Dews, Ruth MCemetery Call Work Sheet
Date: 7 / ? / ao l l
Funeral Home/ Monument Company: Ga,rA.Gh Sc.Kctk?_
Contact Name: I, e, b *L
Tel. #: -7a'-7- 111- 00-1 Fax
Reason for call: Staking Request (interment/Disinterment)
Affidavit (Burial Rights)
63)
?Monument (Marker) being placed (No fee for staking of monument)
?b r Fr' i ?.. c7? ?'?'? c7??,eu,y. cQ
Verifying Burial space A&c )
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(D ?arY ?C• IJteAofS (Kerr ae-A (rm
Other reason: //
a T-sue k (`?or4.vec.
X c,r, a Lfl -7 Sp. 3
Interment: (One full burial and one um, or two urns per space)
.
Full Burial Urn Space v Ltk Lo-- 1,.t l) Sr-3
Owner of Plot:
Deceased Name: +A" R
Block Lot Space
Date of Birth: Date of Death
Date of Burial: Time: am/pm
$30.00 Staking Fee (Funeral Home) - received on:
Copy of permit faxed to Joe Taylor/P&R - Fax No. 6551 on:
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
Revised 6/29/11
LaCosse, Judith
From: Taylor, Joe
Sent: Friday, July 08, 2011 9:33 AM
To: LaCosse, Judith
Subject: RE: Three Staking Requests - Monuments being placed
Yes, that is correct
From: LaCosse, Judith
Sent: Friday, July 08, 20119:31 AM
To: Taylor, Joe
Subject: FW: Three Staking Requests - Monuments being placed
Importance: High
Never mind Joe,
I did notice that you numbered them. So, I'm assuming that it goes in the same order as I had them in the email. 1=
Nichols, etc.
Judith
From: LaCosse, Judith
Sent: Friday, July 08, 20119:29 AM
To: Taylor, Joe
Subject: RE: Three Staking Requests - Monuments being placed
Importance: High
Joe,
Can you tell me which color goes with what name. They will probably ask me.
Thanks,
Judith
From: Taylor, Joe
Sent: Friday, July 08, 20119:25 AM
To: LaCosse, Judith
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Kaaren
Subject: RE: Three Staking Requests - Monuments being placed
I used different colo s for all three
1.Green - 'Nt?-%O!?
2. Red - Ror4-Ve-L ?14i+) S ?o•c???e-n ?r?cve??
3. Yellow _ b e-W S
d
36
From: LaCosse, Judith
Sent: Thursday, July 07, 2011 12:48 PM
To: Taylor, Joe
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: Three Staking Requests - Monuments being placed
Importance: High
Hi Joe,
We received a call this morning from Debra at Garden Sanctuary requesting the following 3 spaces to be staked for
placement of monuments:
Block 7, Lot 87, Space 3 - Deceased, Mary E. Nichols (Mary Beth) - Full
other burials nearby: Space 1= Archer Nichols - Full
Space 2 = Elizabeth Nichols - Full
Block 2, Lot 7, Space 3 - Deceased, Joseph Moravec - Urn
Other burials nearby: Space 1= Samuel Coachman, Jr. & Anne Coachman - Infants
Space 2 = Samuel Coachman - Full
Space 4 = Evelyn Coachman - Urn & Solomon Coachman - Full
Block 7, Lot 141, Space 3 - Deceased, Ruth M. Dews - Full
Other burials nearby: Space 1= John Cheatham - Full
Space 2 = Peachie Cheatham - Full
They would like the staking to be completed by tomorrow, July 8th late afternoon at around 4:00 p.m. If possible they
would like to have the monuments placed before the weekend.
Please advise me on the color of the flags being used on these three spaces so that I could notify them.
Thanks for your help.
Judith LaCosse
Staff Asst.
