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Jones, CoyCemetery Call Work Sheet *ate: Funeral Home/ Monument Company: T Contact Name: Tel. #: Fax #: s ; ?,te, r hn.e A_ Reason for call: Staking Request ([at?nt) Affidavit (Burial Rights) Monument (Marker) being placed (No fee for staking of monument) Other reason: Interment: (One full burial and one um, or two urns per space) ull Burial Urn Space Owner of Plot: voywv Deceased Name: CaA J Block Lot Space r Date of Birth: / 0 L/ Date of Death ? / / 61D Date of Burial: V Cj/ q Time: am/pm $30.00 Staking Fee (Funeral Home) - received on: (- / I / I I Copy of permit faxed to Joe Taylor/P&R - Fax No. 6551 on: 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 Jun 07 11 07:40a p•5 2011-06-06 16:37 Regions-Enterprise >} P 2/7 Just GG 11 10;17F Ronald Hgrrow 334 g97 2225 P-1 is • HORIZON Vhf 1 MONUMENT COMPANY, C "Caring service when it utters the most" June 6, 2011 VD. Box 678 1614 County Road 3 59 Elba, Alabmna 3,6323 334897-8300 I VonrDle Jones said owner of spaces X and B, in lot 49 of block 15, do hereby give consent to the City of Clearwater, Florida to open and close the grave of my late husband Coy Jones who died in 1981 for the pwrpose of disinterment. By: Voncille Jones .b?.- ?.- Nobly Public TnformuLon: L01£0 39ad 3WOH 1Vd3Nf13 S3QOHd £5Z0£VVLZL Z£=TT TTOZ/LO/90 Jun 07 11 07:30'a 2011-06-06 16:37 Regions-Enterprise >> Jun de 11 10:06p Ronald morrow 333 H97 2225 • [)RED CHAPEL oaf/ 643T DAUXk ROAD CLEAMVATEq, FLORIDA 33756 RHOBE M445=75 S .Clfi S" raum2 f t+tecmra g AmOmftstim p.1 P Sl P.1 p.,? 830 M. 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Corcoran M.a_ ASSOC.Med.Exam_ Ula*rton HZ.dr' o, FI. 33 40 7}r. .n) - Wrl RfGF.riCP6Y t[C+iiRAR/Yo.B@wo. ».r 7+. *.r>kror.re Ywacb tce-rdr dndr ddvu CrNld r?Jr uvd row J.a. r•? ?.y f!J ?R 1:2 ? ?av? FAIT fv •? A ?WII+Cr a. . 1 minutes p '.' ?-?++?ti.*:,:.'.'?''."`.r?:°r'.' ?.. -. -i: I,?.rr..J4wr.. «,r•r??rew may an+rr sr..r?r.v,.rt ?.arno ... • 1 try _ `P G b•4 +e;rnd li ra+. ww? 1.>•¦r (.r Mfa44D fd Mori • • ;':?,"elf; Au,9r6Y1l?.viJF w+s[+ce twnW-I w[LYLtNr, tC•t • ?-'• M, UIOi MOiuC,OF?['W+¦iir t' tw +??rsrw [R11 ,t{ptiY /Yr..My(li.F'. ff 71• CCI µf-.?'J 4 . ; ` y..,. . /J• W.lcibE .kYY? MWrr apyEf[p wJ .MY.d.s. ti ., ??? n: 6 - y = 5 P ee -Gushed between two frorttloaders iwLEf 9% LF.R No, vrv Wt To" i N.. Yes ati', ,v' ?-.en=, LCOT V.11orth 8 ifills Subdivision 5afet Harbor `j '.?;h F "?! r'l i $SFD S$IIL AF THE Am t]F' vmL STi1T151•iCS. Y hereby c ;"• " x 'lry'th : a true and aorr&cG c,OPY Of a certificate On fake in theft ce;a .'' a Local Registrar of V:rLtai Pin SGstie?ce of the ellas Count, Lt "Departme t, Str I'eferebu rg, Fioirtda. - Peb 9,' 1981 Deputy Local Registrar L01170 39Vd 3WOH -1Vd3Nfld S3QOHd CSZOEVVLZL Z6:TT TTOZfL0f90 Jun 07 11 07,39a 2011-06-06 16:38 Regions-gnt:erpr-ise STATE OF ALABAMA DCJ L, PO R OF ATTUI?X COUNTY OF CO FEE ARTICLE I P.3 P 5/7 KNOW ALL MEN I3Y TRUE PRESENTS, wbich are iuterxded to constitute a Durable Tower of Attorney, that 1, Vancille F. Jones, the undersigned, of Coffee County, Alabama, do heTeby make, constitute and appoint my daugdater, Susan Selber so long as she is living and capable and willing to wive, my true and iawfLl Attorney in Fact. In the event the said Susan Seiber predeceases rite, bmornes incapable or un'Mlling to serve in said capacity, I appoint my daughter, Ronda D. Bertsch to serve as my true and lawful Attorney in Fart. In the even] the said Ronda A. Bertsch predeceases me, becomes incapable or unwilling to serve in said capacity, l