Kaczmarek, Edwina LCemetery Call Work Sheet
Date: o
Funeral Horne / Monument Company: 11055 Feaelv
Contact Name: C' t sie-k.) 1i
•
Tel. #: If 't ` - aJ -7 5 Fax #:
Reason for call:
S? a - a.oo-)
Deceased Name: &do-t`',- L. k, rwg
Date of Birth: --) / I(,::, Date of Death
Block 3 Lot 2 Space 50 S:te LO gs
Owner of Plot:
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space
$30.00 Staking Fee - received on:
Date of Burial: _( / '7 / 0 t Time: I (:o 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)
0
LaCosse, Judith
From: King, JoEllyn
Sent: Friday, June 04, 2004 8:06 AM
To: LaCosse, Judith
Cc: Murphree, Brian; Norman, Lois; Gracie, Rhonda
Subject: RE: Request for Staking
We will have complete by Noon today and marked with YELLOW flags.
Judith, any problems I will call you. Thanks, Jo Ellyn
-----Original Message-----
From: LaCosse, Judith
Sent: Thursday, June 03, 2004 4:46 PM
To: King, JoEllyn
Cc: Murphree, Brian; Norman, Lois
Subject: Request for Staking
Importance: High
Please stake Block 3, Lot 2, Space 6 for Full Burial on Monday June 7th, 2004 at 11:00 a.m. (Does this allow enough
time for staking?) (Moss Feaster will do Interment).
Name of deceased is Edwina L. Kaczmarek.
Please let us know what color flags you are using.
Some other burials in the area:
Arthur Kisby - 1 st Husband (Space 5)
Alex Kisby - (Space 4)
Albert Hart - (Space 3)
Harry Roger Kisby - (Space 13)
Robert Jessie Hart - (Urn) - (Space 12)
Marie K. Hart - (Space 12)
Will wait to hear from you. If you need any other info. please give me a call at 562-4093.
Thanks Very Much,
Judith LaCosse
ORLS
Clearwater
U
City of Clearwater, Florida
Official Records and
Legislative Services Department
Phone (727) 562-4090
Fax (727) 562-4086
FAX MESSAGE
TO: Cliff Stewart
LOCATION: Moss Feaster
FAX NO.: 727-562-2007
COMMENTS: See Attached map (Cemetery)
Per our Parks & Rec dept. the staking will be done
today by Noon and marked with YELLOW flags.
FROM: Judith LaCosse, (727-562-4093)
DATE: June 4, 2004
NUMBER OF PAGES THIS MESSAGE (INCLUDING THIS PAGE): 2
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