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Yates, Molly (Mary) • Date: d-L, / Cemetery Call Work Sheet Funeral Home / Monument Company: Contact Name:, 1 Tel. #: Qc- } Fax #: Reason for call: Deceased Name: ,s Date of Birth: /z/L "Date of Death A- 1 /--QC_CG • Block '.!S Lot 1\1 Space Owner of Plot: '` ` S ****************************************** Interment: (One full burial and one urn, or two urns per space) Full Burial ' Urn Space n. $30.00 Staking Fee - received on: / / Date of Burial: Time: am/pm Disinterment: TU 1"A" 4A (?g q, co 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)??-- ( ?3 0CM • CEMETERY SEARCH NAMES AND NOTES REQUEST FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 3 OWNER 2: C/O YATES FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 1 OWNER 2: MOLLY YATES FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 2 OWNER 2: MOLLY YATES FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 1 OWNER 1: BILLY YATES SPACE TYPE: FULL COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 2 OWNER 1: BILLY YATES SPACE TYPE: FULL COMMENTS: None IWO UND AS CURRENT OWNER OF BLOCK: 4 LOT: 11 SPACE: 5 OWNER 1: C. C. YATES SPACE TYPE: FULL COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 4 LOT: 11 SPACE: 6 OWNER 1: C. C. YATES SPACE TYPE: COMMENTS: None FOUND AS CURRENT OWNER OF BLOCK: 4 LOT: 11 SPACE: 3 OWNER 1: C. C. YATES SPACE TYPE: FULL COMMENTS: None is Page 1 of 4 CEMETERY BURIAL INFORMATION BY BLOCK/LOT/SPACE BLOCK : 15 LOT: 111 DECEASED NAME: BILLY J YATES BLOCK: 15 LOT: 111 SPACE: I BURIALTYPE: FULL BORN: 09 / 10 / 1937 DIED: 02 / 27 / 1998 INTERRED: 03 / 03 / 1998 INTERMENT NOTES: DECEASED NAME: MOLLY YATES BLOCK: 15 LOT: 111 SPACE: 2 BURIALTYPE: FULL BORN: 01 / 01 / 1901 DIED: INTERRED: INTERMENT NOTES: DECEASED NAME: DOLLY I CASEY BLOCK: 15 LOT: 111 SPACE: 3 BURIALTYPE: FULL BORN: 02 / 16 / 1905 DIED: 11 / 22 / 1993 INTERRED: 11 / 24 / 1993 INTERMENT NOTES: DECEASED NAME: ARTHUR STEPHENS BLOCK: 15 LOT: 111 SPACE: 4 BURIALTYPE: FULL BORN: 09 / 21 / 1934 DIED: 09 / 25 / 1985 INTERRED: 09 / 30 / 1985 INTERMENT NOTES: ****END OF BLOCK : 15 LOT: 111 **** • r? U Page I I I of 120 • Date: 441110 5 Cemetery Call Work Sheet Funeral Homec /qas "? Monument Company: 14!t C,.s LQA- ? 0" Lam' Contact Name: Contact Name, Tel. #: Fax #: Tel. #:L'7Z`7) 7&3 -30w Fax #: Mq ) 70 - 3f,-?40 • C. RE: (mte rm,-M of c zu - t6? c>? Buiai = -1" 13 lla?=e S (ck,?l--t c>i- cLeCCc?SeG? - ,?r? ?n cY,f 1??c-e. Deceased Name,;/ ,/CIO (?c (? ? S DOD:,14 i 105 DOB: q 115 1 Z9 Owner of Property: ei I '!?, gcL?s C ? us"vd) Block lS Lot III Interment: ? Full Burial: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) Date of Burial: Time: am/pm Disinterment: Urn Space: 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) S:/Jlacosse/Cemetery Call Work Sheet.doc Space -2- 6/8/04 CEMETERY SEARCH NAMES AND NOTES REQUEST C ND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 1 NER 2: MOLLY YATES FOUND AS CURRENT OWNER OF BLOCK: 15 LOT: 111 SPACE: 2 OWNER 2: MOLLY YATES DECEASED NAME: MOLLY YATES BLOCK: 15 LOT: 111 SPACE: 2 BORN: 01 / 01 / 1901 DIED: INTERRED: BURIAL TYPE: FULL INTERMENT NOTES: NONE • Page 1 of 1 • N z 0 (D H O z x N O r o ? w ? tai o K 0 b ? O r H r? H z Oil Y H Q y n O O z H 00 V1 W It v, w O o H O z d d H ?-3 ? b ? d ? z d r N ? A N A ? O H O yA Y c? 0 0 0 0 rcoo r? r H m a y H ITI 7d M z r O ? . ITI r w rn N A ?o 0 r r? O N z 0 O z cn b ?< (i a cn M tTl cn z b H n x O y I? n w 0 • b N z H C r C c F r j 00 J 1?1 ? r p oz j y a .r y Y G 3 ?d tTl 1? a O °z O r O y O z y O z z N x H 0 K z 9 d z H C?