appoint my son, Coy T. dories to serve as my true and lawful Attorney in Fact. My Attorney is Fact shall serve with full lower of substitution, for me and in my rime, place and stead, and on my behalf and for my use and benefit: To exercise or perform any act, power, duty, right or obligation whatsoever that I now . have, or may hereafter acquire the legal ri&, power or capacity to exercise or perform, its connection with, arising from, or relatiz to any person, item, transaction, thing, business property, real or personal, tangible or intangible, or whatsoever, To request, ask, dernand, sw for, recover, collect, receive, and hold and passess all such. sums of money, debts, dues, commercial paper, che&a, drafts, Wcounts, deposits, lc ies, bequests, devisor, notes, interests, stock certificates, bonds, dividends, certificates of deposit, annuities, pension and retirement benefits, i murance benefits and proceeds, any and all documents of title, chosea in action, personal and real property, tangible and intangible property and property rights, and demands whatsoever, liquidated or unbq- idated, as now are, or shall hereafter became, owned by mc, or due, owing, payable, or belonging to axe, or in which I have or may hereafter soquire interest, to have, use, and take all lawful means and equitable and legal remedies, procedures and writs in my zxame for the collection and recovery thereof, and to adjust, sell, compromise, and agree for the same, and to make, execute, and deliver f0f roe, on my behalf, and in my name, all eudorscments, acquittances, releases, receipts, or other sufficieut diNharges for the same; • L0150 30dd 3WOH -1VN3Nnj S3QOHd C9Z06bbLZL ZC:tZ ZtOZ/LO/90 Jun 07 11 07;39a p•2 *.i?*+-06, 6 16,38 Regions-Enterprise >> P 677 To lease, purchased exchange, and acquire, and to agree, bargain, and contract for the lease, purchase, exchange, and acquisition of, and to accept, take, receive, and possess any real or personal property whatsoever, tangible oz intangible, or interest thereon, on such terms cad conditions, and under such covenants, as my said Attorney in Fact shall deern proper, To maintain, repair, improve, manage, insure, rent, lease, sell, convey, subject to liens, mortgage, subject w deeds of trust, and hyp diccate, and in =y war or mmner deal vMh all or any part of any real or personal property therein, that 1 now own or may hereafter acquire, for me, in my behalf, and in my name aid tinder such terms and conditions, and under such covenants, as my said Attorney in Fact shall deem proper, To conduct, engage in, and transact any and ail lawful business of whatever nature or kind for rne, and on my behalf, and in my name; To borrow money, and to make, receivo, sign, endorse, execute, aclaiowledge, deliver, and possess such applications, contratu, agreements, options, covenants, conveyances, deed.sy trust deeds, security agreements, gills of sale, teases, mortgages, assigumeats, insurance policies, bills of lading, warehouse receipts, documents of title, bills, bonds, debentures, checks, drafts, • bills of exchange, letters of credit, notes, stock certificates, proxies, warrants, commercial paper, receipts, withdrawal receipts and deposit instxinwnts relating to accounts or deposits in, or certificates of deposits of, banks, savings and loan associations, credit unions, or other financial Institutions or associations, proofs of Ioss, evidences of debts, tames, and satisfaction of mortgages, liens, judgments, security agreements and other debts aid abligatiom and such other iststr=ents