Coachman, B. G.
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Owner
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Address:
Deceased name'
Date of birth:
Date of death
Funeral home
Director/phone:
Legal descripti
St aki ng fee: I~J/:'/f8
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Staking fee required
Cemetery attendants hours 7:00 am -- 3:30 pm; fees paid after
these hours will not be called over until next working day.No
caretaker on duty on holidays.
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Before me, the undersigned authority, personally appeared James
H. Martin who being duly sworn says under oath the matters and
facts set out above are true and correct to the best of his
knowledge and belief.
Sworn to and subscribed before me this 6th day of December A.D.
1988.
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CEMETERY CHECK LZST' !
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PURCHASE OF CEMETERY LOT
Owner's
Name ;8. ):J,
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Address
DATE /t?</ S-/J?:P
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County (if other than Pinellas)
Block -3 Lot I '-~
space~~I~
of Space .$ ~
Cost
Receipt No.
_Purchaser signed' "F
Interest in Florida
Give Purchaser copy
Deed Prepared
Deed signed & sent
_Copy of Deed file
Original deed m
_Necessary information entered in Cern
$
Return for Transfers of
(in Cemetery file drawer)
cover letter
(large green book)
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INTERMENT
~~led out Cemetery Information Sheet
~V~ifY ownership in Cemetery Plat Book
~eceived $15 staking fee & issue receipt (include deceased's name and
5Pe block, lot & space on the receipt)
~I~ue Burial Permit
~all Bob Maute at 6588 (Faye at Public Service Dispatch) & leave
message for him to return call. When he calls back, give him
name of deceased, block, lot & space, and date & time of service.
fJ~Fill in proper line in Plat Book
~Fill in proper space on Master Map (in Plat Book)
~nter deceased's name in Cemetery Index
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Cemetecy Information
Owner
Address:
Deceased name-
Date of birth:
Date of death
Day/time service:
Funeral home
Director/phone, ~
Legal descriPtion~l~
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Lot
Space
Staking fee:
Staking-LeedrequLred minimum -12hrs prior to service.
Cemetery attendants hours 7:00 am -- 3:30 pm; fees paid after
these hours will not be called over until next working day.No
caretaker on duty on holidays.
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