Taylorci (Akt c(2A,C1-0,41101.._
Cemetery Cali Work Sheet
qte: ala (/ �� NCLiiCke7L+
7
Caller Name / Funeral Home / Monument Company: 3 C ("RS.)-)
Contact # or Email:
(A-iczeo 414c9
Reason for call: (Circle A, B, or C below and fill in information)
A: ** STAKING REQUEST FOR INTERMENT** OLA-A.--a-t 7_`�
Full Burial Urn Burial ac)-(.. L.pk- "
(One full burial and one urn, or two urns per space)
Owner of Plot:
Deceased Name:
Verify Ownership/Burial Rights in cemetery program before confirming:
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 **
Deceased Name:
Block Lot Space
Verify Ownership/Burial Rights in cemetery program before confirming. No staking fee for placement of monument.
•
** OTHER REASON:
tol5V
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
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
lim: Vaughan, Karen
ent: Friday, February 21, 2025 4:17 PM
To: julieisb@yahoo.com
Subject: Clearwater Municipal Cemetery
Attachments: Julie - Block 2 Lot 11 spaces.pdf
Hi Julie!
See attached for Block 2 / Lot 11 space status. The spaces are numbered down the left side. When you see a gap
between numbers (it skips over space 3 and space 12, etc..) it means no one has been buried in that space. I also
attached a map of the cemetery and notated where Block 2 Lot 11 is. Alt of these spaces are owned by last name
Taylor. I can't find info on first name. It's just names Taylor as the owner of all of these spaces listed.
I hope this is helpful!
Have a great weekend!
Karen B. Vaughan
Administrative Assistant
Cityof Clearwater
ohty
Clerk Department
: 727-444-7150
Fax: 727-562-4086
•
1
• INTERMENTS
BURIAL
SP TYPE
1 FULL
2 FULL
4 FULL
5 FULL
6 FULL
7 FULL
8 FULL
9 FULL
10 FULL
11 FULL
15 FULL
16 FULL
18 FULL
• 19 FULL
20 FULL
21 FULL
30 FULL
31 FULL
32 FULL
33 FULL
34 FULL
35 FULL
36 FULL
37 FULL
38 FULL
39 FULL
40
41
110
45
46
47
FULL
FULL
FULL
FULL
FULL
DECL
WHITEHEAD
WHITEHEAD
TAYLOR
TAYLOR SR.
TAYLOR
TAYLOR
TAYLOR JR
TAYLOR
HANCOCK
HANCOCK
TAYLOR
TAYLOR
TAYLOR
TAYLOR
WHITEHEAD
WHITEHEAD
UNKNOWN
CAMPBELL
CAMBELL
CAMPBELL
CAMPBELL
CAMPBELL
CAMPBELL
ROGERS
ROGERS
DREW
ROGERS
ROGERS
TURNER
TURNER
CAMPBELL
Status of Block: 2 LOT: 11 as of 2/21/2025
DECF DECM
JANIE L
WARREN H
MARY
JOHN S
FLOSSIE C
MARY H
JOHN S
MARION
MARY
HARRY
WARREN J
PALMELIA E
MARY F
WILLIAM J
JAMES G
JANIE T
GORDEN
WILLIAM H
FLORIDA A
WILLIAM
JOHN T
ELLA
MITCHELL C
W S
MARY A
MARGARE
T A
JOEL W
DAVID B
MARY
NANCY
BIRTH
5/6/1909
5/21/1906
8/31/1904
3/2/1871
7/4/1879
1/1/1886
1/1/1902
12/2/1906
4/2/1931
9/6/1924
6/7/1876
12/10/1874
5/26/1850
2/7/1847
9/7/1882
7/30/1882
1/1/1901
1/1/1880
1/1/1868
2/26/1889
5/16/1830
7/17/1870
1/19/1867
