Whatley, Edward0 Cemetery Call Work Sheet
Date:
Funeral Home/ Monument Company: 'Ir 0
Contact Name:
Tel. #•
14' Fax #:
Reason for call:
Deceased Name:-AU
d OT .`? EbLOAKb
Date of Birth: A/-c2L/ f1 Date of Death • Block --9-- Lot 1,?) Space I
Owner of Plot:
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: 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)
Z'
C7
1]
0
Cemetery Call Work Sheet
Date: 6 / ?)
Funeral Home / Monument Company:--4 f l moo-Contact Name: Ail f)&
Tel. #: ?) b 9 ,? ?/J) Fax #:
Reason for call:
Deceased Name: --E( wGL ?Ati?
J
Date of Birth: -7 /;?I Date of Death 4 /-01l 0.1-
Block q Lot IIS Space ?
Owner of Plot:
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:
Time: /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)
r\ C-V
tCEMETERY SEARCH NAMES AND NOTES REQUEST
DECEASED NAME: EDWARD R WHATLEY
SLOCK: 8 LOT: 13 SPACE: 1
BORN: 01 / 01 / 1881 DIED: 01 / 01 / 1946 INTERRED: 01 / 01 / 1946 BURIAL TYPE: FULL
INTERMENT NOTES:
NONE
DECEASED NAME: ISABEL D WHATLEY
BLOCK: 6 LOT: 20 SPACE: 6
BORN: 04 / 13 / 1917 DIED: 05 / 07 / 1979 INTERRED: 05 / 09 / 1979 BURIAL TYPE: FULL
INTERMENT NOTES:
NONE
DECEASED NAME: MINNIE W WHATLEY
BLOCK: 8 LOT: 13 SPACE: 2
BORN: 01 / 01 / 1884 DIED: 01 / 01 / 1959 INTERRED: 01 / 01 / 1959 BURIAL TYPE: FULL
INTERMENT NOTES:
NONE
•
•
Page 1 of 1
CEMETERY BURIAL INFORMATION BY BLOCK/LOT/SPACE
• BLOCK : 8 LOT: 13
DECEASED NAME: EDWARD R WHATLEY
BLOCK: 8 LOT: 13 SPACE: 1 BURIALTYPE: FULL
BORN: 01 / 01 / 1881 DIED: 01 / 01 / 1946 INTERRED: 01 / 01 / 1946
INTERMENT NOTES:
DECEASED NAME: MINNIE W WHATLEY
BLOCK: 8 LOT: 13 SPACE: 2 BURIALTYPE: FULL
BORN: 01 / 01 / 1884 DIED: 01 / 01 / 1959 INTERRED: 01 / 01 / 1959
INTERMENT NOTES:
DECEASED NAME: LEAVITT L MIX
BLOCK: 8 LOT: 13 SPACE: 4 BURIALTYPE: FULL
BORN: 01 / 01 / 1871 DIED: 01 / 01 / 1946 INTERRED: 01 / 01 / 1946
INTERMENT NOTES:
****END OF BLOCK : 8 LOT: 13 ****
•
•
Page 14 of 98
Sprague, Nicole
rom: King, JoEllyn
ent: Thursday, May 17, 2007 9:06 AM
o: Sprague, Nicole
Cc: Taylor, Joe; Lewis, Eric; Frith, Renee; Gilmore, Stephanie
Subject: RE: Staking Request/WHATLEY
Hi Nicole,
The space for the urn burial has been taken care of and marked with lime green flags.
Thanks, Jo Ellyn
-----Original Message-----
From: Sprague, Nicole
Sent: Monday, May 14, 2007 10:24 AM
To: King, JoEllyn
Cc: Taylor, Joe; Lewis, Eric; Frith, Renee; Gilmore, Stephanie
Subject: Staking Request/WHATLEY
Good Morning,
We received a staking request for Edward Whatley, Jr. The service is scheduled for Saturday, May 19, 2007 at 10:00
a.m. Please stake Block 8, Lot 13, Space 1 for Moss Feaster Funeral Home.
Mr. Whatley (Urn) will be buried in the same space as his father (full burial).
Other burials in Block 8, Lot 13:
Space 1: Edward R. Whatley
Space 2: Minnie W. Whatley
Space 4: Leavitt L. Mix
• Please let me know if you need any additional info.
Thanks for your help.
Nicole Sprague
City Clerk Specialist
Office of Official Records & Legislative Services
562-4097
is
Clearwater
U
City of Clearwater, Florida
Official Records & Legislative
Services Department
Phone (727) 562-4090
Fax (727) 562-4056
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