Official Records & Legislative Services
727-562-4093
Date: & / ? / a-a 10
Cemetery Call Work Sheet
Funeral Home/ Monument Company: R6cex,5 Rye
Contact Name:
Tel. #:
71)OW
44(. -3o55
Fax #:
`fY3 - oa- S3
Reason for call: -? P-e-5La f,,o L F-v-U .
Deceased Name: 'R? ?,A.) 5
Date of Birth: ? a / 3 / Ig ?N?D,ate of Death S Z-° (0
• Block '7 Lot I't I Space C?- -t
Owner of Plot: 'Pe-,cl; ' Ca hay,,,
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: ( /-I° Time: am e
Disinterment:
t=om x ?,C ?? J;c/P4- t? .
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)
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141 ? • 3
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Uystal'Reports Viewer
Page 1 of 1
a 14 i F 1 / 1 Main Report 100%
Status of Block: 7 Lot: 141 as of 06/07/2010
INTERMENTS:
SPACE BURIALTYPE
I FULL
2 FULL
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
DECL DECF DECM BIRTH DEATH I
CHEATHAM JOHN J 1/8/1878 12/19/1958 1
CHEATHAM PEACHIE J 11/16/1886 09 / 22 / 1972 9,
Page 1 of 1
N A t 1/ 1
http://msb-crystal-ent/businessobj ects/enterprise 11 /infoview/viewers/rpt/DHTMLViewer. as... 6/7/2010
LaCosse, Judith
From: LaCosse, Judith
Sent: Tuesday, June 08, 2010 10:06 AM
To: Taylor, Joe
Cc: Tokar, Mark; Sprague, Nicole; Gilmore, Stephanie; Vaughan, Karen
Subject: RE: Cemetery Staking
Thanks, Joe...I will notify the funeral home !
From: Taylor, Joe
Sent: Tuesday, June 08, 2010 10:02 AM
To: LaCosse, Judith
Cc: Tokar, Mark; Sprague, Nicole; Gilmore, Stephanie; Vaughan, Karen
Subject: RE: Cemetery Staking
Yellow flags.
From: LaCosse, Judith
Sent: Monday, June 07, 2010 12:44 PM
To: Taylor, Joe
Cc: Tokar, Mark; Sprague, Nicole; Gilmore, Stephanie; Vaughan, Karen
Subject: Cemetery Staking
Importance: High
Hi Joe,
We received a call this morning from Rhodes Funeral Home requesting a staking for a full burial for:
Ruth M. Dews in Block 7. Lot 141. Space 3, who passed away on 05/7/2010. She's to be buried next to Peachie
Cheatman, owner, buried in space 2.
Other burials nearby Blk 7, Lot 141:
Space 1= John Cheatham - Full
Space 2 = Peachie Cheatham - Full
Staking is needed for burial this Thursday. June loth at 12:30 p.m.
Please advise as soon as you can the color of flags being used so that we could notify the funeral home.
Thanks for your help.
NOTE: Another staking request will be sent to you today. I'm checking with the funeral home, Moss Feaster, the
correct burial space. I will let you know asap. This burial will be for Saturday, June 12th
Thanks,
.Iudith LaCosse
June 8, 2010
Attn: Dow
Funeral Home: Rhodes Funeral Home
Fax: 727-443-0253
(This fax includes a copy of Cemetery Map)
# in the circle is the Block, # in the square is the Lot
Deceased: Ruth M. Dews
Gravesite: Block 7, Lot 141, Space 3
Full Space
Gravesite flagged with Yellow flags.
Nearby Burials:
Space 1 = John Cheatham - Full
Space 2 = Peachie Cheatham - Full
Staking Fee: 30.00
Please make check payable to: City of Clearwater
Mail to: City of Clearwater
Official Records Dept. - 2"d Floor
112 S. Osceola Ave.
Clearwater, FL 33756
Please contact me with any questions.
Thank you,
Judith LaCosse
Official Records & Legislative Services
City of Clearwater
727-562-4090
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