Chaplinsky, Timt,,,•
Cemetery Call Work Sheet
Date: Va—/ ' / a�
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Contact Name: Tel. #: Fax #:
Email: C_- f'4 - cam-
Reason for call:
taking Request — Interment
$30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday) tAr/
Urn Burial
(One full burial and one urn, or two urns per space)
Owner of Plot: 71(
�: .
Deceased Name: 0 ".‘1:
Blok Lot Space
Date of Birth: / / Date of Death / / 09/ \o
Date of Burial: / / Time: am/pm
• ** VMonument (Marker) being placed - (No fee for stakingof
monument) C4/9"
0/4For:
Block t2 -Lot ? Space ?j t 4- Date: / / Time:
Affidavit (Burial Rights) Verifying Burial space
Other reason: 1r�;eNS 1 4'gOvi� alfa ,lne
Full Burial
•
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/FornsPermitsTemplates/Cemetery Call Work Sheet -20
Revised 4/21/2021
• • •
Vaughan, Karen
From:
Sent:
To:
Cc:
Subject:
Thank you for clarifying Tim.
Kevin,
Brigman, Nathan
Monday, December 4, 2023 2:03 PM
Chaplinsky, Timothy; Vaughan, Karen
information@floridamonument.com
Re: Browne / flag Block 12 Lor 7 Spaces 3 & 4
This apparently as accurate as we can get without putting in a survey request to our engineering dept for exact corners. We
equipment in house and can only go off of what we have in the past.
Please let us know how you would like to proceed. If you have the additional time available, a survey request should not be
would just need to get in on their schedule.
Thank You,
Nathan Brigman
City of Clearwater Parks and Recreation Department
Landscape Manager
B.S. Ornamental Horticulture
ISA Certified Arborist
Office - (727) 562-4270 ext 7808
Cell - (727) 463-9857 Primary*
don't have the
an issue. They
From: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>
Sent: Monday, December 4, 2023 1:58 PM
To: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>; Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Cc: information@floridamonument.com <information@floridamonument.com>
Subject: Re: Browne / flag Block 12 Lor 7 Spaces 3 & 4
1
• •
Looking at the layout of the other monuments throughout those blocks It's difficult to really tell how far in from the drive (asphalt area) that Block our would
start/ end.
Cross referencing the nearest spot below," the Brownes, currently marked Moores that spot shows 12-8-2, on our map. so up one block and to the right is where
the Brownes spots should begin, without having a surveyed plot layout, it's really hard to tell with the naked eye, it looks like it could be shifted over maybe a
foot to 18" to the right.
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From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Sent: Monday, December 4, 2023 1:33:11 PM
To: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Cc: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>; information@floridamonument.com <information@floridamonument.com>
Subject: FW: Browne / flag Block 12 Lor 7 Spaces 3 & 4
Hello!
Kevin at Cycadia Monument has questions about the flags in the attached picture and the exact location of the subject spaces owned by the Brownes. Please
contact him at 727-786-1551 or via email (he is copied on this note) at your earliest convenience.
Thanks!
Karen B. Vaughan
Administrative Assistant
City of Clearwater
Official Records & Legislative Services
Ph: 727-444-7150
Fax: 727-562-4086
From: Vaughan, Karen
Sent: Monday, December 4, 2023 12:47 PM
To: information@floridamonument.com
Subject: FW: Browne / flag Block 12 Lor 7 Spaces 3 & 4
Kevin,
Spaces flagged for the Brownes.
Thanks!
2
•
Karen B. Vaughan
Administrative Assistant
City of Clearwater
Official Records & Legislative Services
Ph: 727-444-7150
Fax: 727-562-4086
From: Chaplinsky, Timothy <Tim.Chaplinskv@MvClearwater.com>
Sent: Monday, December 4, 2023 12:27 PM
To: Vaughan, Karen <Karen.VaughanCa@MvClearwater.com>
Subject: Re: Browne / flag Block 12 Lor 7 Spaces 3 & 4
Good afternoon Karen, East side of cemetery white flags.
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From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Sent: Monday, December 4, 2023 10:54:07 AM
To: Chaplinsky, Timothy <Tim.Chaplinskv@MyClearwater.com>
Subject: Browne / flag Block 12 Lor 7 Spaces 3 & 4
Hi Tim!
Looks like no one has been buried in that Block & Lot yet.
3
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clearwater.clearwater-fl.com/Apps20/cerneteryiviewlotprofileaspx?b=12811=7
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Good Morning! Today is Monday, December 4, 2023
Cemetery
File
Transaction
View Lot Profile
Reports
Print Burial Permit
Search Names and
Notes
Search Old Locations
Print/View Lot Status
Monthly Memo
Disinterments
Deceased by
Location
Alphabetical List of
Cemetery Tracking System - View Lot Profile
Block: 12 Lot: 7
Profile Summary
Click 'View Assigned' to view interment details. If more than one individual is intei
second grid will appear below, displaying all of the individuals assigned to the spa
the second grid to view the interment details of that individual.
EAST SIDE OF MYRTLE AVENUE
Space Owner Last
RHODES III
RHODES 111
BROWNE
BROWNE
j Owner First
JOHN
JOHN
DO
DONALD
Owner Middle Max Interred
2
0
0
0
0
4
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