McKenzie, Patricia AliceCemetery Call Work Sheet
•
Date: a / a / 11
Funeral 'Home / Monument Company:
Contact Name: -0r*%,za AL,-e
Tel. #: -7a-i- if-iiL6 - la7n Fax
Reason for call: ? v2-'?4n 6wu. J
V
job _ .9 -), - SP-4
?-> N o t -e-J + Qom, . roof G 46 a1
Deceased Name:
Date of Birth: Date of Death
Block _j`F-- Lot 6'7 ( Space -L f sP. 4 L
• Owner of Plot:
***W**W*********W****WW****W*********W**W*W WWWW**W**********************W*****W******W*W**W***W*W-*
Interment: (One full burial and one urn, or two urns per space) 7w{. tr
Full Burial Urn Space
.
$30.00 Staking Fee - received on: / / S ???: Ila
Date of Burial: Time: am/pm -16- `A4,t
_
*********W********WsF*W*****W****ir************WW;F*************W*****?F*******WW***WW*****WWW***W**ic# `? ??
{
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
Mio ument Being Placed: (No Fee for Staking of Monument)
1? ? - M5. Mc 2
I.,c? M o?? /? Q,,ce ?? o?n h1c k e? -L w_ b U ?' r0
/.r¢So% ? '?^^?-??d4V? l tikoWiY??Gk /fit, S ?w t>W? xx?y
?? r \C?c? 4, e- kt? S i Ste,- C?op? V?K ?? f'1a5U. mckemo ile)
Cemetery Tracking System
Page 1 of 1
INTRANE Good Afternoon! Today is Thursday. February 3, 2011 Home I Feedback [
o You are logged in as 7udith.LaCosse
s Cemetery
File
Transaction
View Lot Profile
B Reports
Print Burial
Permit
Search Names
and Notes
Search Old
Locations
Print/View Lot
Status
Monthly Memo
Disinterments
Deceased by
Location
Alphabetical List
of Deceased File
List of Owners
File
Reinterments
Permits List by
Deceased
Permits List by
Location
PRBurial
- Maintenance
Control Data
Valid Locations
Security
[ Previous Page ]
Updated on Tuesday, January 06, 2009
Home I Feedback I Departments I Contacts I Forms
http://clearwater/Apps20/cemetery/viewlotprofile.aspx?b= 1 4&1=571
Cemetery Tracking System - View Lot Profile
Block: 14 Lot: 571
Profile Summary
Click 'View Assigned' to view interment details. If more than one individual is interred in a space, a
second grid will appear below, displaying all of the individuals assigned to the space. Click 'View' on
the second grid to view the interment details of that individual.
WEST SIDE OF MYRTLE AVENUE
Space Owner Last Owner First Owner Middle Max Interred Total Assigned Interred
1 MCKENZIE ALICE L 0 0 0 View Assigned
2 MCKENZIE ALICE L 0 0 0 View Assigned
3 MCKENZIE ALICE L 1 1 1 View Assigned
4 MCKENZIE ALICE L 2 1 1 View Assigned
1
[ Top of Page ]
2/3/2011
Crystal Reports Viewer
Page 1 of 1
-
1 / 1 Main Report E 100%
Status of Block: 14 Lot: 571 as of 02/03/2011
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED
3 FULL MCKENZIE BERNARD 1/1/1902 07 / 02 / 1973 7/2/1973
4 FULL MCKENZIE ALICE L 3/17/1908 06 / 14 / 2004 6/18/2004
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
1/1
http://msb-crystal-ent/businessobjects/enterprise l l /infoview/viewers/rpt/DHTMLV iewer.aspx?skin=skin-... 2/3/2011
Cemetery Tracking System
Page 1 of 1
4 u -
'i'RAc4ET Good Afternoon! Today is Thursday, February 3, 2011 Home I Feedback
You are logged in as 7udith.LaCosse
- Cemetery Cemetery Tracking System - Transaction Owner Information
File
Transaction I
View Lot
Profile
clock: t7 Lot: -,{l Space:= INVENTORY TYPE: F .
I OWNER INFORMATION
1 R_ [(A I 2
B Reports
Print Burial -? -?
Permit
Search RELATION TO OWNER 1:
Names and
Notes
SALES INFORMATION
Search Old
SOLD ON: [
PAID ON: ,, 7
?
AMOUN' '-'
Locations -
HOLD: DEED RECORDED: OR BOOK/PAGE: -:`
Print/View
Lot Status
Monthly
Memo MAX RIGHTS: I_J INTERRED: NOT INTERRED: AVAILABLE:
Disinterments
Deceased
iew/Enter Owner Delete
by Fc0
ments Owner Sales Transfer Location Interment Info
Location m
Alohabetical Reselect
Exit
List of Location
Deceased
File
List of
Owners
File
Reinterments
Permits
List by
Deceased
Permits
List by
Location
PRBurial
Maintenance
Control
Data
a
Valid
Locations
Security
[ Previous Page ]
Updated on Tuesday, January 20, 2009
Home I Feedback I Departments I Contacts I Forms
[ Top of Page ]
http://clearwater/Apps20/cemetery/transactions.aspx?b=14&1=571 &s=4 2/3/2011
Crystal Reports VieweT
F 1 / 3 Main Report Cl 100%
i
NFORMATION REPORT FOR: BLOCK: 14 LOT: 571 SPACE: 4
URRENT OWNER:
OWNER 1:
ALICE L MCKENZIE
SPACE TYPE: FULL
OWNER 2:
L
RELATION to OWNER 1:
URRENT SALES INFORMATION:
DATE OF SALE: 9/25/1969 DATE PAID IN FULL: 9/25/1969
OR BOOK/PAGE: 0 / 0 DATE RECORDED:
PREINTERMENT INFORMATION:
None
NTERMENT INFORMATION:
DECEASED: ALICE L MCKENZIE
INTERRED: 6/18/2004 11 :00
BIRTH: 3/17/1908 DEATH: 6/14/2004
DIRECTOR: CRAIG RHODES FUNERAL HOME
NOTES: None
,1 4 RIGHTS: 6/29/2004
1/3
BURIALTYPE: FULL
PROCESSED: 6/29/2004
PERMIT#: 2536
Page 1 of 3
Page 1 of 1
AMOUNT OF SALE: $100.00
http://msb-crystal-ent/businessobjects/enterprise l l /infoview/viewers/rpt/DHTML Viewer.aspx?skin=skin-... 2/3/2011
Crystal Reports Viewer.
?i ? N 2 / 3 Main RepPft 100%
INFORMATION REPORT FOR: BLOCK: 14 LOT: 571 SPACE: 4
ISINTERMENTS FROM THIS LOCATION :
None
ISINTERMENTS TO THIS LOCATION:
None
WNER HISTORY:
OWNER 1: OWNER 2:
ALICE L MCKENZIE
1375 JEFFORDS STREET
CLEARWATER FL
RELATION to OWNER 1:
DATE OF SALE: 9/25/1969 DATE PAID IN FULL: 9/25/1969
OR BOOK/PAGE#: 0 / 0 DATE RECORDED:
SPACE WAS SUBSEQUENTLY REPURCHASED BY THE CITY
Page 2 of 3
it 1 ? N 2/3
AMOUNT OF SALE: $100.00
Page 1 of 1
http://msb-crystal-ent/businessobj ects/enterprise 11 /infoview/viewers/rpt/DHTML V iewer.aspx?skin=skin-... 2/3/2011