Preston, Geraldine E•
Cemetery Call Work Sheet
Date: ILI) /AL/_ 20M
Funeral Home / Monument Company:
Contact Name:
Tel. #:Fax #:
Reason for call:
`6
Deceased Name: Ge-e-p LNAI)e
Datenof Birth: _%,_/ igl Date of Death/
Block Lot Spade (?-
Owner of Plot:
Interment: (One full burial and one urn, or two urns per
•
Full Burial Urn Space Y
$30.00 Staking Fee - received on:
Date of Burial://sue Time:
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 cur
for the plot; and rights
3.) Written authorization from the individual(s) who would be permitted to authorize burial
Monument Being Placed: (No Fee for Staking of Monument) r*J?L""
?I?fl
. qJ`
CEMETERY BURIAL INFORMATION BY BLOCK/LOT/SPACE
• BLOCK : 12 LOT: 23
DECEASED NAME: JOHN H GAMBLE
BLOCK: 12 LOT: 23 SPACE: 1 BURIALTYPE: FULL
BORN: 01 / 01 / 1875 DIED: 02 / 17 / 1959 INTERRED: 02 / 17 / 1959
INTERMENT NOTES:
DECEASED NAME: ALFRED HART
BLOCK: 12 LOT: 23 SPACE: 3 BURIALTYPE: FULL
BORN: 03 / 17 / 1892 DIED: 02 / 01 / 1959 INTERRED: 02 / 03 / 1959
INTERMENT NOTES:
DECEASED NAME: MELLIE H HART
BLOCK: 12 LOT: 23 SPACE: 4 BURIALTYPE: FULL
BORN: 01 / 23 / 1892 DIED: 10 / 24 / 1977 INTERRED: 10 / 26 / 1977
INTERMENT NOTES:
****END OF BLOCK : 12 LOT: 23 ****
LJ
•
Page 18 of 97
CEMETERY SEARCH NAMES AND NOTES REQUEST
W CEASED NAME: ANITA M PRESTON
OCK: 5 LOT: 30 SPACE: 4
BORN: 01 / 01 / 1934 DIED: 08 / 27 / 1954 INTERRED: 08 / 27 / 1954 BURIAL TYPE: FULL
INTERMENT NOTES:
NONE
DECEASED NAME: HAROLD PRESTON
BLOCK: 5 LOT: 27 SPACE: 4
BORN: 09 / 15 / 1902 DIED: 03 / 03 / 1997 INTERRED: 05 / 04 / 1998 BURIAL TYPE: URN
INTERMENT NOTES:
AFFADAVIT IN FILE RE OWNERSHIP OF SPACE
DECEASED NAME: J R PRESTON
BLOCK: 5 LOT: 30 SPACE: 3
BORN: 01 / 01 / 1858 DIED: 01 / 01 / 1934 INTERRED: 01 / 01 / 1934 BURIAL TYPE: FULL
INTERMENT NOTES:
NONE
WOUND AS FORMER OWNER OF BLOCK: T2 LOT: ?3 SPACE: 2
OWNER 1: GERALDINE PRESTON
DECEASED NAME: HAROLD PRESTON
BLOCK: 5 LOT: 27 SPACE: 4
BORN: 09 / 15 / 1902 DIED: 03 / 03 / 1997 INTERRED: 05 / 04 / 1998 BURIAL TYPE: URN
INTERMENT NOTES:
notes in file re ownership of spaceNONE
DISINTERMENT NOTES:
FAMILY WANTS TO USE SPACE IN BLK 5
•
Page 1 of 1
Sprague, Nicole
om: Taylor, Joe
Wnt: Monday, October 22, 2007 12:37 PM
To: Sprague, Nicole
Cc: Frith, Renee; Tokar, Mark
Subject: RE: Staking Request - PRESTON
I used dark green flags. The marker that is there is deteriorated beyond readability and repair.
-----Original Message-----
From: Sprague, Nicole
Sent: Wednesday, October 17, 2007 2:55 PM
To: Taylor, Joe
Cc: Frith, Renee; Lewis, Eric; Tokar, Mark
Subject: Staking Request - PRESTON
Hi there,
•
I've received a staking request from Moss Feaster for a service to be held on Tuesday, October 23, 2007 for Geraldine
Preston. It is an Urn burial located at Block 12, Lot 23, Space 2. There should already be a monument there for
her.
Other burials in Block 12, Lot 23 are:
Space 1: John H Gamble
Space 3: Alfred Hart
Space 4: Mellie H Hart
Please let me know if you have any questions.
Let me know the color of flags used so I can let the funeral home know.
Thanks.
Nicole Sprague
City Clerk Specialist
Office of Official Records & Legislative Services
562-4097
U
011305 21 C Branchpayg 1-(800)444-6899 Another service of Gelco Information Network, Inc. Eden Prairie, MN 60522000 03
Moss Feaster Funeral Home(4676) Gelco Check Number '
8 7.0 1' t 2`7 6
802 North Fort Harrison Avenue 11879427 01 1
Clearwater FL 33755 USER 10 ISSUE DATE
gunterkm 10/22/2007
PAY TO THE City of CLEARI A 1 ER NOT VALID AFTER SIX (6) MONTHS FROM ISSUE DATE
ORDER OF sec ,nyleaw.es
Details on back.
Citation Processing Center
PO Box 1423
Alexandria VA 22313
Thirty Dollars And No Cents************************************************ F$***30. 00
PAYABLE THROUGH
First PREMIER Bank
SIOUX FALLS, SD
NOT VALID FOR OVER $5,000 NOT REDEEMABLE FOR CASH BY DRAWER'S AUTHORIZED REPRESENTATIVE
1 ? .. . - SIGNATURE OF DRAWERS AUTHORIZED REPRESENTATIVE
William Hartgrove \\
78-858
914 By signing this instrument, the aioresigned confirms that this instrument has been drawn accordance with the authority issued Gelco Information Network, Inc. If any
statement herein be untrue, we, the aioresigned, agree to pay the drawer upon demand the amount of of this instrument and all expenses and damages arising from such misstatement.
1110Lla79427611' 1:0914085185I: 250000065511'
William Hartgrove gunterkm
SIGNER USER ID
01 1879 ?6
DESCRIPTION
City of CLEARWATER
Citation Processing Center
PO Box 1423
Alexandria VA 22313
DATE LOCATION NUMBER GL CODES CONTRACT NUMBER ._,,....._.. N_ AME i DESCRIPTION AMOUNT
10/22/2O b7 4676 8405-0 4676002021F' Preston Staking Fee $********30.00
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