Morelli, VirginiaDate: / ) 9 / ,),01`f
Cemetery Call Work Sheet
Funeral Home / Monument Company: R Deei,N 4'v ..t
Contact Name:
Tel. #:14:1-4411-- 3°Si' Fax #: 7a)- gcf3- 0a-53
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
aI�- FIScv-1
204._ s3gq e Clow.
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:
gWveA -
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Interment: (One full burial and one urn, or two urns per space)
Full Burial
Owner of Plot:
Urn Space
V i rq i,v..�. �t. M oreLL
Deceased Name: 7i rt `1- Roc
Block 4- Lot Space a-
Date of Birth: I / a 6 / 11a4.- Date of Death
Date of Burial: 8 / a I / a-911f
space Horel2f.i �4
/Icc /a °I`f.
Time: am /pm (N n S
`
$30.00 Staking Fee (Funeral Home) - received on:
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
I
Status of Block: 12 Lot: 22 as of 08/19/2014
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
1 FULL MORELLI DOMINIC 8/28/1954 01 / 22 / 1992 1/25/1992 2044
3 FULL CARTER CARRIE E 1/1/1901 12 / 14 / 1961 12/14/1961 155
4 FULL BARNICKLE YVONNE B 1/1/1901 10 /21 / 1961 10/21/1961 142
DISINTERMENTS FROM SPACE:
2 FULL CARTER
REINTERMENTS:
No Matching Records
CARRIE
E 01/01/1901 12/14/1961 12/14/1961 01/26/1993 155
Page 1 of 1
LaCosse, Judith
From: LaCosse, Judith
Sent: Wednesday, August 20, 2014 9:12 AM
To: Wells, Alexis; Tokar, Mark
Cc: Sarnoff, Cherise; Vaughan, Karen
Subject: RE: Cemetery Staking Request
Thank you !! I will notify the funeral home.
From: Wells, Alexis
Sent: Wednesday, August 20, 2014 9:06 AM
To: LaCosse, Judith; Tokar, Mark
Cc: Sarnoff, Cherise; Vaughan, Karen
Subject: RE: Cemetery Staking Request
Flags are RED and located on the east side
From: LaCosse, Judith
Sent: Tuesday, August 19, 2014 10:18 AM
To: Tokar, Mark
Cc: Sarnoff, Cherise; Wells, Alexis; Vaughan, Karen
Subject: Cemetery Staking Request
Importance: High
Staking request for full burial received from Rhodes Funeral Home.
The deceased name: Virginia Morelli
Please Stake Space 2 of Block 12, Lot 22
The date of burial will be for this Thursday, August 21ST , no set time.
Other burials nearby:
Space 1: Dominic Morelli —full burial
Space 3: Carrie E Carter — full burial
Space 4: Yvonne B Barnickle — full burial
Please advise me of the color of flags being used so that I could notify the funeral home.
Thank you.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
August 20, 2014
Attn: Bob Grant
Funeral Home: Rhodes Funeral Home
Fax: 727 - 443 -0253
(This fax includes a copy of Cemetery Map)
# in the circle is the Block, # in the square is the Lot
Deceased: Virginia Morelli
Gravesite: Block 12, Lot 22, Space 2
Full Space
Gravesite flagged with Red flags.
Nearby Burials:
Space 1 = Dominic Morelli — full burial
Space 3 = Carrie E Carter — full burial
Space 4 = Yvonne B Barnickle — full burial
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
WORK & SON INC
17705 ST. LUCIA ISLE DRIVE
TAMPA, FL 33647
PAY TO THE
ORDER OF V
WELLS FARGO BANK. N.A.
'NFU GF,FI 1,,1
50141
63- 751 -631
MEMO VI. r�Y1 ;Q '(' Ore
( ll
THANK YOU FOR YOUR SERVICE
DOLLARS
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PrMx�ion & ID Petloraibn
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BURIAL PERMIT
CLEARWATER CARETAKER
CLEARWATER, FL
Permission is hereby granted for burial of:
Name of Deceased: VIRGINIA MORELLI
Owner of Property: VIRGINIA M MORELLI &
PERMIT # 1442
September 09, 2014
Burial Type: FULL
Block : 12 Lot: 22 Space: 2 Date of Birth: November 26, 1926
Date of Death: August 18, 2014 Date of Burial: August 21, 2014
Funeral Home Director: BOB GRANT /RHODES FUNERAL HOME
Time: :
Staking Fee: 30.00 Date Paid: September 9, 2014
Clearwater Cemetery
Date: / 11 / c9-0(5
Cemetery CaII Work Sheet
Funeral Home / Monument Company: Rko 1'•-i•
Contact Name: 69 b lira Tel. #:"h7 - `f-H- -3o55 Fax #: 7 i - `f "f3_ o?-53
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
✓ Monument (Marker) being placed (No fee for staking of monument)
For: Vi raz.r.:, a. M o -eJii (01.1)
Block IX. Lot Space a-
Date: 2 /a? / 9-0 /S Time: /Apr -,.i�
(Send email to P &R) 1/11/15
Verifying Burial space
Other reason:
3 jao
M,-, 6-rei4f
an,t k, 6)M iK41% ICA, Q -,)g
wl;.tc. fQgelia' •
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 Mark Tokar, cc: Cherise Sarnoff /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 11/24/14
Status of Block: 12 Lot: 22 as of 03/19/2015
1
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
1 FULL MORELLI DOMINIC 8/28/1954 01 / 22 / 1992 1/25/1992 2044
2 FULL MORELLI VIRGINIA 11/26/1926 08 / 18 / 2014 8/21/2014 1442
3 FULL CARTER CARRIE E 1/1/1901 12 / 14 / 1961 12/14/1961 155
4 FULL BARNICKLE YVONNE B 1 /1/1901 10 / 21 / 1961 10/21/1961 142
DISINTERMENTS FROM SPACE:
2 FULL CARTER CARRIE E 01 / 01 / 1901 12 / 14 / 1961 12 / 14 / 1961 01 / 26 / 1993 155
REINTERMENTS:
No Matching Records
Page 1 of 1
LaCosse, Judith
From: Tokar, Mark
Sent: Friday, March 20, 2015 1:35 PM
To: LaCosse, Judith
Subject: RE: Cemetery Staking Request - Placement of a marker
White flags.
From: LaCosse, Judith
Sent: Thursday, March 19, 2015 4:06 PM
To: Tokar, Mark
Cc: Wells, Alexis; Sarnoff, Cherise; Vaughan, Karen
Subject: Cemetery Staking Request - Placement of a marker
Importance: High
I received a cemetery staking request this afternoon from Bob Grant of Rhodes Funeral Home for placement of a
marker.
Please stake Block 12, Lot 22, Space 2 for next Tuesday, March 24th
(they will be there sometime in the morning, not sure of exact time)
Deceased's name: Virginia Morelli - full burial (interred 8/21/14)
Other Full Burials nearby:
Space 1— Dominic Morelli — (full)
Space 3 — Carrie E Carter — (full)
Space 4 — Yvonne B Barnickle — (full)
Please let me know the color of the flags you will be using so that I could notify Mr. Grant.
Thanks.
Judith LaCosse
Staff Asst
City of Clearwater
ORLS Dept.
727 - 562 -4093
1