Turk Sr., WilliamCemetery Call Work Sheet
Date: 9 / 3 / 40/1-
Funeral Home / Monument Company: Cc k. e .e . 1 .
Contact Name: Teat. Tel. #: `1a7- 3 3' :746' / Fax #:
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument) 11
For: �✓; x - - tot, TA/ k , Sr •
Block iS Lot 4C, Space 3
Date: 9 / S / a°(`F Time: )
(Send email to P &R)
Verifying Burial space
Other reason:
PJ R Ufa ke S k- w;i'i.
- f
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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
Status of Block: 15 Lot: 66 as of 09/03/2014
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
1 FULL IGOE JAMES J 6/9/1912 10 / 23 / 1992 10/27/1992 2075
2 FULL HOLMES LOUISE 11/4/1919 08 / 16 / 1992 8/22/1992 2070
3 FULL TURK, SR WILLIAM 7/13/1934 11 / 06 / 1993 11/13/1993 2124
4 FULL HAGGINS ANNIE M 9/8/1921 06 / 19 / 1994 6/25/1994 2169
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
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LaCosse, Judith
From: LaCosse, Judith
Sent: Thursday, September 04, 2014 8:27 AM
To: Tokar, Mark
Cc: Vaughan, Karen
Subject: RE: Cemetery Staking Request - Placement of a marker
Thank you... I will notify the funeral home.
From: Tokar, Mark
Sent: Thursday, September 04, 2014 8:09 AM
To: LaCosse, Judith
Subject: RE: Cemetery Staking Request - Placement of a marker
Yellow flags.
From: LaCosse, Judith
Sent: Wednesday, September 03, 2014 2:53 PM
To: Tokar, Mark
Cc: Sarnoff, Cherise; Wells, Alexis; Vaughan, Karen
Subject: Cemetery Staking Request - Placement of a marker
Importance: High
We received a call from Ted from Carnegie Funeral Home, Tel. No. 727 - 330 -7661, for a staking request for placement of
a marker.
Block 15, Lot 66, Space 3
Deceased, William Turk, Sr., was interred back on 11/13/93 in this plot (full burial).
Staking is needed before this Friday, September 5th.
Please advise me with the color of the flags being used so that we could notify the funeral home.
Other burials nearby:
Space 1= James J Igoe — full burial
Space 2 = Louise Holmes —full burial
Space 4 = Annie M Haggins — full burial
Thanks for your help.
Judith LaCosse
StaffAssista.nt
Official Records and
Legislative Services Dept,
727 - 562-41993
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