Moling, KennethDate: o /
Funeral Home /
Cemetery Call Work Sheet
`offAoa-D .
, ,30 a I ---) c-.)rii:Dos
Monument Company: Ro S s Fe,.i"F-e.A. . 44 .
Contact Name: S 14S c L M e - Tel. #: 5( -- (-L)' ) a
Email:
Fax #:
�u SLin . hA-44.ee 6 K., SS a' 5 1eK. fL n..R., X5 Loh,.
Reason for call:
**
C1/29.. /6 - +C) --rte-C:63e7C()
Staking Request - IntermentSun
$30.00 staking fee (Weekdays) - $50.00 staking fee (Sat rday, day & Legal Holiday)
Full Burial Urn Burial
(One full burial and one urn, or two urns per space)
Owner of Plot: n r` � :L 0. , �►
Deceased Name: -
Block (- Lot CiB Space E £eri We Va- `/ So 274
Date of Birth: ' / / Date of Death
Date of Burial: `t / Id-- / I9 r, 3 Time:
**
•
/ /
am/pm
Monument (Marker) being placed - (No fee for staking of monument)
For:
Block
►a Lot `1 _ Space
Date: / / Time:
Affidavit (Burial Rights) Verifying Burial space
Other reason: Kw\kz r u),44 j u -if or kerw 6Q a hd1 fvou•-cd t..c.hwz cie-t1 h o c;
L.+ -to `" -f ; t ��� 4 )2-'21. f� s 1.P.or,-K
**************************************************************************************************
Send email to P&R to stake the space
Notify funeral home/monument company with color of the flags used to mark the space
Staking fee received on: / / From:
Copy of permit emailed to:
Nathan Brigman, cc: Matt Anderson, Tim Chaplinsky, Erick Peterson in 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
ORLS/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20
Revised 4/21/2021
Status of Block: 12 LOT: 98 as of 10/11/2021
• INTERMENTS
BURIAL DECL
SP TYPE
1 INFANT WILLOUGHBY
2 INFANT MOLING
3 INFANT
5 URN
5 FULL
REIDY
TOUCHTON
COYNE
7 INFANT SMITH
8 INFANT MCCALL
9 INFANT VAN SWOL
DISINTERMENTS
• REINTERMENTS
•
DECF
UNKNOW
N
DECM BIRTH DEATH INTERRED PERMIT
BOY
MARGARE
T F
HELEN M
THOMAS J
UNKNOW
N
JANEY
GLENN
7/11/1959 7/11/1959 7/13/1959
1/1/1901 1/1/1901 4/12/1963
1/1/1901 1/1/1901 12/26/1962
5/17/1933 1/21/2004 2/18/2004
1/1/1907 1/1/1966 10/25/1966
1/1/1901 1/1/1901 12/19/1963
2/7/1959 5/31/1959 6/2/1959
A 1/1/1901 1/1/1901 12/18/1961
8
269
236
2531
534
325
6
167
•
INFORMATION REPORT FOR: BLOCK: 12 LOT: 98 SPACE: 2 10/11/2021
INTERMENT INFORMATION
DECEASED: BOY MOLING RIGHTS:
INTERRED: 4/12/1963: BURIAL TYPE: INFANT
BIRTH: 1/1/1901 DEATH: 1/1/1901 PROCESSED:
DIRECTOR: MOSS CLEARWATER PERMIT#: 269
NOTES: None
Vaughan, Karen
From:
• Sent:
To:
Cc:
Subject:
Vaughan, Karen
Thursday, June 23, 2022 11:13 AM
Susan Laramee
Peterson, Erick; Brigman, Nathan
RE: [External] FW: Clearwater Municipal Cemetery / Space to be flagged for marker
Hi Susan!
We have been researching our records regarding Block 12 / Lot 98. Almost all of the burials in this Block and Lot were
handled by Moss Feaster. Is there any possibility you have a diagram of the gravesite layout for this Block and Lot? The
State has no interment information about it. I checked with them this morning.
