Cassell, Frances
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Cemetery Call Work Sheet ?
Date:
Funeral Home: Monument Company:
Contact Name: Contact Name:
Tel. #• LA -\LQ_" Tel. #•
Fax #: ?O Fax #:
RE: ?--- ?;
1:1? j? / ?lL?-l
Deceased Name: F(C.(1( `_? CGS`?P DOD: ?S DOB:
Owner of Propertj?r Block Lot Sp
a a a-
Interment: Full Burial: Urn Space:
($30.00 Staking Fee) (One fuulllburial and one urn, or two urns)
-(
Date of Burial: Ncj? a Time: anVe
Disinterment: xx /l.e
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) [Q?
l / ?y(
Vaughan, Karen
From: Vaughan, Karen
Sent: Friday, November 18, 2005 10:08 AM
To: Gracie, Rhonda; King, JoEllyn; Lewis, Eric
Subject: Staking Request
Hi!
We've had a request for a staking for an urn burial that will take place Monday, Nov. 21 st
in the afternoon.
Please acknowledge you've received this request and can mark the space in time.
Deceased is Frances Cassell.
Space is: Block 8 Lot 87 Space 1 or 3 (There is a marker already there with
Frances and George Cassell's names on it.)
Spaces nearby:
Block 8 Lot 87 Space 2 (to the ? side) George Cassell (husband)
Block 8 Lot 88 Space 2 (to the West) William H. Tarvin
Thanks!
Karen Vaughan
Sr. Staff Assistant
Official Records and Legislative Services
Phone: 727-562-4091
karen.vaughan@myclearwater.com
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011305 21 C Branch paw) 1-(800)444-6899 Another service of Gelco Information Network, Inc. Eden Prairie, MN 60522000 03
Moss Feaster Funeral Home(4676) 01
802 North Fort Harrison Avenue Gelco Check Number 111621 l- 66 1 V? ?..
Clearwater FL 33755 1-1 ID Issue DATE
gunterkm 2/1/2006
PAY TO THE NOT VALID AFTER SIX (6) MONTHS FROM ISSUE DATE
ORDER OF City of Clearwater 8 „ ma s?=z--,
p
112 South Osceola Avenue °etals°"ba`k
Offical Records/Karen Vaughan
Clearwater FL 33756
Sixty Dollars And No Cents*+********************************************* $ * * * 6 0.0 0
NOT VALID F 'OVER $5.000 NOT REDEEMABLE FOR CASH BY DRAWER'S AUTHORIZED REPRESENTATIVE
-???'=--af?A..r-?- SIGNATURE OF DRAWERS AUTHORIZED REPRESENTATIVE
PAYABLE THROUGH 78-858 William C. Stewart
First PREMIER Bank 914 By signing this instmment, the aforesiggned confirms that this instrument has been drawn in accordance with the authority issued by Geloo Information Network, Inc. If any
SIOUX FALLS, SD statement herein be untrue, we, the a, oresigned, agree to pay the drawer upon demand the amount of this instrument and all expenses and damages arising from such misstatement
u'0 L L L 6 2 L 4 L LO' 1:09 L4013 58 Si: 2 5000006 5 5
SIGNER William C. Stewacrt gunterkm 01 116 21411
DESCRIPTION
City of Clearwater
112 South Osceola Avenue
Offical Records/Karen Vaughan
Clearwater FL 33756
DATE LOCATION NUMBER GL CODES CONTRACT NUMBER NAME/DESCRIPTION AMOUNT
2/1/2006 4676 8405-0 Bjerkenes Staking Fee $********30.00
2/1/2006 4676 8405-0 Cassell Staking Fee $********30.00
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ISLATIVE SRVCS D'
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Vaughan, Karen
From: King, JoEllyn
Sent: Friday, November 18, 2005 1:32 PM
To: Vaughan, Karen
Subject: RE: Staking Request
Space 3, blue flags
-----Original Message-----
From: Vaughan, Karen
Sent: Friday, November 18, 2005 11:07 AM
To: King, JoEllyn
Subject: RE: Staking Request
Great!
Thanks!
Karen Vaughan
Sr. Staff Assistant
Official Records and Legislative Services
Phone: 727-562-4091
karen.vaughan@myclearwater.com
-----Original Message-----
From: King, JoEllyn
Sent: Friday, November 18, 2005 11:05 AM
To: Vaughan, Karen
Subject: RE: Staking Request
received your request, will handle today and notify you when finished. Joe Taylor PSTIII Downtown Team
-----Original Message-----
From: Vaughan, Karen
Sent: Friday, November 18, 2005 10:08 AM
To: Gracie, Rhonda; King, JoEllyn; Lewis, Eric
Subject: Staking Request
Hi!
We've had a request for a staking for an urn burial that will take place Monday, Nov. 21 st
in the afternoon.
Please acknowledge you've received this request and can mark the space in time.
Deceased is Frances Cassell.
Space is: Block 8 Lot 87 Space 1 or 3 (There is a marker already there with
Frances and George Cassell's names on it.)
Spaces nearby:
Block 8 Lot 87 Space 2 (to the ? side) George Cassell (husband)
Block 8 Lot 88 Space 2 (to the West) William H. Tarvin
Thanks!
Karen Vaughan
Sr. Staff Assistant
1