Sowell, Mary
Cemetery Call Work Sheet
Date:
Funeral Home: onument Company: (-
Contact Name: CJL-1? -F-
Contact Name:
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Tel. #: 9 (e Tel. #:
Fax #:
Fax #:
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M a, VL1
Deceased Name: DOD: DOB:
Owner of Property:
Block I Lot c? Space
Interment: Full Burial: ? Urn Space:
($30.00 Staking Fee) - (One full burial and one urn, or two urns)
Date of Burial: Time: a pm
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
Monument Being Placed:
(No Fee for Staking of Monument)
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FOR ' &r? Urgent'
DATE TIME ??_ 17 RM.
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PHONE 755 a
AREA CODE NUMBER EXTENSION
TELEPHONED
PLEASE GALL i IX,
CAME TO SEE YOU WILL-CALL AGAIN
RETURNED YOUR GALL WANTS TO SEE. YOU
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SIGNED 3 1
9711
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