetery Call Work Sheet
Date: I° / 31 / I a,
Funeral Home/ Monument Company: Suw,.nt.r an,e Gra. ite. /St. Rate a
Contact Name: kry sti h Tel. #:1�-'1-3 2 I-5'f'Y Fax#:
Reason for call: / Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
✓ Monument (Marker) being placed (No fee for staking of monument)
For: Mary pift.K.io - Z4erreO: '"// I (krk.)
Block 15 Lot 102 Space
Date: II / I / 401x Time: 10:30- 1(:0o a.w►
(Send email to P&R) ✓ l' //a - 0"t" •e� fC-r
.13 4c4 wuk.) k
Verifying Burial space f&ate
Other reason:
**************************************************************************************************
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space
Owner of Plot:
Deceased Name:
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / / Time: am/pm
$30.00 Staking Fee (Funeral Home) - received on: / /
Copy of permit emailed to Marco Ortega, cc: Mark Tokar/P&R 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 10/31/12
A +
LaCosse, Judith
From: LaCosse, Judith
Sent: Thursday, November 01, 2012 8:36 AM
To: Ortega, Marco; Tokar, Mark
Cc: Wells,Alexis; Gilmore, Stephanie
Subject: RE: Cemetery Staking Request- Placement of a marker
Thank You. We have notified the company.
From: Ortega, Marco
Sent: Thursday, November 01, 2012 8:19 AM
To: Tokar, Mark
Cc: LaCosse, Judith; Ortega, Marco; Wells, Alexis; Gilmore, Stephanie
Subject: Re: Cemetery Staking Request - Placement of a marker
Marked in yellow flags.
On Oct 31,2012, at 1:48 PM, "Tokar, Mark"<Mark.Tokar @myClearwater.com>wrote:
We will get it in the morning.
From: LaCosse, Judith
Sent: Wednesday, October 31, 2012 10:26 AM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie
Subject: Cemetery Staking Request- Placement of a marker
Importance: High
Hi Marco,
We received a call this morning from Krystin from Sumner Granite& Bronze, Inc.,Tel. No.727-321-5498,
for a staking request for placement of a marker.
Block 15,Lot 108,Space 2
Deceased, Mary Capitanio,was interred back on 10/1/11 in this plot(Urn burial).
If possible they would like the Staking done by tomorrow, November 1St and they will be there between
10:30 and 11:00 a.m.
Please advise me with the color of the flags being used so that we could notify them as soon as
possible.
Thanks for your help.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
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