Turpin, Lisa• Date: 4 / ( �3
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Cemetery Call Work Sheet
Contact Name: L TLA.re'r—Tel. #:
Email:
Reason for call:
**
Fax #:
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
Block La Lot ,gloSpace 0%
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
Other reason: L ► �q L z; -� �i ► 5 -�- GvCk-► d" f -`S rC' -( r,c.
. w,oh-v en-f-
*****************************w,w *************************
**
*****
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
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Vaughan, Karen
From: Vaughan, Karen
Sent: Monday, April 24, 2023 4:36 PM
To: Lisa Turpin
Subject: FW: Pack Ramsey marker: Block 12 / Lot 26 / Space 2
Attachments: Ramsey.pdf
Hi!
I'm out of the office this Friday so just wanted to give you a bit more direction. When you come into the Cemetery, you
will be on Myrtle Ave. The grave for Mr. Ramsey will be on your left or on the East side of the cemetery. There is a small
shed on the right where you can pull in and park. Then cross the street (carefully!) and you should see the white flags
over his marker.
Hope this helps!
Karen B. Vaughan
Administrative Assistant
City of Clearwater
City Clerk Department
• Ph: 727-562-4091
Fax: 727-562-4086
From: Lisa Turpin <Iturpin58@gmail.com>
Sent: Monday, April 24, 2023 12:45 PM
To: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>
Subject: Re: Pack Ramsey marker: Block 12 / Lot 26 / Space 2
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.
Perfect, thanks!
Sent from my iPhone
On Apr 24, 2023, at 11:59 AM, Vaughan, Karen<Karen.Vaughan@myclearwater.com> wrote:
Monument flagged. See picture attached.
• Thanks!
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