Pressley, WatisDate: $ / Z5- /
Funeral Home / Monument Company:
x:1
Contact Name: -re Tel. #: 330- "l 66 ( Fax #:
c.�.Gow..
Reason for call:y Staking Request (Interment/DisintermQh�ent)e:'f'rdkligS f s €4"
•C
Affidavit (Burial Rights)
Cemetery CaII Work Sheet
7
R. I) a, alet S AQ 4-113 N+-¢_
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 `/
Owner of Plot:
Deceased Name:
L3 del $
Urn Space
Pre ss(C7
fry
Block 14. Lot V3 Space De)
Date of Birth: a- / a'Y / l93 Date of Death / (8 / dod-1
Date of Burial: 8 / a / a O a• 1 Time: 3. 3° a pm
$30.00 Staking Fee (Funeral Home) — received on: / 3° / 7 /
(-Lck 2-30 rram.' rreJetb'1 Q
Copy of permit emailed to Nathan Brigman, cc: Matt Anderson/P&R on:
Not.
Mart A. f p r?J» Ott 'y 644z2d2..
(3Qo,k 14t) L# 8 I Sj• PP'
4t 149'5
$-ZZ-2
l r R le-LtN Qr `e -
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()
**************************************************************************************************
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 6/2/2020
Status of Block: 14 LOT: 81 as of 8/25/2021
INTERMENTS
BURIAL DECL DECF DECM BIRTH DEATH INTERRED PERMIT
SP TYPE
00 FULL PRESSLEY MARY A 3/13/1927 3/13/1998 3/21/1998 2357
DISINTERMENTS
REINTERMENTS
BURIAL
SP TYPE
00 FULL
DECL
Status of Block: 14 LOT: 81 as of 8/25/2021
DECF DECM BIRTH DEATH INTERRED
PRESSLEY MARY
A 3/13/1927 3/13/1998 3/21/1998
LaCosse, Judith
From: Peterson, Erick
Sent: Friday, August 27, 2021 9:00 AM
To: LaCosse, Judith; Brigman, Nathan; Anderson, Matthew; Chaplinsky, Timothy
Cc: Vaughan, Karen; Horsely, Christopher
Subject: Re: Cemetery Staking Request - Full Burial
Judith Mr.Watis Presley lot has been marked with pink flags right behind the shed on the Myrtle
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From: LaCosse, Judith <Judith.LaCosse@myClearwater.com>
Sent: Friday, August 27, 2021 8:25:15 AM
To: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>; Anderson, Matthew
<matthew.anderson@myclearwater.com>; Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>; Peterson, Erick
<Erick.Peterson@MyClearwater.com>
Cc: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>; Horsely, Christopher
<christopher.horsely@MyClearwater.com>
Subject: FW: Cemetery Staking Request - Full Burial
Good Morning,
Please advise on this staking request.
Thank You.
Judith LaCosse
StaffAssistant
ORLS Dept.
727-562-4093
From: LaCosse, Judith
Sent: Wednesday, August 25, 2021 12:21 PM
To: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>; Anderson, Matthew
<matthew.anderson@myclearwater.com>; Chaplinsky, Timothy <Tim.Chaplinsky@myclearwater.com>; Peterson, Erick
<Erick.Peterson@myclearwater.com>
Cc: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>; Horsely, Christopher
<christopher.horsely@MyClearwater.com>
Subject: Cemetery Staking Request - Full Burial
Importance: High
Good Afternoon,
We received a cemetery staking request this afternoon from Ted of T.R. Dallas Funeral Home for a Full burial.
Please stake Block 14, Lot 83, Space 00 for a full burial.
1
Deceased Name: Watis Pressley - DOB: 2/28/1934 DOD: 8/18/2021
Note: Mary A. Pressley (wife) is buried in Block 14, Lot 81, Space 00 — (Watis Pressley will be buried next to Mrs.
Pressley)
The date of burial is set for this Saturday, August 28th at 3:30 p.m.
(See attached burial status for Block 14, Lot 81, Space 00)
Please let us know the color of the flags being used so that we could notify the funeral home.
If you have any questions please give me a call at 727-562-4093.
Thank You !!
Judith LaCosse
Staff Assistant
ORLS Dept.
727-562-4093
2
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RECCE ALWAYS
INST # 98-110009
APR 10, 1998 12:24PM
CEMETERY DEED
PINELLAS COUNTY FLA.
iH OFF.REC.BK 10056 PG 758
THIS INDENTURE made this 4 day of 3�Z , 1998, between the City of
Clearwater, Florida, a municipal corporation as Grantor and WATIS PRESSLEY, whose
mailing address is 1349 Woodbine Street, Clearwater FL, 33755 the County of Pinellas, Stat
of Florida, as Grantee:
WITNESSETH: That the said Grantor, for and in consideration of the sum of $500.00, to it in hand paid by the said Grantee,
the receipt whereof is hereby acknowledged, has remised released and quit -claimed unto the said Grantee, and their heirs
forever, all the right, title and interest, which the said Grantor has in and to the following described parcel of land, Tying and being
in Pinellas County, State of Florida, to wit: SPACE Zero -zero (00) LOT Eighty-one (81), BLOCK Fourteen, (14),
Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida.
This conveyance is subject to the condition that Grantee herein shall not assign or convey said property without the written
consent of the Grantor, and to the further condition that said property shall be used only for cemetery purposes as human burial
sites and is subject to such other rules and regulations the City of Clearwater may adopt pertaining to use of said property.
TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said Grantee and their heirs and assigns
forever.
IN WITNESS WHEREOF, said Grantor has caused these presents to be executed in its name by its Mayor Commissioner, by its
City Manager, and to be attested and its corporate seal affixed by the City Clerk on the day and yea first above written.
Co `� si• nedeCITY OF CLEARWATER, FLORIDA
Rita Garvey, Mayor -Commis goner
STATE OF FLORIDA )
COUNTY OF PINELLAS)
Before me, the undersigned, personally appeared Rita Garvey, the Mayor -Commissioner of the City of Clearwater, Florida, to
me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be her free
act and deed for the use and purposes herein set forth.
WITNESS my hand and official seal this 015 day of
Susan Stephenson,
(SEAL)
STATE OF FLORIDA )
COUNTY OF PINELLAS)
, 1998.
Print/type name:
C
PU9CAROLYNtott
lic
� cn: a, misstoN * CC 463040
EXPIRES N1AY 2' , 9
' BONDED THRU
�t pF E,4Q ATLANTIC BONDING CO., INC.
Before me, the undersigned, personally appeared Michael J. Roberto, the City Manager of the City of Clearwater, Florida, to
me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be his free
act and deed for the use and purposes herein set forth.
WITNESS my hand and official seal this 2S .14' day of , 1998.
Approv as . • and legal sufficiency:
John Carassas, Assistant City Attorney
/d -e►o 7v
«C c
Print/type name:
DEED.DOC
RETURN TO: City Clerk Department =)
P. O. Box 4748, Clearwater, FL 33758 5
,� 1,, a L.i
�apr ��.f:.�.° Public
o r C:' '' t� - N r CC -163040
c po' ' ATLANTIC BONDING CO., INC.
Documentary Tax Pd 3 3• s�
$
Karleen F. De 913!....
ay
•.!a!,-, Tia Pd.
..•a:nty
L .i.tt:'t CiatY
9700.0026
Rev. 7/97