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Leyden, Michael
Cemetery Call Work Sheet / Contact Name: 160)4 rl� Funeral Home / Monument Company: Contact # or Email: Reason for call: A: ** STAKING REQUEST for 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: Verify Ownership/Burial Rights in cemetery program before confirming: _ Block Lot Space Date of Birth: / / Date of Death / / Date of Burial: / / ** STAKING REQUEST for Monument to be placed _ No fee for staking of mo umpnt Deceased Name: Block 14 Lot (ettSpace 00 LA.rr1 • Verify Ownership/Burial Rights in cemetery program before confirming: C: ** OTHER REASON: 7 **************************************************** ******************************************************************** Sent email to P&R to flag the space /% 7 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, 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 Orom: Vaughan, Karen ent: Thursday, June 27, 2024 8:35 AM To: Chaplinsky, Timothy Cc: Brigman, Nathan; Perles, Greg Subject: Please flag Block 14 / Lot 164 / Space 00 for Leyden Hi! Kevin with Cycadia Monuments called this morning. Please flag Block 14 / Lot 164 / Space 00. He's coming out tomorrow or Saturday to place a marker. • Cemetery Tracking System F 0 -a clearwater.clearwater-fl.com/Apps20/cemetery/viewlotprofile.asp • © AFLAC Log In - Policy... ri Add Item to Agenda T... Q Baycare Cerner Health.,. Q FTP root at ft Good Morning! Today is Thursday, June 27, 2024 c Cemetery e File Transaction View Lot Profile Id Reports Cemetery Tracking System - View Lot P1 Block: 14 Lot: 164 Profile Summary Click 'View Assigned' to view interment details. If second grid will appear below, displaying all of th, he second grid to view the interment details of tt Print Burial Permit Search Names and Notes WEST SIDE OF MYRTLE AVENUE Space j Owner Last i Owner First 1 Owner Muddle Search Old Locations Print/View Lot Status Monthly Memo Disinterments Deceased by Location Alphabetical List of Deceased File List of Owners File Reinterments Thanks! 2 Vaughan, Karen From: Chaplinsky, Timothy Sent: Thursday, June 27, 2024 11:15 AM To: Vaughan, Karen Cc: Brigman, Nathan; Perles, Greg Subject: Re: Please flag Block 14 / Lot 164 / Space 00 for Leyden Attachments: 1MG_0284 jpeg West side of cemetery out front by Myrtle red flags next to the big oak tree. Get Outlook for iOS From: Vaughan, Karen<Karen.Vaughan@MyClearwater.com> Sent: Thursday, June 27, 2024 8:34:38 AM To: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com> Cc: Brigman, Nathan <Nathan.Brigman@MyClearwater.com>; Perles, Greg <Greg.Perles@MyClearwater.com> Subject: Please flag Block 14 / Lot 164 / Space 00 for Leyden Hi! Kevin with Cycadia Monuments called this morning. Please flag Block 14 / Lot 164 / Space 00. He's coming out tomorrow or Saturday to place a marker. • • (8) Spreadsheet Agenda Trackin X Cemetery Tracking System clearwater.clearwater-fl.com/Apps20/cemetery/viewlotprofile.asp • AFLAC Log In - Policy... ri Add Item to Agenda T.., Baycare Cerner Health... 0 FTP root at ft Good Morning! Today is Thursday, June 27, 2024 -c .41 c Reports Print Burial Permit Cemetery Tracking System - View Lot Pi Block: 14 Lot: 164 Profile Summary Click 'View Assigned' to view interment details. If second grid will appear below, displaying all of th, the second grid to view the interment details of ti• Search Names and Search Old Locations Print/View Lot Status Alphabetical List of Deceased File List of Owners File Thanks! 2