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Carney, Marshall Joseph11 Date: b-tsLoAcon Cemetery Call Work Sheet Funeral Home / Monument Company: Contact Name: -I Tel. #: 9)r) • $K(),;; Fax #: 5w) -Cl gate Reason for call, • 0 Qti- Deceased Name: W R-Vc.?)"fl L 1 Date of Birth: (LQI Date of Death Block r Lot 5S Space 1 Owner of Plot: Interment: (One fu// burial and one urn, or two urns per space) Full Burial Urn Space $30.00 Staking Fee - received on: / / Date of Burial: ************ r** r*************** r****x ****,rv?****Time: ******-am/pm ***,?***********,t* 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: -\P_ (No Fee for Staking of Monument) z r ? z ? W r d x ? 0 r N LA LA W N o x d ? o ? 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LA CN 00 y c 0 bd .r 0 A H.a r O W C!1 rA O r-+ W N O O J • Cemetery Call Work Sheet Date: Funeral Home/ Monument Company: ?Wfu--f ¢ Lat)111llr14 P A -f Contact Name: Tel. #: 9 Q ` q, Fax #: Reason for call: (11?- Deceased Name: 0 ?SAALL -i , C,f'1?v Date of Birth: Date of Death 5? /QS-1 lgS_s • 0 Block Lot , 5 Space Owner of Plot: ************************************************************************************************** Interment: (One fu// burial and one urn, or two urns per space) Full Burial -)(-- =" Urn Space $30.00 Staking Fee - received on: / Date of Burial: Time: am/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) • CEMETERY BURIAL INFORMATION BY BLOCK/LOT/SPACE • BLOCK : 11 LOT: 35 DECEASED NAME: MARSHALL J CARNEY BLOCK: 11 LOT: 35 SPACE: 1 BURIALTYPE: FULL BORN: 01 / 01 / 1901 DIED: 08 / 25 / 1953 INTERRED: 08 / 25 / 1953 INTERMENT NOTES: DECEASED NAME: GUY W OVERLY BLOCK: 11 LOT: 35 SPACE: 2 BURIALTYPE: FULL BORN: 03 / 14 / 1879 DIED: 08 / 02 / 1953 INTERRED: 08 / 02 / 1953 INTERMENT NOTES: DECEASED NAME: JULIUS CHRISTIANSON BLOCK: 11 LOT: 35 SPACE: 3 BURIALTYPE: FULL BORN: 01 / 01 / 1883 DIED: 08 / 05 / 1953 INTERRED: 08 / 05 / 1953 INTERMENT NOTES: ****END OF BLOCK : 11 LOT: 35 **** • • Page 35 of 37 Sprague, Nicole 0 rom: ent: o: Cc: Subject: We used dark green flags. • Taylor, Joe Tuesday, October 09, 2007 1:48 PM Sprague, Nicole Frith, Renee; Tokar, Mark RE: Monument Placing -----Original Message----- From: Sprague, Nicole Sent: Tuesday, October 09, 2007 10:12 AM To: Taylor, Joe Cc: Frith, Renee; Lewis, Eric; Tokar, Mark Subject: Monument Placing Hello, I received a phone call from a monument company who wants to place a head stone marker for Marshall J. Carney who is located at Block 11, Lot 35, Space 1. He is a full burial and has been interred since 1953. Other Burials in Block 11, Lot 35 are: Space 2, Guy W. Overly Space 3, Julius Christianson Let me know the color of flags used so I can let the monument company know. Thanks. Nicole Sprague City Clerk Specialist Office of Official Records & Legislative Services 562-4097 ?J Sprague, Nicole rom: Taylor, Joe nt: Tuesday, November 13, 2007 2:15 PM o: Sprague, Nicole Subject: RE: Monument Placing The dark green flags are still there. -----Original Message----- From: Sprague, Nicole Sent: Tuesday, November 13, 2007 10:51 AM To: Taylor, Joe Cc: Frith, Renee; Lewis, Eric; Tokar, Mark Subject: RE: Monument Placing Hi Joe, I received a call this morning from the monument company for this staking request. Apparently, they have not gone out to place the monument yet. When you get a chance, can you please re-stake this spot? Thanks. -----Original Message----- From: Sprague, Nicole Sent: Tuesday, October 09, 2007 10:12 AM To: Taylor, Joe Cc: Frith, Renee; Lewis, Eric; Tokar, Mark Subject: Monument Placing Hello, 40I received a phone call from a monument company who wants to place a head stone marker for Marshall J. Carney who is located at Block 11, Lot 35, Space 1. He is a full burial and has been interred since 1953. Other Burials in Block 11, Lot 35 are: Space 2, Guy W. Overly Space 3, Julius Christianson Let me know the color of flags used so I can let the monument company know. Thanks. Nicole Sprague City Clerk Specialist Office of Official Records & Legislative Services 562-4097 n LJ Cemetery Call Work Sheet Date: ??s-- Funeral Home: Monument Company: Contact Name: ? S?Cal'nf q Contact Name: Tel. #: Fax #: Tel. #: Fax #: RE: Deceased Name: DOD: DOB: Owner of Property: Block I I Lot A5- Space Interment: Full Burial: Urn Space: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) Date of Burial: Disinterment: Time: am/pm 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) 1}? l V