Shackton, KatherineDate: 1>-/ 4/
Cemetery Call Work Sheet
Contact Name: Tel. #:l,5' O3(03 Fax #:
`mail:
Reason for call:
Staking Request — 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: 1— k—.�'�"Z1 i t ."•-Q, i
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / / Time: am/pm
• ** Monument (Marker) being placed - (No fee for staking of monument)
For:
Block Lot Space Date: / / Time:
Affidavit (Burial Rights) Verifying Burial space
V— Other reason: -1-2>Q5.enaS +0 (i -el._
6-1. (0- -, a- 6G
******************************************x*******************************************************
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: Maft Anderson, Tim Chaplinsky, Erick Peterson in P&R on: / /
***************************-i**********************************AA Ai i*******************************
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: Morrone, Todd
Sent: Monday, December 4, 2023 11:47 AM
To: Brigman, Nathan; Chaplinsky, Timothy; Gwyn, Courtney
Cc: Fuino, Michael; Vaughan, Karen
Subject: RE: McKenzie / Block 14 - Lot 571 - Spaces 3 & 4
Nathan and Timothy,
Risk will need an incident report and any relevant information regarding our mowing activities. (Including contractors.) Please also include any additional
information provided by the claimant. Courtney will advise regarding the claim status.
Thank you for your assistance.
Best,
Todd
From: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Sent: Monday, December 4, 2023 10:51 AM
To: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>; Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Cc: Morrone, Todd <Edward.Morrone@MyClearwater.com>; Fuino, Michael<Michael.Fuino@MyClearwater.com>
Subject: Re: McKenzie / Block 14 - Lot 571- Spaces 3 & 4
Thanks for that update Tim.
Thank You,
1
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*
From: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>
Sent: Monday, December 4, 2023 10:49 AM
To: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>; Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Cc: Morrone, Todd <Edward.Morrone@MyClearwater.com>; Fuino, Michael <Michael.Fuino@MyClearwater.com>
Subject: Re: McKenzie / Block 14 - Lot 571- Spaces 3 & 4
Current update from Moss feaster found out that Rhodes did the original buria1,2004, and they are out of Business, He's going to reach out to Saint Pete
memorial because that's who they mainly deal with and get a hold of their Monument person. Then in the meantime, Cycadia called me and I sent him some
photos of the damage and he's going to get them to his Monument person.
Get Outlook for iOS
From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Sent: Monday, December 4, 2023 10:45:33 AM
To: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>; Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>
Cc: Morrone, Todd <Edward.Morrone@MyClearwater.com>; Fuino, Michael<Michael.Fuino@MyClearwater.com>
Subject: RE: McKenzie / Block 14 - Lot 571- Spaces 3 & 4
I just spoke with Tim and sounds like he was able to find out that Rhodes made the arrangements. They are no longer in business.
Thanks!
• •
Karen B. Vaughan
Administrative Assistant
City of Clearwater
Official Records & Legislative Services
Ph: 727-444-7150
Fax: 727-562-4086
•
From: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Sent: Monday, December 4, 2023 10:41 AM
To: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>; Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>
Cc: Morrone, Todd <Edward.Morrone@MyClearwater.com>; Fuino, Michael<Michael.Fuino@MyClearwater.com>
Subject: Re: McKenzie / Block 14 - Lot 571- Spaces 3 & 4
Karen,
Thanks for the heads up on the warranty as was not aware and would have assumed damages not covered.
I was waiting to get more info on range of cost est etc before contacting Risk about this one.
•
Can you look in your records to find the company that performed the work originally? When I spoke with the Katherine, it didn't sound like
she had anything to follow up on, since she had no prior involvement..
Todd,
We will work with Courtney on this as we have more info. My staff is checking with some local monument companies to get estimates.
Thank You,
Nathan Brigman
3
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*
From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com>
Sent: Monday, December 4, 2023 9:18 AM
To: Chaplinsky, Timothy <Tim.Chaplinskv@MyClearwater.com>; Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Cc: Morrone, Todd <Edward.Morrone@MyClearwater.com>; Fuino, Michael<Michael.Fuino@MVClearwater.com>
Subject: McKenzie / Block 14 - Lot 571- Spaces 3 & 4
Regarding the damage done to the McKenzie tombstone... Risk Mgmt should be consulted. Warranties (if there was one) on tombstones cover damage by
climate or seasonal things.
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: Thursday, October 26, 2023 12:22 PM
To: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>
Subject: voicemail re cemetery / rcvd 10-26-23 at 8:40 a.m.
•
•
• • •
Hi Nate!
We got a voicemail from the following regarding damage to a marker at Block 14 / Lot 571 / Spaces 3 & 4
Katherine Shackton
Daughter of Alice and Bernard McKenzie
Please call her at 727 515 0363 regarding damage to her parents marker she thinks was done by lawn mower.
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571
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INTERMENTS
BURIAL DECL
SP TYPE
1 FULL MCKENZIE
2 FULL
3 FULL
4 FULL
HANSON
MCKENZIE
MCKENZIE
DISINTERMENTS
Status of Block: 14 LOT: 571 as of 10/26/2023
DECF
DECM BIRTH DEATH INTERRED PERMIT
PATRICIA A
MARGARE
T M
BERNARD
ALICE L
1/1/0001 1/1/0001 1/1/0001
1/1/0001 1/1/0001 1/1/0001
1/1/1902 7/2/1973 7/2/1973
3/17/1908 6/14/2004 6/18/2004
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