Ficarrotta, Mary Cemetery Call Work Sheet
Date: la- / I7 / a-01D.
Funeral Home/ Monument Company: SC/ - Moss "Viz_64er
Contact Name: Zf-e/ D Tel. #: f -a°-?° Fax#: 56 a-@-073
Reason for call: V---Staking Request (Interment/Disinterment) e"� � `k-R.
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space
Date: / / Time:
(Send email to P&R)
Verifying Burial space
Other reason:
Interment: (One full burial and one urn, or two urns per space)
Full Burial ✓ Urn Space
Owner of Plot: Frahk R rroftt
Deceased Name: nary Ficarrofk
Block 14 Lot 30 Space if
Date of Birth: 9 / la / a4, Date of Death )d- / 15/ a°I a
8:30- f ,4 # /L1 o
Date of Burial: 12- / g t / I a. Time: /a.-3c' am/pm
$30.00 Staking Fee (Funeral Home) - received on: b' / 01-7/ I a'
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
Status of Block:16 Lot: 30 as of 12/17/2012
II
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
] FULL LIVINGSTON SHIRLEY A 10/25/1961 03/14/1997 3/22/1997 2310
2 FULL BRIDGES BERTHA 4/22/1914 03/14/1997 3/22/1997 2309
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
LaCosse, Judith
From: LaCosse, Judith
Sent: Monday, December 17, 2012 2:06 PM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie;Vaughan, Karen
Subject: RE: Cemetery Staking Request- Full Burial
Thanks Marco. We will notify the funeral home.
From: Ortega, Marco
Sent: Monday, December 17, 2012 1:23 PM
To: LaCosse, Judith
Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: Re: Cemetery Staking Request - Full Burial
Marked in yellow flags.
On Dec 17, 2012, at 8:39 AM, "LaCosse,Judith"<Judith.LaCosse @mvClearwater.com>wrote:
Hi Marco,
We received a call this morning from Joe, Funeral Director of SCI—Moss Feaster requesting a staking for
a Full burial for:
Mary Ficarrotta in Block 16. Lot 30.Space 4—DOB—9/12/26—DOD—12/15/12
** (See attached status sheet regarding burials in this block and lot) **
Staking is needed by this Friday.December 21st between 11:30 and 12:30.
Please advise me of 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
<Block 16 Lot 30.pdf
i
December 17, 2012
Attn: Joe
Funeral Home: SCI — Moss Feaster
Fax: 727-562-2073
(This fax includes a copy of Cemetery Map)
#in the circle is the Block,#in the square is the Lot
Deceased: Mary Ficarrotta
Gravesite: Block 16, Lot 30, Space 4
Full Burial
Gravesite flagged with Yellow flags.
Nearby Burials:
Space 1 = Shirley A Livingston —Full burial
Space 2 = Bertha Bridges — Full burial
Space 3 = Vacant
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
idith La osse
Official Records & Legislative Services
City of Clearwater
727-562-4093
Vendor CITY OF CLEARWATER 12/19/2012
Vendor No. 3141616 Amount **"`**$30,00 11012634
PAYMENT DETAILS
Staking fee for Ficarrotta
THE FACE OF THIS CHECK IS PRINTED BLUE-THE BACK CONTAINS A SIMULATED WATERMARK
Moss Feaster Funeral Home and Crema Amegy Bank N.A.
693 South Belcher Road Porter,TX 35-1125 11012634
Clearwater,FL' 33764 u3o
12/19/2012
PAY Thirty and 00/100 Dollars
***********$30.00
PAY TO THE CITY OF CLEARWATER
ORDER OF 112 S C)SCEOLA AVE
CLEARWATER FL 33756
Memo: Staking fee for Ficarrotta
1I' LLOL2634116 1: L L3 L L051361: 44114070 7 211'
,
BURIAL PERMIT
CLEARWATER CARETAKER PERMIT# 1426
CLEARWATER,FL December 31, 2012
Permission is hereby granted for burial of:
Name of Deceased:MARY FICARROTTA Burial Type: FULL
Owner of Property: FRANK R FICARROTTA & MARY S FICARROTTA
Block: 16 Lot: 30 Space: 4 Date of Birth: September 12, 1926
Date of Death: December 15,2012 Date of Burial: December 21, 2012
Funeral Home Director: JOE-MOSS FEASTER FUNERAL DIR.
Time: 11 :30 Staking Fee: 30.00 Date Paid: December 27, 2012
Clearwater Cemetery
$y 6l Lk