Coachman, Winifred Jl i
Cemetery Call Work Sheet
Date:
Funeral Home: N'ibS- JO) "r
Contact Name: C [L. 4 Jkal ??-
Tel. #: U u ?9 IS'I S
Fax #: `I - Zcl
Monument Company:
Contact Name:
Tel. #:
Fax #:
ki? 4-
M S4" L/ -Z-Cq)
-- hank C 7 6q b 1d1
Deceased Name: ?? DOD: DOB: `+
Owner of Property: ?Ui S ??C??hwu?
Block -4--- Lot I 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)
S:/Jlacosse/Cemetery Call Work Sheet.doc
6/8/04
SEE
?I
AVENUE
94 81 1 80 65 64 49
1 93 82 79 66 63 50
29 1 28 1 23 1 22 1 13 12 1 7 1 6
30
?G
O
PL
^
r
?b
19 14 3
18 15 2
17 16 9 I
16 15 6 I 5
0.?y)
O 17 14 7 4
11 8 3
9 2
10 I
12 119
13 18
:PROSPECT AVENUE
1
SHEET
25 15 15 6 5I l
24 17 14 E7 4 18 17
23 18 13 B 3 19 16
22 i 1Fl, 9 2 20 IS
21 20 10 I 21 14
19 18 6 K 22 13
20 17 ? 5 J 2? 12
1=1 q II
r
22 15 W 10 3 H 25 10
E23- 14 II 2 G 26 9
24 13 12 I F 27 8
16 IS ? 5 E 28 7
17 14 ? 4 D 29 6
18 13 ? 3 C 30 5
19 12 ? .. 2 B 31 4
20
21 14;5::: 0 1 A 32
28 ;933 3
2
22 23 26 27 30 34 1
rrC
VI
D
D
V J
T?
N
rn
MYRTLE