Riley, Nellie MillieCemetery Call Work Sheet
Date:
Funeral Home:
??rr Monument Company:
Contact Name: C, (-)-Di I (' Contact Name:
Tel. #:
Tel. #:
Fax #: Fax #:
RE: 1 ??-i
GL 'n k-e-t., e Y ?44
Deceased Name: DOD: DOB:
Owner of Property:
Block Lot Space
Interment: Full Burial: Urn Space:
($30.00 Staking Fee) - (One full burial and one urn, or two urns)
Date of Burial: Time: am/pm
Disinterment:
The following authorization should be obtained prior to disinterment:
I.) 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 buriMonument Being Placed:
(No Fee for Staking of Monument) ' ??/1
C-00?9
CITE' OF C LEARWATE R
Posr OErx:F: Box 4748, CLFIRWA'rER, FLOKIDA 33758-4748
CFIY MALL, 112 Soun i OscmiA AVENUE,, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4090 FAX (727) 562-4086
OFPICLAL RFCORDS ANN)
LFGISIATIVF SERVICES
May 30, 2006
Ms. Cynthia Williams
2121 Harrison Ave.
#E6
Panama City, FL 32405
Dear Ms. Williams:
Per our phone conversation today regarding the burial location of your grandmother, Nellie
Riley, I have enclosed a map of the Clearwater Municipal Cemetery.
I hope you were able to locate the space while you were here visiting Clearwater. If you are
going to have a marker placed on the space, the monument company you choose should be
familiar with the cemetery and should know how to reach me, but please feel free to give them
my name and number if they should need any assistance.
It was nice talking with you this afternoon!
Sincerely,
Karen B. Vaughan
Sr. Staff Assistant
City of Clearwater
Phone #: 727-562-4091
Fax #: 727-562-4086
Karen. V aughanQmyC learwater. com
FRANK 1111MARD, MAYOR
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Clearwater Municipal Cemetery -- 1300 S. Myrtle Ave.