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j ` Cemetery Cali Work Sheet• �
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Caller Name / Funeral Home / Monument Company: N{OLAkili 'Tann;
Contact # or Email: ricAwe` . J ۥr'Ltb&/1 e
Reason for call: (Circle A, B, or C below and fill in information)
A: ** STAKING REQUEST FOR INTERMENT **
5
Full Burial Urn Burial 1).�ll%n
•1G � � - A- __ --
(One full burial and one urn, or two urns per space) H ,e k -lo 1 insw C1 . �,Ao-,, ee!
Owner of Plot:
Deceased Name: 1Q
Verify Ownership/Burial Rights in cemetery program before confirming: )44? '-'5)9
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / /
$30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday)
B: ** STAKING REQUEST for Monument / Marker to be placed **
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Deceased Name:
Block Lot Space
Verify Ownership/Burial Rights in cemetery program before confirming. No staking fee for placement of monument.
C: ** OTHER REASON:
tr trr' /y/C'a--
Cn eire-t -s)
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, Tim Chaplinsky in P&R: / /
**************************************************************************************************
Disinterment:
The following authorization should be obtained prior to disinterment:
1.) A disinterment permit and burial/cremation transit permit
411 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
INTERMENTS
BURIAL DECL
SP TYPE
1 INFANT HOLLINS
2 INFANT HOLLINS
3 FULL HOLLINS
4 FULL PATTERSON
5 FULL HOWELL
9 FULL VACANT
10 URN HOLLINS
10 FULL HOLLINS
11 FULL HOLLINS
12 FULL HOLLINS
DISINTERMENTS
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REINTERMENTS
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Status of Block: 3 LOT: 12 as of 2/24/2025
DECF
JAMES
JOSEPH
DIXIE
ALLIE
J
VACANT
CLARA
DIXIE
MAURICE
CHRISTIN
E
DECM BIRTH
M
H
M
H
T
B
M
L
9/29/1907
DEATH INTERRED PERMIT
11/15/1911 11/15/1911
3/22/1910 4/19/1911
12/14/1908 12/2/1938
3/9/1877
5/12/1855
1/1/1901
1/1/1895
11/2/1887
4/17/1912
4/18/1913
7/21/1950
5/27/1910
1/1/0001
4/30/1981
10/8/1962
4/19/1911
12/2/1938
7/21/1950
5/27/1910
1/1/0001
4/30/1981
10/8/1962
11/17/1991 11/21/1991
5/5/2000 5/11/2000
,o kr)
-c°
›co
0
0
0
0
0
0
0
220
2032
2442
Status of Block: 3 LOT: 12 as of 2/24/2025
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Vaughan, Karen
om: Vaughan, Karen
ent: Wednesday, February 26, 2025 3:37 PM
To: dmh@hollinswoodranch.com
Subject: FW: Clearwater Municipal Cemetery / Block 3 - Lot 12 - Spaces 1 - 16
Attachments: Hollins.docx; Hollins -Howell note.pdf
Hello!
We did some more research today and found a handwritten note in one of our old cemetery binders. I've attached
a copy of it (Hollins -Howell note.pdf).
I did not find any copies of deeds in City of Clearwater records. When the City took ownership of the cemetery, (in
the late 1940's or early 50's) and was selling spaces, it was up to the buyer to have the deed recorded with the
County. However, many people did not. Per the handwritten note found in cemetery binders, J.T. Howell owned
the North spaces (5 - 8 & 13 -16) and Dixie Hollins owned the South spaces (1 - 4 & 9 - 12). See attached table
(Hollins.docx) I created which may be easier to read than the note. I indicated on the table where there are
vacancies.
You can contact Pinellas County to do a Public Records Request for a deed or any paperwork regarding the
cemetery spaces.
Please contact me with any questions.
41lianks!
Karen B. Vaughan
Administrative Assistant
City of Clearwater
City Clerk Department
Ph: 727-444-7150
Fax: 727-562-4086
From: Vaughan, Karen
Sent: Monday, February 24, 2025 4:21 PM
To: dmh@hollinswoodranch.com
Subject: Clearwater Municipal Cemetery
Hello!
It was nice talking with you today! I've attached the list of the current status of Block 3 / Lot 12. I'm out tomorrow,
but will do some research Wednesday to see if we have any records on J.T. Howell. If not, you'll need to search for
a recorded deed with Pinellas county.
Spanks!
