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Anderson, Elizabeth•te: 7, 9 et, Contact Name: mpany: LgCv©5'Istue Cemetery Call Work Sheet Contact # or Email: Reason for call: A: ** STAKING REQUEST for Interment $30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday) B: • C: cQ S i Ylie-N&_ 03W‘OL0.1 Full Burial Urn Burial (One full burial and one urn,rnor two urns p space) Owner of Plot: E SLC)1 Deceased Name: Verify Ownership/Burial Rights in cemetery program before confirming: Block 1,( Lot i 1 Space Date of Birth:4' / (C1/_ jC1 Date of Death (� /17 / 83 Date of Burial: / / ** STAKING REQUEST for Monument to be placed _ No fee for staking of monument Deceased Name: Block Lot Space Verify Ownership/Burial Rights in cemetery program before confirming: ** OTHER REASON: S --e Ism GC c_t c20 Io+ **************************************************************************************************************************** Sent email to P&R to flag the space/' 1 4 otified 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, cc: Matt Anderson, Tim Chaplinsky 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 City Clerk/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20 Revised 12/27/2023 Vaughan, Karen Worn: Vaughan, Karen Sent: Wednesday, July 17, 2024 3:23 PM To: kevin cantrell Cc: bluebirdsinn@gmail.com Subject: RE: FW: Clearwater Municipal Cemetery / Elizabeth Anderson / Block 11 - Lot 21 - Space 3 Hi Kevin! I spoke with Linda Anderson today. She will mail the $30.00 staking fee to: City of Clearwater P.O. Box 4748 ATTN: City Clerk Department/Karen Clearwater, FL 33758-4748. And I will email her the receipt. I will ask Parks & Rec to flag the space by Friday 7/26 so you may proceed with the burial as soon as you have the remains. Linda, please reply to this with the following info so we can update our records: Info on the deceased: 1. Date of Birth 2. Date of Death 3. Date of the burial of cremains We print a burial receipt once we know the burial has taken place. It remains here for our records. Please contact me with any issues. I'm out of the office 7/24 — 7/31. Thanks! Karen B. Vaughan Administrative Assistant City of Clearwater Alkity Clerk Department h: 727-444-7150 Fax: 727-562-4086 1 From: kevin cantrell <cantrellb4need@gmail.com> Sent: Wednesday, July 17, 2024 1:18 PM To: Vaughan, Karen <Karen.Vaughan@MyClearwater.com> Subject: Re: FW: Clearwater Municipal Cemetery / Elizabeth Anderson / Block 11- Lot 21- Space 3 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. Karen : we would like the space flagged as you mentioned. The family will send your 30.00 please send her the rcpt. we are just offering to help put the cremated remains away for them. I can verify that you got the money early next week. so that we can proceed Thank You, Kevin Cantrell Cycadia Monument Co. 727-786-1551 www.floridamonument.com On Wed, Jul 17, 2024 at 11:59 AM Vaughan, Karen<Karen.Vaughan@myclearwater.com> wrote: Hi Kevin! Just want to be sure you know there is a full burial in the space (Albert), so Miss Elizabeth's cremains will be placed at the foot. I checked with Linda Anderson and she said that was fine. Thanks! Karen B. Vaughan 2 • City Clerk Department Administrative Assistant City of Clearwater • Ph: 727-444-7150 Fax: 727-562-4086 From: Vaughan, Karen Sent: Wednesday, July 17, 2024 11:52 AM To: kevin cantrell <cantrellb4need@gmail.com> Subject: Clearwater Municipal Cemetery / Elizabeth Anderson / Block 11 - Lot 21- Space 3 Hi Kevin! I had a call from Linda Anderson regarding the burial of an urn vault for the subject deceased. She asked to have the space marked by the end of next week but asked that I follow up with you to be certain of the date. Would you like this space flagged by Thursday, July 25th? I also need the following info on the deceased: 1. Date of Birth 2. Date of Death 3. Date of the burial of cremains There will be a $30.00 staking fee for this as well. Please send payment to: City of Clearwater P.O. Box 4748 ATTN: City Clerk Department/Karen fklearwater, FL 33758-4748. 3 I look forward to hearing from you with date to flag space, and the 3 questions above. Thanks! 