Dixon, Charlotte
Cemetery Call Work Sheet
Date: /1)/Jf/ a
Funeral Home / Monument Company:
s
Contact Name: 5ttxe- +4(1)-"
Tel. #: Fax #: - K. `c
Reason for call: ( Ef Q JA IJQ? _
vd)-ut ?b !ia
?av,l qI
Deceased Name: Oof Birth: _&/ q+ADate of Death
Block Lot
• s30 Space
Owner of Plot:
Interment:
Full Burial
Urn Space
$30.00 Staking Fee - received on:
Date of Burial: Time:(
******************************************************************** 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:
(One fu// burial and one urn, or two urns per space)
(No Fee for Staking of Monument)
(YAIQPD??
Sprague, Nicole
0 o rom: Tokar, Mark
nt: Thursday, October 25, 2007 12:41 PM
: Sprague, Nicole
Subject: RE: Staking Request - DIXON
Yellow flags were used. mark downtown team
-----Original Message-----
From: Sprague, Nicole
Sent: Wednesday, October 24, 2007 12:21 PM
To: Taylor, Joe
Cc: Gilmore, Stephanie; Frith, Renee; Lewis, Eric; Tokar, Mark
Subject: Staking Request - DIXON
We've received a staking request for Charlotte Dixon. The service is scheduled for this Saturday, October 27, 2007.
Ms. Dixon is a full burial located at Block 6, Lot 37, Space 4.
Other burials in Block 6, Lot 37 are:
Space 5: Roy Dempsey
Space 6: Laura Dempsey
Space 9: Allen Dixon
Space 10: Rosa Dixon
Please let me know the color of flags used.
Thanks for your help.
• Nicole Sprague
City Clerk Specialist
Office of Official Records & Legislative Services
562-4097
0
CEMETERY BURIAL INFORMATION BY BLOCK/LOT/SPACE
• BLOCK : 6 LOT: 37
DECEASED NAME: ROY A DEMPSEY
BLOCK: 6 LOT: 37 SPACE: 5 BURIALTYPE: FULL
BORN: 01 / 18 / 1889 DIED: 03 / 21 / 1966 INTERRED: 03 / 22 / 1966
INTERMENT NOTES:
SR.-NOT SURE OF OWNER FOR DBF INPUT 1/6/93
DECEASED NAME: LAURA M DEMPSEY
BLOCK: 6 LOT: 37 SPACE: 6 BURIALTYPE: FULL
BORN: 01 / 18 / 1891 DIED: 10 / 22 / 1962 INTERRED: 10 / 24 / 1962
INTERMENT NOTES:
UNSURE OF OWNER FOR DBF INPUT 1/6/93
DECEASED NAME: ALLEN L DIXON
9 BURIALTYPE: FULL
37 SPACE
6 LOT
BL
K r,nn LOD
:
:
:
OC
BORN: 06 / 03 / 1916 DIED: 08 / 25 / 1980 INTERRED: 08 / 28 / 1980
INTERMENT NOTES:
DECEASED NAME: ROSA M DIXON
BLOCK: 6 LOT: 37 SPACE: 10 BURIALTYPE: FUL L,
BORN: 08 / 25 / 1921 DIED: 09 / 24 / 1992 INTERRED: 09 / 28 / 1992
INTERMENT NOTES:
DECEASED NAME: GUY C LOVELL
BLOCK: 6 LOT: 37 SPACE: 11 BURIALTYPE: FULL
• BORN: 01 / 19 / 1906 DIED: 05 / 21 / 1970 INTERRED: 05 / 22 / 1970
INTERMENT NOTES:
DECEASED NAME: FRANCES E LOVELL
BLOCK: 6 LOT: 37 SPACE: 12 BURIALTYPE: FULL
BORN: 11 / 04 / 1914 DIED: 04 / 18 / 1983 INTERRED: 04 / 22 / 1983
INTERMENT NOTES:
****END OF BLOCK : 6 LOT: 37 ****
L_J
Page 51 of 51
TARPON CHAPEL, INC.
DBA DOBIES FUNERAL HOME
701 EAST TARPON AVENUE
TARPON SPRINGS, FL 34689
(727) 942-0515
WHITNEY Whitney National Bank
Pensacola, Florida
63-950-632
10559
10/25/2007
**30.
m
PAY
TO THE
ORDER OF City of Clearwater
Thirty and 00/100*************
City of Clearwater
LMEMO
L S a
i y
8
AUTHORIZED SIGNATURE
C. Dixon 271-2590-07
11'01055911' 11:06 3 209 50 51: 00330028L,30
?Lsl 1! 6Y?
fly- In Ict ?n
RUen «e??
Rau ?o? ? ?x