in writing of whatever kind and nature as my be necessary or proper in the exercise of the rights and powers herein granted- I grant to my said Attorney in Faet frill power and authority to do, take and perform all and every act and thing whatsoever requisite, proper, or necessary to be done, in the exercise of any of the rights ant1 powers herein granted, as fully to all iriteats and purposes as I might or could do if personally present, with full pointer of substitution or revocations, hereby ratifying and confmning all that my said Attorney in Fact shall lawfully do or cause to be done by virtue of this power of auontey and the tights and powers herein gramd. This instrument is to be construed and interpreted as a durabla and general power of attorney. The enumeration of specific items, rights, acts, or powers hacin is not imended to, • I L0/90 39VJ SWOH 1V7GNnj SSQOHd ESZOCVVLZL ZS:TZ ZZOZ/LO/90 Jun 07 11 0T40a p.6 -06'-06 16.39 Regions-Enterprise » P 717 nor does it, limit or restrict, and is not to be construed or interpreted as hm?ting or testrictzug, di general powers herein granted to my said Attorney in Fwt. ARTICLE 11 The Hghu, powers and authowixy of my said Attorney in Fact herein gmuted shalt Cornmenct and be i*cL full force and effect immediately upon execution of this instrument. This power of attorney shall not be affected by disability, incompetency or irkeapacity of the principal unless vtberwise provided by law. IN WITNLSS WHEREOF, as Princi al, I have signed this Durable Power of A.ltomey at Enterprise, Alabama, this the ?`" ? day of , X409. a Voimci11a . fortes, Prin • STATE OF ALABAMA COUNTY OF COFFEE ACKNOWLEDGMENT I, the undersigned, a Notary Public in and for said County, in said State, hereby certify that Vonedle IF. Jones, whose name is signed t.Q the fereg iaB Durable Pourer of Attorney and who is known to me, acknowledged before rue on this day that, being informal of the contents of said Durable Poorer of Attorney, she executed the same voluntarily on the day the same nears date, 2009. GI'VEN under my hand and seal this 1ht' ?_ day of • THIS J i•151RUMENT PREZARED $'Y. DanaJd S. Pittman. P.C- AtMMe,y ULRW 5 Noah Po#nsc ?kwy., suitsle Trost Of ru,Box 311447 &Iearprisa, A10am 36331-1447 (334)347-4682 My Commission Expires, LP i, r4l yam'. '•.;a?t??0, L0/L0 30VJ 3WOH _1Va3Nf13 S3QOHa £5Z0£bbLZL Z£:TT TTOZ/L0/90 0 Fax Cover Sheet Rhodes Funeral Directors, Inc. 800 E. Druid Road Clearwater, Florida 33756 (727) 446-3055 Fax: (727) 443-0253 to: I from: Attention: dote: r ,run Office Location: Office Location: Fax Number. J`I o c3.,44MD Phone Number: ? Urgent © Reply ASAP ? Please comment ? Please Review ? For your Information Total pages, including cover. • L0/T0 39VJ 3WOH 1Va3Nf13 S=H(i CSZOCVVLZL ZC:TT TTOZ/L0/90 CITY OF CLEARWATER POST OFFICE BOY 4748, CLEARWATER, FLORIDA 33758-4748 CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4090 FAY (727) 562-4086 OFFICIAL RECORDS AND LEGISLATIVE SERVICES June 10, 2011 Horizon Vault & Monument Company, Inc. 1614 County Road 359 Elba, Alabama 36323 To Whom It May Concern: We received your Cemetery Staking Fee check #3243 in the amount of $30.00 for the disinterment of Coy Jones. Attached you will find receipt No. 444824. Thank you, J.?idith LaCosse Staff Assistant "EQUAL L'MPLOYM@NT AND APFIRMA9R'F ACPION EMPLOYER" M IRT N _ N ('7 O CO Q i? t\` V w J e w v G' <n o V1 VIII z LLI z r z a N Cl) z F F- ? M LC a D a Q > Q am Z m ^ Y O Cfl Q .J W - " Nxx< PO NmQ Oc ?E? 20 a-W c 0 rri L11 Lo .6 Lil o? i?l L11 li an c O 2E M 1 ru rri O O .