`N?yJy I?1 z H H O x r O y 0 z z 0 9 Oil O H r O y N z O 0 b O 0 x r 0 H y? V ly1 l J 0 1' . Vaughan, Karen rom: Lewis, Eric lent: Wednesday, July 27, 2005 2:05 PM o: Vaughan, Karen; King, JoEllyn Cc: Call, Rosemarie Subject: RE: Cemetary Staking FW: Pending Request for Interment (Yates) Done White Flags -----Original Message----- From: Vaughan, Karen Sent: Wednesday, July 27, 2005 11:53 AM To: King, JoEllyn; Lewis, Eric Cc: Call, Rosemarie Subject: Cemetary Staking FW: Pending Request for Interment (Yates) We have been contacted regarding the staking of a single monument for 3 burial spaces. (International Casket & Urn) Block 15, Lot 111, Spaces 1 thru 3 They would like the flags placed at the corners of the 1 st and 3rd spaces. They will be here by 10:00 Thursday, 7/28 (tomorrow!) morning, so this will need to be done prior! Directly to the North, space 4 is Shirley Stephens. To the East (15, 110, Space 1) is Dorothy Henry. Please let me know if we can have this marked prior to 10:00 a.m. in the morning. • Thanks! Karen Vaughan Sr. Staff Assistant Official Records and Legislative Services Phone: 727-562-4091 karen.vaughan@myclearwater.com -----Original Message----- From: Call, Rosemarie Sent: Thursday, April 07, 2005 2:03 PM To: Chase, Susan; Kaushal, Mona; Keenan, Stacy; King, JoEllyn; LaCosse, Judith; Lewis, Eric; Vaughan, Karen; Zitouni, Trish Subject: Pending Request for Interment (Yates) fyi The department should be receiving a call from Moss Feaster Funeral Home regarding the following interment: Mary Molly Yates Block 15/Lot 111 /Space 2 Dolly Yates, daughter of deceased, has pre-paid the staking fee. Please reiterate information to Moss Feaster representative. Check and Worksheet is in the cemetery folder. Burial Permit and Staking can occur after Moss Feaster calls with interment date. Thank you. Rosemarie Sprague, Nicole rom: King, JoEllyn nt: 0 Thursday, May 17, 2007 8:59 AM o : Sprague, Nicole Cc: Taylor, Joe; Lewis, Eric; Frith, Renee Subject: RE: Staking Request/YATES Hi Nicole, We still have the white flags there for Molly's urn. I will make sure they are still there the morning of May 29th. Thanks, Jo Ellyn -----Original Message----- From: Sprague, Nicole Sent: Wednesday, May 16, 2007 4:34 PM To: King, JoEllyn Cc: Taylor, Joe; Lewis, Eric; Frith, Renee Subject: RE: Staking Request/YATES Hi Jo Ellyn, I just spoke to Moss Feaster, and apparently the above referenced service never took place. It is set to take place on Tuesday, May 29 at 9:00 a.m. Please let me know if you need any additional info. Thanks! -----Original Message----- From: King, JoEllyn Sent: Wednesday, May 02, 2007 10:34 AM To: Sprague, Nicole • Cc: Taylor, Joe; Lewis, Eric; Frith, Renee Subject: RE: Staking Request/YATES Space is taken care of and marked with white flags Thanks, Jo Ellyn -----Original Message----- From: Sprague, Nicole Sent: Friday, April 27, 2007 3:31 PM To: King, JoEllyn; Taylor, Joe; Lewis, Eric Subject: Staking Request/YATES Hello, We've received a staking request. The funeral for Molly (Mary) Yates is being held on Friday, May 4, 2007. Please flag Block 15, Lot 111, Space 2 for Moss Feaster's Funeral Home. Other Burials in Block 15, Lot 111: Space 1: Billy J Yates Space 3: Dolly Casey Space 4: Arthur Stephens Thanks! Nicole Sprague City Clerk Specialist Office of Official Records & Legislative Services 562-4097 0 Sprague, Nicole 0 o rom: King, JoEllyn nt: Wednesday, May 02, 2007 10:34 AM : Sprague, Nicole Cc: Taylor, Joe; Lewis, Eric; Frith, Renee Subject: RE: Staking Request/YATES Space is taken care of and marked with white flags. Thanks, Jo Ellyn -----Original Message----- From: Sprague, Nicole Sent: Friday, April 27, 2007 3:31 PM To: King, JoEllyn; Taylor, Joe; Lewis, Eric Subject: Staking Request/YATES Hello, We've received a staking request. The funeral for Molly (Mary) Yates is being held on Friday, May 4, 2007. Please flag Block 15, Lot 111, Space 2 for Moss Feaster's Funeral Home. Other Burials in Block 15, Lot 111: Space 1: Billy J Yates Space 3: Dolly Casey Space 4: Arthur Stephens Thanks! • Nicole Sprague City Clerk Specialist Office of Official Records & Legislative Services 562-4097 •