5/19/1885
1/1/1919
3/8/1871
2/13/1852
2/14/1848
1/1/1819
1/1/1823
12/3/1805
DEATH INTERRED PERMIT
11/5/1912
10/11/1907
9/29/1906
8/15/1936
1/17/1930
1/1/1959
11/21/1970
9/8/1996
5/22/2021
5/10/2010
12/7/1877
6/17/1875
8/30/1906
9/11/1911
12/21/1940
1/12/1973
1/1/1901
1/1/1949
1/1/1934
1/13/1910
1/26/1896
7/5/1877
1/5/1904
10/5/1966
8/25/1944
1/18/1963
5/5/1937
12/12/1903
3/16/1869
7/3/1890
9/28/1884
11/5/1912
10/11/1907
9/29/1906
8/15/1936
1/17/1930
1/1/1959
11/21/1970
9/11/1996
6/5/2021
5/14/2010
12/7/1877
6/17/1975
8/30/1906
9/11/1911
12/21/1940
2/12/1973
1/1/1901
1/1/1949
1/1/1934
1/13/1910
1/26/1896
7/5/1877
1/5/1904
10/8/1966
8/25/1944
1/21/1963
5/5/1937
12/12/1903
3/16/1869
7/3/1890
9/28/1884
0
0
0
0
0
0
810
2274
1494
2611
0
0
1372
0
0
956
0
0
0
0
0
0
0
531
0
242
0
0
2552
0
0
Status of Block: 2 LOT: 11 as of 2/21/2025
•
•
• 48 FULL
49 FULL
50 FULL
51 FULL
52 FULL
53 URN
53 FULL
55 FULL
56 FULL
63 FULL
64 FULL
65 FULL
66 URN
68 FULL
• 69 FULL
•
ROGERS
HAINES
HAINES
GUY
ROGERS
BARTLETT
BLACK
ROGERS
WILSON
LAWRENCE
LAWRENCE
GUY
MASON
DREW
DREW
DISINTERMENTS
REINTERMENTS
Status of Block: 2 LOT: 11 as of 2/21/2025
WILBUR
JOHN
LEOLA
FRANK
ABBIE
MARY
AILEEN
LEONORA
MARGARE
T
HENRY
JANE
JULIA
MARGARE
T
LELAND
ELOISE
H
R
H
M
A
D
R
G
G
R
R
F
J
12/18/1893
1/1/1882
1/1/1875
1/1/1890
4/15/1891
10/25/1915
8/31/1893
1/1/1870
10/1/1902
5/29/1915
11/11/1919
5/30/1890
1/31/1912
12/11/1908
10/3/1908
6/28/1964
1/1/1939
3/23/1960
9/7/1961
12/8/1981
8/1/2007
6/11/1970
1/1/1903
1/25/1976
8/13/1984
12/22/1987
8/2/1987
6/5/1994
3/15/1979
8/19/1999
7/1/1964
1/1/1939
3/23/1960
9/7/1961
12/11/1981
1/1/0001
6/13/1970
1/1/1903
1/28/1976
8/16/1984
12/26/1987
8/5/1987
6/11/1994
3/19/1979
8/23/1999
365
0
53
134
1447
2577
770
0
1127
1574
1721
1710
2162
1302
2410
Status of Block: 2 LOT: 11 as of 2/21/2025
•
•
•
SEE SHEET
95
96
97
``98
94
81
80
65
64
93
82
79
66
63
92
83
76
91
84
77
67
68
62
MYRTLE
49 I46
50 47
51 46
61
\90
85
76
69
60
35
32
34
51
18
35
30
19
52 . ') 45
53 �44
69 96 75
70 59
54
67
74
71
58
55
73
T2
37
56
29
28
36
29
20
143
13
4
37
26
21
12
5
43 38 27
22
11
42
39
26
23
10
41
40
23
24
23
22
13
27
24
25
\7
14
15
12
34 33 26
m
AVENUE
25 16 15
6 5
35
32
27
24
17
14
7
4
36
31
28
37
30
29
7
6
3
4
16
6
5
14
6
7
5
4
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8
3
9 Q
2
10
19
13
18
23
16 ()) 13
3
Z
►111111111►
18
17
19
16
22
19
12
9
2
20
13
21
20
11
10
1
21
14
19
l8
20
17
21
16
7
8
22
15 10
23
14
24
13
16
IS
17
14
18
13
19
12
20
12
5
11 10
21
24 25
22
23
26
6
K
5
4
11
2
4
0
3
8
A
28
29
27
30
22
13
23
12
24
25
10
26
9
27 8
28
7
29
30
5
31
4
32
3
33
2
34
PROSPECT AVENUE
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