Martin, Richard E
Cemetery Call Work Sheet
Date: ja/A/ m
Funeral Home/ Monument Company: Woss -ec ste,2
Contact Name:
Tel. #: Fax #:
Reason for call ?R+a- ? -CG"Ijc)t
4-b g -tp sl?
Deceased Name: LAC-44 Z ? Ff P- -T III
Y 9,?%
Date of Birth: I / 10 / 1(14b Date of Death 10 / t I / IqOA
i Block A Lot Space')
Owner of Plot: Ili. rt-?S I? (rT t Iv
Interment: (One fu// burial and one urn, or two urns per space)
Full Burial Urn Space
$30.00 Staking Fee - received on: -/-/-
Date of Burial: Time: 00 am/11
m
****************************************************************************** ******************
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 f
or Staking of Monument)
is ,
0 Cemetery Call Work Sheet
Date: - cm
is
Funeral Home/ Monument Company: Wens
Contact Name: Pal i
Tel. #: c'FrJ? Fax #:
Reason for call:
Deceased Name:
1.??
Date of Birth: Date of Death
Block -A Lot Space 2 b -cj L?
Owner of Plot: ?' l S ?v6 i?J\j - fl(U S KAA-Pc
Interment: (One fu// burial and one urn, or two urns per space)
Full Burial Urn Space Y
$30.00 Staking Fee - received on:
Date of Burial: /0 / /A/ DO 1 ?YU •?
Time: 1)0 ar
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)
Sprague, Nicole
m:
*on t:
Cc:
Subject:
We used lime green flags.
•
Taylor, Joe
Tuesday, October 09, 2007 1:51 PM
Sprague, Nicole
Frith, Renee; Tokar, Mark; Gilmore, Stephanie
RE: Staking Request - MARTIN
-----Original Message-----
From: Sprague, Nicole
Sent: Friday, October 05, 2007 10:33 AM
To: Taylor, Joe
Cc: Frith, Renee; Lewis, Elaine; Tokar, Mark; Gilmore, Stephanie
Subject: Staking Request - MARTIN
Hi Joe,
We received a staking request from Moss Feaster for a service to be held next Friday, October 12, 2007 at 1:00 p.m.
The URN of Richard E. Martin will be buried in Block 2, Lot 26, Space 7. There is already a full burial of Doris Martin
in that space.
Other burials in Block 2, Lot 26 are:
Space 5 - Oliver Garrett
Space 6 - Dora Whitfield
Space 10 - Seth Conrad
Please let me know what color flags you used so I can let the Funeral Home know.
Thanks.
Nicole Sprague
City Clerk Specialist
Office of Official Records & Legislative Services
562-4097
0