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McManning, LarryLaCosse, Judith From: LaCosse, Judith Sent: Tuesday, July 23, 2013 8:53 AM To: ' amanda .arnold @dignitymemorial.com' Subject: Staking Request for Placement of Marker Attachments: Cemetery Map- Sheets 1, 2 & 3.pdf Importance: High Hi Mandy, Our Parks and Recreation Dept. marked the gravesite with Yellow flags for: Deceased: Larry R. McManning Gravesite: Block 10, Lot 5, Space 3 Nearby Burials: Space 2 = Mary T. Lister & Vera L. Samples — Urn burials Space 4 = Rose M. McManning — Full burial Attached is a copy of the Clearwater Municipal Cemetery. The circled number is the Block and the number in the square is the Lot. Please contact me with any questions. Judith LaCosse Staff Assistant Official Records and Legislative Services Dept. 727-562-4093 1 LaCosse, Judith From: LaCosse, Judith Sent: Tuesday, July 23, 2013 8:39 AM To: Ortega, Marco Cc: Tokar, Mark; Wells, Alexis; Vaughan, Karen Subject: RE: Cemetery Staking - Placement of marker Thank you I! I will notify Serenity Gardens. From: Ortega, Marco Sent: Tuesday, July 23, 2013 7:47 AM To: LaCosse, Judith Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Vaughan, Karen Subject: Re: Cemetery Staking - Placement of marker Yellow flags. On Jul 22, 2013, at 12:21 PM, "LaCosse, Judith" < Judith .LaCosse@myClearwater.com> wrote: This morning we received a staking request from Mandy at Serenity Gardens for placement of a marker for the following: Larry R. McManning — Buried in Block 10, Lot 5, Space 3. (full burial) Other burials nearby in Blk 10, Lot 5: Space 2 = Mary T. Lister & Vera L. Samples — Urn burials Space 4 = Rose M. McManning - Full burial Please flag space 3 (Larry McManning) and let me know the color of flags so that we could notify Serenity Gardens. They would like the area flagged ASAP as they would like to place this marker right away. Thank You. Judith LaCosse Staff Assistant Official Records and Legislative Services Dept. 727-562-4 093 1 Cemetery Call Work Sheet Date: / a- / i3 Funeral Home / Monument Company: ` re-0.j/ e,ko. s Contact Name: 1A6,..vx y Tel. #: S ' - Off') Fax #: Reason for call: Staking Request (Interment/Disinterment) ctmahet o ctr n0 (et Affidavit (Burial Rights) cti,cth j7 r `` ) Monument (Marker) being placed (No fee for staking of monument) For: I,.6-rry R.� (`��w►�' Block ;v Lot 5 Space 3 (Fz.J2x) Date: / / Time: (Send email to P &R) Verifying Burial space Other reason: PS e\ i ******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Interment: (One full burial and one urn, or two urns per space) Full Burial Owner of Plot: Deceased Name: Urn Space 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 Cemetery Call Work Sheet Date: I / I�f / Funeral Home/ Monument Company: Ma S s cu-s ter- Contact Name: ' Tel. #: -5"- 01-°1°Fax#: - S1 a- P.°11 3.. 56a- ao? - gc,Q Reason for call: I/ Staking Request (Interment/Disinterment) 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 A/ Urn Space SPue 3 ►yes Q.-v� ►fie eQ,e�Q Owner of Plot: Le-S die MC Kahtiin Deceased Name: Larry Mc Mannini MC Block 10 Lot 5 Space -3 `f= Ric k . Mc 114Ki- Date of Birth: I I / II / 5S Date of Death / / l -/ a°13 CF ) Date of Burial: I / /6 / a°13 Time: 0:00 ,S/pm Y'fl/3 $30.00 Staking Fee (Funeral Home) - received on: I / /' / 1°(3 /AA d wit` P ,k Fia141. Copy of permit emailed to Marco Ortega, cc: Mark Tokar/P&R on: I / a l / 3O(3 ************************************************************************************************** Disinterment: r-e- '� 1'f a7 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 LaCosse, Judith From: LaCosse, Judith Sent: Monday, January 14, 2013 11:57 AM To: Ortega, Marco Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen Subject: RE: Cemetery Staking - Full burial Thank you. Will notify the funeral home. From: Ortega, Marco Sent: Monday, January 14, 2013 11:49 AM To: LaCosse, Judith Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen Subject: Re: Cemetery Staking - Full burial Pink On Jan 14, 2013, at 11:01 AM, "LaCosse,Judith" <Judith.LaCosse@myClearwater.com>wrote: We received a call this morning from Phil at Moss Feaster requesting a staking for a Full burial for: Larry McManning in Block 10, Lot 5,Space 3 DOB: 11/11/55—DOD: 1/12/13 Other burials nearby in this block and space: Space 2=Vera L Samples& Mary T Lister—(Urns) Space 4= Rose M. McManning—(Full) Staking is needed by this Wednesday.January 16th and the burial is scheduled for 10:00 a.m. 