1
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Clearwater Municipal Cemetery Block 3 / Lot 12 / Spaces 1-16
Owners: Howell/Hollins
1. _Infant: James Hollins
Born/Died: 9/29/1907 11/15/1911
9— Vacant
***can be a full and an urn or 2 urns***
2. Infant: Joseph Hollins
Born/Died: 3/22/1910 4/19/1911
10. Full: Dixie M. Hollins
Born/Died: 11/2/1887 10/8/1962
Urn: Clara B. Hollins
Born/Died: 1/1/1895 4/30/1981
3 Full: Dixie M. Hollins
Born/Died: 12/14/1908 12/2/1938
*** space for urn at foot***
11. Full: Maurice L. Hollins
Born/Died: 4/17/1912 11/17/1991
*** space for urn at foot***
4. Full: Attie Patterson
Born/Died: 3/9/1877 7/21/1950
*** space for urn at foot***
12. Full: Christine Hollins
Born/Died: 4/18/1913 5/5/2000
***space for urn at foot***
5,. Full: J.T. Howell
Born/Died: 5/12/1855 5/27/1910
13. Vacant
6 Vacant
14. Vacant
7. Vacant
15—Vacant
9- Vacant
16. Vacant
No copies of deeds found in City of Clearwater records. Pinellas County may have records. In the
early 1900s when the City was selling spaces, it was up to the buyer to have the deed recorded with
the County. However, many people did not. Per handwritten note found in cemetery binders, J.T.
Howell owned the North spaces (5 — 8 & 13 -16) and Dixie Hollins owned the South spaces (1 — 4 & 9
— 12). This table created by Karen Vaughan with City of Clearwater, City Clerk Dept. as of 2/26/2025.
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. ALL.LaRITA. PATTERSON
1878-1950
CHtar ,u0 Hmt./ids (wire OP
/lamt0/2/C0 e00/:/'3-. S 100 '
!a_ ,i
DIEXE 1. . IW. LII. S
1908-1938
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3. . HOLLI; S
1904-1911 � ✓ .
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' DIXIE "MARTIN HOLLINS " : .. —
, 10-8-62 .
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19 P1-1911
ID. 3. g. :; O7 -LI : s
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Recorded Date 8/22/1950
0610
.16suerftwol sme ow 6616 rirt O. 6 ML boo 011110111,
phis kdcnhtre
]tads this .I309.624/.. dht of
Dawn cITr OF CLEAR TER.
um) _ 2$3 m227
. A. D. JO b4
oTo,plogitanirrtattseg under the *ems 4 the Sada 4 F1Orid411 . party 4 the
prat portend DIXIE M. ROM=
whose catling address is '116 Eighteenth Rb
3/a e.f3t. Petersburg.
Corwin out Cotp 4 Final/ea andAlarida • part 7
of
The second port.
iV� /That th_e maid party of 1*. first pert, or end to eowsld ration 4 the dem 4
T*A a MA AO/ 100—'---- .. Dollars.
in hand paid by the amid pert y of the second pert the receipt ubereef is hereby! .;eksetvdedged.
hath remised. released and quit-dalared. and by these presents doth remise. awtem,e and qua -claim
conte the said part y 4 the seemed part.. aid his hetfre end insigne forever, ail the estate...
right. !illy. then. equity. Alteral. claim .and deaaand which the said party 4 the first part hank to and
fa the fellows ng described dot . piece or parrot offend. situate. lying mut being in. the County
'3
of Pinellas . State of Flerida tee*:
Lot tse1ve•(18) in bleak three (3) of C1eareatar
Cemetery, lass that certain grave space *coupled'
by J. T • Novell.
Ti dart aid To Bad the seine together with aft and singular the appurtenances :here-
unto belonging or In aiq mm a apperhidoine. and slit the estate. right.. title. Ren. interest cad AVM
nMatsaever 4 the aabd party of the first part. &her in Sow or equity. to Nam only proper mun tent*
and bakes, of the said party of the second part hia heirs and assigns forever.
Attest:
Is Uinta Mom( the said party 4 the first part het caused
thepreemie to be signed In its same bit D tJ .adadOanti
ft (1. orrporatr
Clerk
seat to !k arilxods etteated bar as City Auditor and / fhet day
and pear oboes writta
fated an
cI* OP CLEARWAT R
a and Clerk
to time' pan: COU►ber—e igesd
...lima`= i- _
-
Approved as - to tora and
aorre.ateame a
#Wm
Carty Pubic
Y -ere
ofta 'a cji /Det,d'
'..1950936733 0
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Reuel Date 8/22/1950
Book Type
HISIORICALOR - HISTORICAL OB Book Type
Boat/Page 1283/227
Instrument It 1950936733
Number of 2
Paget
Doc Type DEED - DEED
Cxadm: CLEARWATER
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