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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) 0 Jul 19 06 09:42a Cantrell Cycadia Monument 07,/15/2006 00:43 6158227316 727-785-0856 p.1 HEAIDERSONVILLE PAGE 02 Jun 12 06 06,19p Cantred Cycadia Morturrant 727785(ft6 p,1 @6/96/2886 0 by b176r['d/.S1C rc??uc.a?.va??? Fam..oero>fuwI! DYY Ne. YRd001'jj _ lb.PR.M9ea!rbe: 16 MY.,11N I i"STANT. Flew read CIe Uerwnl InrerlTUtion peel 0Mre Co¦.pktir% 4II fom Type or pdw CwOY AD i.I *nrAvlm cacgc Car siaa¦Lases. 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R W 14, A•NAA, ADDIV85 (O^vy --^ rLN9RftAL VErMANS VJ P 979 DouECTOA 0SERVICE OFFfUR . Q ° ?` IS. FA r NO. h0-e ] WI&L T ?OTNeR eprrcjb, X90 ? '11 r t - CUMCATWIN; I N ONE bvWsla¦s ¦r a Odd .TM to 1wallEI fe slw mewleEy Lk"d ID block 21 s w a"4.. ID The C+.erwamr aw ¦o wwcM.81io midi wiltruis wd atMe to tise ow .f Rtr wimewbow 17, pE 1I1110l81iA WF A/PFAFS W ¦WC7r 17A 1 It. DA r? r a 1!. Nit ANO De r DRES5 6r BUSINESS (CON'Mmm THAT rnu to. DArTwx' PAONe no, ACCar ?r PY pry,. Stew. CIV. Tloea.... i1I eargr ? 0. OW Out.& Mea OdN ' 21. wty? AND ADDRES& ac CEMETERY WHERE 1116 19 LVCATS0 ".. ,11.'.16 CRT, Jww rii9 IS omrACCrP h a- - ? - Cy as EQila M I- K r/tP C11. zl?rll!! C. A? 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S I Fax #: IE: d- Deceased Name:'7Y' DOD: p DOB: Owner of Property: C?-- `{G J Date of Burial: Time: `Cam/ m Disinterment: Block 4 Lot Space Interment: V4--QLO Full Burial: Urn Space: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) The following authorization should be obtained prior to disinterment: l.) 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) v?M Vaughan, Karen From: Taylor, Joe Sent: Wednesday, April 12, 2006 1:20 PM To: Vaughan, Karen Cc: King, JoEllyn; Lewis, Eric Subject: RE: Flagging request / Block 4 - Lot 11 - Space 7 Karen, it was a little tricky but Eric and I Got it flagged. We used green flags, it's on the East side. -----Original Message----- From: Taylor, Joe Sent: Wednesday, April 12, 2006 10:50 AM To: Vaughan, Karen Subject: RE: Flagging request / Block 4 - Lot it - Space 7 III check it out and get back to you. -----Original Message----- From: Vaughan, Karen Sent: Wednesday, April 12, 2006 10:42 AM To: King, JoEllyn; Taylor, Joe; Lewis, Eric Subject: Flagging request/ Block 4 - Lot 11 - Space 7 Hello! Had a request from Taylor Funeral Home to flag subject space for FULL burial of Jimmy Yates on Friday, 4/14 at 1:00 p.m. Space 7 is also going to have an urn burial in the future. I can't tell (from our maps) which way the spaces run, so I'll just give you names in nearby spaces. Space 6: Jettie Slade (full) / Christopher Yates (infant) Space 7: Mark for full burial please Space 8: Empty Space 9: Charles Vollrath Let me know if you need more information. Florida Vault Co. will be out there to take care of the site. Thanks! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 karen.vaughan@myclearwater.com R] S e c u r e f -enhanced - d o e u m e rr f. S e e b a c. k. far d t f a i{ s, c_ TAYLOR FUNERAL HOME 7934 727-545-9858 T 5300 PARK BLVD. PINELLAS PARK, FL- 33781 H i ^. 63727/831 FL TO THE PAY ORDER ZOF 1--Q:CL G/ DATE 200 O DOLLARS 4 Bank of America ACH RCf 063100277 IB FOR 'Q 12 - r L Nv z ; ? , lie 007934115 x:06310 2771: 00 360 3 3 50iStills