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 1 January 14, 2013 Attn: Phil Funeral Home: Moss Feaster Funeral Home Fax: 727-562-2043 (This fax includes a copy of Cemetery Map) #in the circle is the Block,#in the square is the Lot Deceased: Larry McManning Gravesite: Block 10, Lot 5, Space 3 Full Space Gravesite flagged with Pink flags. Nearby Burials: Space 2 = Vera L Samples & Mary T Lister— (urns) Space 4 = Rose M. McManning — (full) Staking Fee: $30.00 Please make check payable to: City of Clearwater Mail to: City of Clearwater Official Records Dept. — 2nd Floor 112 S. Osceola Ave. Clearwater, FL 33756 Please contact me with any questions. Thank you, Judith LaCosse Official Records & Legislative Services City of Clearwater 727-562-4093 Vendor CITY OF CLEARWATER 01/15/2013 Vendor No. 3141616 Amount *******$35.00 11044966 PAYMENT DETAILS Manning 467301001769 He-M e1 n '7,3 7— ' , 3 EE elol JAN 2j- 2 .13 JKpo�t�2d( .th Y'lvl�ikG C//'�SQ . Jar..4.4../ a.o(3 . 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 35-1125 11044966 Clearwater, FL 33764 Porter,TX 1130 01/15/2013 PAY Thirty five and 00/100 Dollars ***********$35.00 PAY TO THE CITY OF CLEARWATER ORDER OF 112 S.OSCEt1LA AVE CLEARWATER,FL 33756 '> Memo: Manning 467301001769 /1("g 11■ L104496611° 1: LL3LL05861: 44440707211° Authorization For Disbursement Date:1/29/2013 Time:12:56 PM Vendor/Payee name: Moss Feaster Funeral Home 2nd line vendor/payee name: Remit to: Street/ PO Box 693 South Belcher Road Remit to: City, State, Zip Code Clearwater, FL 33764 Purchase orders are required for payments in excess of$2,500. Purchase Orders are required if prior year payments or expected payments have or will exceed $2,500. P.O. NUMBER(if required) RELEASE# RECEIPT# Provide a description or reason for this expense: Received check#11044966 for$35.00 for Cemetery Staking Fee (burial of Larry McManning). The Staking fee is for$30.00. Moss Feaster paid$5.00 more so a refund is due. Moss Feaster was notified. If you are charging more than one account please provide additional description for each account: CHARGE TO ACCOUNT# AMOUNT TO CHARGE 1 Miscellaneous - Refund )010-00000-369901-000-000-000C 5.00 2 0.00 3 0.00 4 0.00 5 0.00 g 0.00 7 0.00 g . 0.00 g 0.00 10 0.00 11 0.00 12 0.00 13 0.00 14 0.00 15 0.00 16 0.00 Grand Total $5.00 1 Full Signature of person authorized to sign Purchase Order Receiver Copy: veo cc, 0 Print Name and Title of person signing -, 1 Rosemarie Call, City Clerk Print this form and attach the original document(s) that validate the amount you are requesting payment for. Attach any copies that must be sent with the check. Improperly completed forms will delay check request. Please explain below if you are requesting the Finance Department not to mail check to the vendor. Keyed : Created by W.M.Tedder AFD-Moss Feaster.xls City Clerk Document#9821-0002 BURIAL PERMIT CLEARWATER CARETAKER PERMIT# 1427 CLEARWATER,FL January 29, 2013 Permission is hereby granted for burial of: Name of Deceased: MCMANNING LARRY Burial Type: FULL Owner of Property: LESLIE MCMANNING & Block: 10 Lot: 5 Space: 3 Date of Birth: November 11, 1955 Date of Death: January 12,2013 Date of Burial: January 16, 2013 Funeral Home Director: PHIL-MOSS FEASTER Time: 10 :00 Staking Fee: 30.00 Date Paid: January 15,2013 Clearwater Cemetery /? By 1,4-4.1-1,- 4Cryd