Gross, JamesCemetery CaII Work Sheet
•ate:kiib2
Contact Name: S• OS
0 uneral Home /Monument Monument Company: /
•ontact # or Email: rJt. ca COS‘ C)
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
(One full burial and one urn, or two urns per space)
Owner of Plot:
Deceased Name:
Verify Ownership/Burial Rights in cemetery program before confirming: _
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / /
B: ** STAKING REQUEST for Monument to be placed _
No fee for staking of monument
Deceased Name:
Block Lot Space
Verify Ownership/Burial Rights in cemetery program before confirming: _
•
C:
** OTHER REASON:
Lc - S 4-o SrPc.c.es Bw-O g,)
Cst"'►..eAde „� .,mac. orn- vv
6Q. 44� .32121/4 frtCCSQ-Cace
i
************************ **** ** ** ;*****4'a'1�e*********** :R:71********* *****'***** ****�'`
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
Sity Clerk/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20
evised 12/27/2023
• •
• • •
Let me know if you feel this information is incorrect and I need to dig deeper.
Tony
On Thu, Apr 18 4:25 PM , Karen <karen.vaughan@myclearwater.com> wrote:
Hi!
Mr. James Gross needs to know his family plot info. Dorothy & William Gross should be buried there. He needs to know if they purchased enough spaces
for him.
Please advise any information.
Thanks!
Karen B. Vaughan
Administrative Assistant
City of Clearwater
City Clerk Department
Ph: 727-444-7150
Fax: 727-562-4086
3
4/23/24, 1:51 PM
•
Municipal Cemetery
gross
MIRIAM
OSCEOLA
I Lot n
1
Last Name
GROSS
First Name MIRIAM
Middle Initial E
DOB 11/10/1911
DOD 10/20/1991
Burial Date 10/30/1991
Funeral Director NATIONAL CREMATION
City
Permit Number 2025
Site Note
Block Number 7
Lot Number 17
Plot Number 1
Length 12
Width 4
Zoom to
Municipal Cemetery
Esri, HERE, Garmin, FAO, NOAA, EPA 1 Cy of Clea...
20ft
https://www.myclearwater.com/My-Government/O-City-Departments/City-Clerk/Clearwater-Municipal-Cemetery
1/1
• •
•
Vaughan, Karen
From: Helpdesk - Information Technology
Sent: Tuesday, April 23, 2024 1:24 PM
To: Vaughan, Karen
Cc: Lenning, Tony
Subject: Fwd: Re: INC -4554 - Municipal Cemetery call
Karen,
I'm not finding anyone by the name Dorothy Gross or William Gross.
Searching the database and the map view (
https://cityofclearwater.maps.arcgis.com/apps/webappviewer/index.html?id=5326fb45e6e64115821f187543f90a1b ), I did find Osceola Gross and Miriam
Gross.
City of Clearwater
7- 5-3 SIN 7- 6-3 HO!
MIRIAM
OSCEOLA
2 HATTAWAY 7- 5-2 SINCLAIR
7- 4-1 JOHNSON 7- 5-1 SINCLAIR
7-19-4 PEARSON 7- 18-4 SKEEN
7- 18-3 SKEEN
7-19-2 LABONTE 7- 18-2 PACIO K
7- 19-1 LABONTE
7- 18-1 GURLEY
7- 26-4 WOOLWORTH 7- 27-4 DICKSON
7- 6-2 M(
7- 6-1 M(
7- 17-4 3
7- 17-3 3
7- 17-2 3
7- 17-1 C
7- 28-4 Hi