Here is the info I have for 12/98:
12/98/A& B
12/98/C
was unusable
12/98/D
12/98/E (West Y )
12/98/E (East %2)
12/98/F
John T. Coyne (owner)
Harold Reidy (owner)
Kenneth Moling (owner)
Frances Galando (owner)
James R. McCall (owner)
Thomas Coyne — buried 10/25/66 — Moss Feaster Lakeside
I have no info on space C but there is a note saying space 4
Infant Margaret Frances Reidy — buried 12/26/62 — Moss
Infant boy Moling — buried 4/12/63 — Moss
Infant Smith — buried 12/19/63 — Moss
Infant Janey McCall — buried 6/3/59 — no funeral home noted
(note on record: Corrected deed issued 4-10-61. Original deed was for 12/98/D.)
12/98/G Harold Van Swol (owner) Infant Glenn Van Swol — buried 2/5/62 — Moss
•12/98/H Robert Willoughby (owner) Infant Willoughby — buried 7/13/59 — no funeral home noted
(note on record: Corrected deed issued 4-10-61. Original deed was for 12/98/F.)
The Molings own 12/98/E (the Western Half). Baby boy Moling buried 4-12-63. 'V I'7 Lk)
Miss Frances Galando owns 12/98/E (the Eastern Half). Baby Smith buried 12-19-63.
I was out there the other day with Erick (P&R) and my co-worker Christopher. We talked with you by phone that day. I
know you are out of town, but wanted you to know we are still working on this.
I took pictures with my phone while we were out there and the names of the markers and their locations are not helping
a lot. That's why I'm hoping since Moss did most of these burials you may have more info about the grave layout or
maybe the Moling family knows exactly where baby Moiling was buried and that he shared a space with baby Smith.
Let me know.
Thanks!
Karen B. Vaughan
Administrative Assistant
City of Clearwater
• Official Records & Legislative Services
Ph: 727-562-4091
Fax: 727-562-4086
1
From: Susan Laramee <Susan.Laramee@mossfeasterfunerals.com>
Sent: Tuesday, June 21, 2022 9:57 AM
•To: Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Subject: Re: [External] FW: Clearwater Municipal Cemetery / Space to be flagged for marker
CAUTION: This email originated from outside of the City of Clearwater. Do not click links or open attachments unless you
recognize the sender and know the content is safe.
•
Thank you Karen,
I will let you know if we need further assistance.
Have a great day,
Susan Laramee
Family Service Advisor
MossFeaster
FUNERAL HOME & CREMATION SERVICES
CARE. COMFORT_ RAN.
693 South Belcher Rd.
Clearwater, FL 33764
1320 Main Street
MEM c�rf t PARK
CREMAT/CN EMRTRRY- RVSERM1.S
Dunedin, FL 34698 VIEW OUR BEAUTIFUL
CEMETERY: https://vimeo.com/352798369
P H : 727-562-2070/Cell: 727-743-0972
**If this email reaches you at a sensitive time please accept my apologies**
From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Sent: Tuesday, June 21, 2022 9:49 AM
To: Susan Laramee <Susan.Laramee@mossfeasterfunerals.com>
Subject: [External] FW: Clearwater Municipal Cemetery / Space to be flagged for marker
2
AM.
6/22/22, 12.:04 PM Cemetery Tracking System
isfywin (icod Tealpy WripinEtscy, ,FFiiine 22, ilift22
8 Cernete—r;
B File
Trarisoction
or...w.m
VieW Lot
Profile
1131 Reports
print Bwial
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Names are;
Cemetery Tracking System - Transaction Owner Information
Block:
12
Lot:
98
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Space: 12 I INVENTORY TYPE: INFANT
OWNER INFORMATION
1
KENNETH MOLING
2477 NASH STREET
CLEARWATER, FL
2
RELATION TO OWNER 1:
Notes
SALES INFORMATION
Searce 0-0
' SOLD ON:
HOLD:
Prr,"eless Lot
Status
Monti -ay
Mama
Si ha s sto
Dosaiaseci
Locattisi
Aleisabotical
or
Deceased Hie ,
Reinteitheolo
Perrolts List
by Deceased
Per Fritts
reselor
PR.F.,Rii lot
2
Main'
Conti -Fa Data
Valid
Loss
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•
4/12/1963
NO
PAID ON:
DEED RECORDED:
4/16/1963
AMOUN115
OR BOOK/PAGE:
0/0
MAX RIGHTS:
1
INTERRED:
1
NOT INTERRED:
0
AVAILABLE:
0
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