Petersen, Mary0 Cemetery Call Work Sheet ?.
Date:
Funeral Home / Monument Company: 7P 11rcle S _
Contact Name: brw
Tel. #:D' Fax #:
Reason for call: 4-t( RcG A e st
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Deceased Name: Wcu q {7?'?'e,1?53er1
Date of Birth: Date of Death
• Block -W Lot d?q Space CO Q, t'2
Owner of Plot: WC `Q ??"{'?Q sco
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space k
$30.00 Staking Fee - received on: 7 / C1 / CA
Date of Burial: -L/A/ fi" Time: am/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)
CA ?-
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C I T Y OF C L E A R W A T E R
P O S T O F F I C E B O X 4748
C L E A R W A T E R , F L O R I D A 3461 8- 4 7 4 8
November 13, 1989
Mrs. Mary Petersen
1464 Overlea Street
Clearwater, FL 34615
Dear Mrs. Petersen:
Enclosed is the deed which indicates that you own Lot 49,
Block 14 in the Clearwater Cemetery. This deed has been recorded
in Official Records, Book 7125, P_aes 1028,
It is mportant to keep this deed in a safe place and to make
a separate note of the official record book and page numbers. In
the event the original deed is lost or destroyed, this information
will be needed to obtain a copy from the Pinellas County Clerk of
the Circuit Court.
If we may be of service in the future, please call upon us.
Yours very truly,
Susan Stephenson,
Documents & Records Supervisor
SS: em
Encs.
''Equal Employment and Affirmative Action Employer''
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Fax #: 56a- `OSl
Date: 71dld S
Number of Pages (Including Cover): p 3
From: T iC ifl M>4?? ?i, Al
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