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McGee, Karen LeslieCemetery Call Work Sheet te: Ll U'"4 Caller Name / Funeral Home / Monument Company: Contact # or Email: rc5ss ��.eG4Lv,e C3) coL.SZz,-,, re!, r-I,cG<E 6-cuL,eQ0 Reason for call: (Circle A, B, or C below and fill in information) I Jo ram Q 14o eck_1- 7 / A: ** STAKING REQUEST FOR INTERMENT ** Full Burial Urn Burial (One full burial and one urn, or two urns per space) Owner of Plot: (_r J —c Deceased Name: it:L^,1%O I 6 i !7 tlC- 942 C Verify Ownership/Burial Rights in cemetery program before confirming: l _ Block l Lot r Space 11 1 Date of Birth: 7/ LG --I' SLO Date of Death I d'/ E of c\--7 // Date of Burial: 3 / CP / t t'• ` -t . $30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday) B: ** STAKING REQUEST for Monument / Marker to be placed ** Deceased Name: • Block Lot Space Verify Ownership/Burial Rights in cemetery program before confirming. No staking fee for placement of monument. C: ** OTHER REASON: �?--7 )114 397 Sent email to P&R to flag the space: Notified funeral home/monument company with color of the flags used to mark the space:C9 i3143 Staking fee received (if applicable): / / From: Copy of burial permit emailed to Nathan Brigman, Tim Chaplinsky in P&R: / / ************************************************************************************************** Disinterment: The following authorization should be obtained prior to disinterment: 1.) A disinterment permit and burial/cremation transit permit 1110 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 City Clerk/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20 Revised 9/30/24 Vaughan, Karen om: ent: To: Subject: Thank you, Tim! Karen B. Vaughan Administrative Assistant City of Clearwater City Clerk Department Ph: 727-444-7150 Fax: 727-562-4086 Vaughan, Karen Wednesday, February 26, 2025 9:09 AM Chaplinsky, Timothy; Brigman, Nathan; Silcox, Joel RE: Cemetery flagging request: Block 9 / Lot 17 / Space 4 McGee From: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com> Sent: Tuesday, February 25, 2025 9:41 AM To: Vaughan, Karen <Karen.Vaughan@MyClearwater.com>; Brigman, Nathan <Nathan.Brigman@MyClearwater.com>; Silcox, Joel <Joel.Silcox@myclearwater.com> Object: Re: Cemetery flagging request: Block 9 / Lot 17 / Space 4 McGee Good morning,Karen West side of cemetery,purple flags. Get Outlook for iOS From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com> Sent: Monday, February 24, 2025 4:36:56 PM To: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>; Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>; Silcox, Joel <Joel.Silcox@myclearwater.com> Subject: Cemetery flagging request: Block 9 / Lot 17 / Space 4 McGee Please flag 9/17/4 prior to 3/6/2025 for a cremains burial on Thursday, March 6, 2025. Let me know color of flags please. The cremains will be placed at the foot of 9/17/4. • 1 Cemetery Tracking System X G clearwater.clearwater-fl.cam/Apps20/cemetery/viewlotprofie cera m © AFLAC Log In - Policy... ri Add Item to Agenda T... © Baycare Cerner Health... Cemetery e File Transaction View Lot Profile e Reports Print Burial Permit Cemetery Tracking System - View La Block: 9 Lot: 17 Profile Summary Click 'View Assigned' to view interment detail second grid will appear below, displaying all c the second grid to view the interment details Search Names and Notes Search Old Locations Print/View Lot Status Monthly Memo Disinterments Deceased by Location WEST SIDE OF MYRTLE AVENUE Space I Owner Last Owner First 1 CASLER 2 BABKA 3 BENEKE 4 MCGEE, JR E. B JOHN C LEE LESLIE G Alphabetical List of Deceased File List of Owners File Reinterments Per by Thanks! 2 Sren B. Vaughan ministrative Assistant City of Clearwater City Clerk Department Ph: 727-444-7150 Fax: 727-562-4086 • • 3