Darling, LeaCemetery Call Work Sheet
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Contact Name.:
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Contact # or Email: J t Z� 6 Co,?.-‘
Reason for call:
A: ** STAKING REQUEST for Interment
$30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday)
Full Burial Urn Burial t ` S
(One full burial and one urn, or two urns per space)
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Deceased Name:
Verify Ownership/Burial Rights in cemetery program before confirming: �‘
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / /
Owner of Plot:
B: ** STAKING REQUEST for Monument to be placed
No fee for staking of monument
Deceased Name:
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Block Lot Space
Verify Ownership/Burial Rights in cemetery program before confirming:
C: ** OTHER REASON: Cer-
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Sent email to P&R to flag the space / /
Notified funeral home/monument company with color of the flags used to mark the space
Staking fee received (if applicable): / / From:
Copy of burial permit emailed to:
Nathan Brigman, cc: Matt Anderson, Tim Chaplinsky 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
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City Clerk/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20
Revised 12/27/2023
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Vaughan, Karen
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From: Vaughan, Karen
Sent: Tuesday, April 23, 2024 4:21 PM
To: leadarling27@icloud.com
Subject: Cemetery question / Friedt
Hi!
See below info we found for the Friedt family in the Clearwater Municipal Cemetery:
Thanks!
Karen B. Vaughan
Administrative Assistant
City of Clearwater
City Clerk Department
Ph: 727-444-7150
Fax: 727-562-4086
KORA L. FRIEDT
Block 5, Lot 24, Space 10
HOMER H. FRIEDT
Block 5, Lot 24, Space 9
https://citvofclearwater.maps.arcgis.com/apps/webappviewer/index.html?id=5326fb45e6e64115821f187543f90a 1b
1
5-23-3 SNYDER
5-23-2 SNYDER
5- 23-1 SWDER
5-23-11 SCOTT
5-23-10 SCOTT
5-23-9 SCOTT
5-24-6 MCKISSON 5-24-14 DUFFEY
5-24-5 MCKISSON 5-24-13 DUFFEY
5- 24-4 M CKISSON 5-24-12 SUMLIN
5-24-3 MCKISSON 5-24-11
5-24-2 MCKISSON
5-24-1 MCKISSON
HOMER FRIEDT, Plot Number: 5-24-9
Lag NamRIEDT
F -s: Name HOMER
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5-249 8,113:" 958
8,17.1' 958
arector
Fern) z Nur aer 1343
S le Note
EkNbe 5
Lot N Jrnber 24
Hot N,rnbe• 9
Len 33
Zoom to
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