Hill MollyBURIAL PERMIT
To:
Cemetery Caretaker Permit No.
Clearwater, FL Date:
Date of Birth:
Date of Death:
Permission is hereby granted for burial of-
Name of deceased:
Owner of Property:
Space: Lot:_ Block:
Funeral Home: 44e al Director:
Date of Burial: Time:
Staking Fee $ Y Paid Date:
_ CITY OF?CLEARWATER
(lb/dbf/plat/call 6579 & fax to 6551 (Parks & Rec) By:
ALSO EMAIL TO: JoElll ng, Glenn erry, Loug/cey and Larry Dowd
0
6
Clearwater Cemetery.
o?
(1?vt/PM)
LL City of Clearwater, Florida
° City Clerk Department
} Clearwater
_ --ft, ? ? Phone (727) 562_4090
0 _ Fax (727) 562-4086
FAX MESSAGE
TO: Lou Dacey
LOCATION: Parks and Rec
FAX NO.: 4825
COMMENTS: See attached Burial Permit for Block 14, Lot 532,
Space 3, Molly Hill
FROM: Lois Norman, (727-562-4091)
DATE: 06/05/01
NUMBER OF PAGES THIS MESSAGE (INCLUDING THIS PAGE): 2
f v
5
?n
c
a
5
b
5
0
0
w
0
N
CD
n
N -n
n
m n
r
n m
m 7DD
O
c n
m
^ N O
v
a
d
0o
'00
COR-0009 (8/99)
U)
--I
D ?
m
m
m
m
K
O
r
r
O
m
n
O
z
N
O
N
t3 A
(0 ?
m
mm
m
ty m
TTt O
m
®
rri
K
o 0
O c
z
0 ?
Z
O
k?
cr)'
Oo