4iscvat44- Karen B. Vaughan Administrative Assistant City of Clearwater City Clerk Department Ph: 727-444-7150 Fax: 727-562-4086 4 • Vaughan, Karen likrom: Vaughan, Karen ent: Monday, July 22, 2024 11:40 AM To: kevin cantrell Subject: FW: Please flag for JULY 25th / Elizabeth Anderson / Block 11 - Lot 21 - Space 3 Attachments: IMG_0295 jpeg Kevin, See attached picture of flags on the space for Ms. Anderson. Please email me the date this burial is complete so I can update our records. I'm going to be out of the office for the next couple of weeks. If you have any issues locating the space, please contact Nathan Brigman at 727-444-8318 or Tim Chaplinsky at 727-444-8336. Thanks! Karen B. Vaughan Administrative Assistant City of Clearwater City Clerk Department Ph: 727-444-7150 Fax: 727-562-4086 • • 1 Karen Et Al, Please find enclosed the check for $30 to stake Block 11, Lot21, Space 3 (current burial site for Albert itderson) so an urn vault can be buried and a flat monument can be placed for my grandmother's ains: Elizabeth Catherine Dunlop Anderson Born April 19, 1899 Died December 17, 1983 RECEIVED JUL 2 4 2024 CITY CLERK DEPARTMENT My understanding is that Cycadia Monument will take the cremains I deliver to them on Friday, July 26 and they will then bury them on the above mentioned site the following week. We are also purchasing a flat stone to be placed by Cycadia later after the stone is engraved. We discussed that you will stake the space by Friday, July 26. Please advise if there are any concerns. Thanks for your help on this. Linda Anderson 919-605- 103 Ravenswood Ct SE Bolivia NC 28422 • Vaughan, Karen 'prom: Vaughan, Karen Sent: Tuesday, August 20, 2024 11:21 AM To: Linda Anderson Subject: Staking Fee Receipt Rcvd Attachments: Anderson - Staking Fee Receipt.pdf Hi Linda! I'm attaching a receipt for the staking fee we received from you. tt Thanks! Karen B. Vaughan Administrative Assistant City of Clearwater City Clerk Department Ph: 727-444-7150 Fax: 727-562-4086 • • 1 Received from • In payment of • CITY OF CLEARWATER, FLORIDA MISCELLANEOUS RECEIPT NO 453062 Date d /ti20 1 Amount received -' .11Y. Fund $ U-1,1ct �k Code Cemetery CaII Work Sheet ate: / 1 / Caller Name: lbv ' lrN 1 Funeral Home / Monument Company:! Contact # or Email: Com^ I' ` '( lb �e� `��� t Reason for call: (Circle A, B, or C below and fill in information) A: ** STAKING REQUEST FOR INTERMENT ** Full Burial Urn Burial (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) ** STAKING REQUEST for Monument / Marker toby placed ** Deceased Name: �--�► !A'�-�^�"�'�� Block a Lot Space Verify Ownership/Burial Rights in cemetery program before confirming. No staking fee for placement of monument. C: ** OTHER REASON: Sent email to P&R to flag the space: 1.O/ t / 911 Notified funeral home/monument company with color of the flags used to mark the space: IC/ / 1 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 • 59 51 52 53 54 55 56 57 58 50149 148 47 46 45 44 43 42 41 31 32 33 34 30 29 28 27 37 38 39 40 24 23 22 21 1019 11 12 13 14 15 16 17 18 19 20 8 7 6 5 4 3 2 111 112 113 114 115 116 117 118 119 120 110 109 108 107 106 105 104 103 102 101 91 92 93 94 95 96 97 98 99 100 90 89 88 87 86 85 84 83 82 61 71 72 73 74 70 69 68 67 77 78 79 80 64 63 62 61 51 52 53 54 55 56 57 58 59 60 50 49 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38 39 40 30 29 28 27 26 25 24 23 22 21 11 12 13 14 15 16 17 18 19 20 ID 9 8 7 6 5 4 3 2 567 568 569 570 571 572 573 574 575 576 566 565 564 563 562 561 560 559 558 557 547 546 549 550 540 541 542 543 553 554 555 556 540 539 538 537 527 528 529 530 531 532 533 534 535 556 526 525 524 523 522 521 520 519 518 517- 507 506 509 510 511 512 513 506 505 504 503 502 501 500 SE E SHEET 3 1 IaE I e51 L_1 r/ MYRTLE l C)( zSI;ct �c- 7� 26 27 28 29 30 31 32 33 54 25 24 23 22 21 20 19 18 17 28 29 30 31 32 33 34 35 36 27 26 25 24 - 020 9 19 10' 11 12 13 16 16. 17 18 9 8 7 6 5 4 3 2 1 96 73 72 49 98 95 74 71 50 48 125 24 47 26 23 2 99 94 75 70 51 46 27 22 3 100 93 76 69 52 45 28 21 4 101 92 77 68 102 91 78 67 29 20 5 30 19 6 103 90 79 66 55 42 31 18 7 104 89 80 65 56 41 32 17 8 105 88 81 64 57 40 33 16 9 106 87 82 63 58 39 34 15 10 107 86 83 62 59 38 85 84 61 60 37 35 14 36 13 1 (I-77 176 155 154 133 132 111 110 81 178 175 156 153 134 131 112 109 90 179 174 157 152 135 130 113 108 91 180 173 158 151 136 129 114 107 92 181 172 159 150 137 128 115 106 93 182 171 160 149 138 127 116 105 94 183 170 161 148 139 126 117 104 95 184 169 162 147 140 125 118 103 96 185 168 163 146 141 124 119 102 97 186 167 164 145 142 123 120 101 98 187 466 165 144 143 122 121 100 99 4 35 36 37 38 m 16 15 14 13 12 1.1 10 9 8 7 6 5 4 3 2 1 24 23 22 19 18 17 9 10 11 14 15 16 8 7 6 5 4 3 2 I 73 72 49 48 25 95 74 71 50 47 26 24 23 2 94 75 70 51 46 27 22 93 76 69 52 45 28 21 4 92 77 68 91 78 67 29 20 5 30 19 90 79 66 55 42 31 18 7 89 80 45 56 41 32 17 86 61 64 57 40 33 16 87 82 63 58 39 34 15 10 86 183 62 59 38 35 14 11 134 61 60 37 36 13 (88 67 66 45 44 23 1 22 87 68 65 46 43 24 21 2 66 69 64 47 42 25 20 85 70 63 48 41 26 19 4 84 71 62 49 40 27 18 83 72 61 50 39 28 17 82 73 60 51 38 29 16 7 81 74 59 52 37 30 15 80 75 58 53 36 31 14 9 79 76 57 54 35 32 13 10 78 77 56 55 54 33 12 AVENUE SEE SHEET 2 r,7IMY)syjl -4