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Candelaria, Higinio Cemetery Call Work Sheet Date: Funeral Home: Iw r? Monument Company: Contact Name: S 1 ?? Contact Name: Tel. #: -7 3'3- a 3 o v, Tel. #: Fax #: Fax #: RE : ems. n, e ?`n } c ?;i t-wtr c. v?Q?.?-? c? w ?^ e? k, `?c e o f? ai- Deceased Name: DOD: DOB: I I ?f o Owner of Property: Kee e? ?4-`? ?? `o 160) Block I L' Lot IS y Space d Interment: Full Burial: Urn Space: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) Date of Burial: 5 13,1 (' 5 Disinterment: Time: a pm The following authorization should be obtained prior to disinterment: l.) 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) (4cJ? Lof IIA? - ?.ece4ox?[ - '?t??1CSi?a?, 7. 7? ?c P ,,k LaCosse, Judith From: Sent: To: Subject: Thank You, Eric, LaCosse, Judith Friday, May 27, 2005 8:06 AM Lewis, Eric RE: Cemetery Staking Can you tell me the color of the flags when you stake the area so that I could call Clearwater Funeral Home to let them know. The burial is for today at 3:00 pm. Thanks, Judith -----Original Message----- From: Lewis, Eric Sent: Friday, May 27, 2005 6:26 AM To: LaCosse, Judith; King, JoEllyn Cc: Call, Rosemarie; Chase, Susan; Kaushal, Mona; Keenan, Stacy; Zitouni, Trish Subject: RE: Cemetery Staking I will stake it today. -----Original Message----- From: LaCosse, Judith Sent: Thursday, May 26, 2005 1:57 PM To: Lewis, Eric; King, JoEllyn Cc: Call, Rosemarie; Chase, Susan; Kaushal, Mona; Keenan, Stacy; Zitouni, Trish Subject: Cemetery Staking Hello, Clearwater Funeral Home has requested a staking for the (Urn) burial of Higinio Candelaria in Block 14, Lot 159, Space 00. The daughter is coming in from out of town and she would like the burial for tomorrow Friday May 27, 2005 at 3:00 pm. Surrounding burial, Block 14, Lot 161, Space 00 has William J. Tyzack and Mary Jane Tyzack (Urns) Please let me know the color of the flags you will using. I will fax you the Burial Permit. Thanks for all your help. Juditfi LaCosse StaffAssutaut Offici f,. ecords a. Legisfative Services City ofCCearivater 562-4093 s? ? /mss I C- Pd ? ?Qn ??ti L L?l?i S A'L.0 k CXJZA- 1 1;11w Clearwater City of Clearwater, Florida Official Records and Legislative Services Department Phone (727) 562-4090 Fax (727) 562-4086 FAX MESSAGE TO: JoEllyn King, Eric Lewis LOCATION: Parks and Recreation FAX NO.: 6551 COMMENTS: Here's burial permit #2555 for Higinio Candelaria. FROM: Judith LaCosse, (727-562-4093) DATE: July 5, 2005 NUMBER OF PAGES THIS MESSAGE (INCLUDING THIS PAGE): 2 BURIAL PERMIT CLEARWATER CARETAKER CLEARWATER. FL Permission is hereby granted for burial of: Name of Deceased: HIGMO N CANDELARIA Owner of Property: HIGMO CANDELARIA & Block : 14 Lot: 159 Space: 00 Date of Death: April 29, 2005 Funeral Home Director: PERMIT # 2555 July 05, 2005 Date of Birth: September 1, 1909 Date of Burial: May 27, 2005 CHARLIE SCALAGVCLEARWATER FUNERAL HOME Time: 15 :00 Staking Fee: 30.00 Date Paid: June 30, 2005 Clearwater Cemetery By w - BURIAL PERMIT To: Cemetery Caretaker Permit No. c? S 55 Clearwater, FL Date: S a-6 05 Date of Birth: Y I Iqo 9 Date of Death: 't a9 bs Permission is hereby granted for burial of: 14'i :? a PLEASE CHECK ONE (Very Important) URN ? FULL Name of deceased: 14'k CkJe 04,L??. Owner of Property: 14'i2 `' Cc--Je.Q4^A Space: 00 Lot: 15 9 Block: I "+ Clearwater Cemetery. P Funeral Home: Clearwc-te-r Date of Burial: 5 /--? -1 /0S" Staking Fee $ 3b, o" ?mo? Funeral Director: LL"UQ Sc a c;? Time: 3' o (A PM) Paid Date: _ CITY OF CLEARWATER (lb/dbf/plat/call 6579 & fax to 6551 (Parks & Rec) By: g"4' & 33 -,1.300 ALSO EMAIL TO: JoEllyn King, Brian Murphree (cell if needed 224-7105) S:\Records\CEM\BURIAL PERMIT.doc c d mss' 0 z x 0 0 td n m 0 y c f A A S w a m N CD 0- CD 0 CD CD a N O ?-h w a a CD w CD C CL cn b CAD ac 0 a w 0 N O N O 0 w 0 CD a K 0 H cD oC cD 0 0 a a N N O O Z. S 0 z CD C C? M w y x M a ITI C CD W 0 Int A Z A 0 w 0 z 0 N N W s? 0 U w 0 a? U ..r U c? a b 0 U z O ..r bA x V E .? 0? ? J HOLZ) DOCUMENT UP TO THE LIGHT TO 'v!EW TRUE WATERMARK ?? N •? ? Kk • OLD DOCU.E.T UP TO THE LIGHT TO VIEW TRUE WATERM, AmSom, BANK 10.66%20 049321552 OF FLORIDA Pay to the order of: t Not good for over $1,000.00 A Nick. c!gnature s.. t by Infelpated Payment S_vslerns Inc., Englewood; Colorado Si ?'"itibank, N.A., Buffalo. fJY , Address ??' 10 i 28 6?i' 1:0 2 20008 68i: 68000 4 9 3 2 1 5 5 2 5Ii'