Miller, Gertrude Cemetery Call Work Sheet
Date: l / / ao)
Funeral Home / Monument Company: �`'�he-r G �� �-{ coa Bro
Contact Name: r�5+2-v% Tel. #: 3 a' ` `f 9 8 Fax#: I- v 13.C.
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
✓ Monument (Marker) being placed (No fee for staking of monument)
For: 6 crir wcQ.e 5. $Jl
Block A Lot 31 Space LI
Date: I / / .a°13 Time: - A rhooY1
(Send email to P&R) (C 06,4
Verifying Burial space
Other reason:
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space
Owner of Plot:
Deceased Name:
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / / Time: am/pm
$30.00 Staking Fee (Funeral Home) - received on: / /
Copy of permit emailed to Marco Ortega, cc: Mark Tokar/P&R 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
Revised 10/31/12
LaCosse, Judith
From: LaCosse, Judith
Sent: Friday, January 04, 2013 9:48 AM
To: Ortega, Marco
Cc: Tokar, Mark; Wells,Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: RE: Cemetery Staking for placement of a marker
Thanks... I will notify the monument company.
From: Ortega, Marco
Sent: Friday, January 04, 2013 9:41 AM
To: LaCosse, Judith
Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: Re: Cemetery Staking for placement of a marker
Marked with Pink flags.
Regards.
Marco
On Jan 3, 2013, at 11:59 AM, "LaCosse,Judith"<Judith.LaCosse @myClearwater.com>wrote:
We received a call from Kristen of Sumner Granite and Bronze,Tel. No.727-321-5498,for a staking
request for placement of a marker.
Block A,Lot 31,Space 4
Deceased,Gertrude S. Miller,who was interred back on 10/3/79 in this plot(full burial).
Staking is needed by next Tuesday,January 8th early afternoon.
Please advise me with the color of the flags being used so that we could notify the monument
company.
Thanks for your help.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
1
Cemetery Call Work Sheet
Date: g / a- / I
Funeral Home / Monument Company: Su h^-hE-4- �s rte: �'e �4 D roK�c , Inc.
Contact Name: ka-te..erP, M .r..
Tel. #: 344-5`t`i g Fax*
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
Verifying Burial space
Other reason:
**************************************************************************************************
Interment: (One full burial and one um, or two urns per space)
l t f e,,,,,< : 10/3/1 5
Full Burial ✓ Urn Space
Owner of Plot: (Cou..C5. �pkce ) per"`"'-(' 13a
Deceased Name: �ertrkoc.e. t i
Block A Lot 31 Space `f
(I81s) ?
Date of Birth: / / Date of Death / /
Date of Burial: / / Time: am/pm
$30.00 Staking Fee (Funeral Home) - received on: / /
Copy of permit emailed to Mark Tokar, Marco Ortega/P&R 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
%//) - S,/ ehNAJ. 40 PA" 5+416;.4 •
Revised 5/31/12
3/414_ Notrpe4 Ms. 149t-t1 p4r
LaCosse, Judith
From: Ortega, Marco
Sent: Friday, August 03, 2012 1:01 PM
To: LaCosse, Judith
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie
Subject: RE: Cemetery Staking Request- Placement of a marker
Marked in yellow flags.
From: LaCosse, Judith
Sent: Thursday, August 02, 2012 4:13 PM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie
Subject: Cemetery Staking Request- Placement of a marker
Importance: High
Hi Marco,
We received a call from Katelynn Martin from Sumner Granite& Bronze, Inc.,Tel. No.727-321-5498,for a staking
request for placement of a marker.
Block A, Lot 31,Space 4
Deceased, Gertrude Miller,was interred back on 10/3/1979 in this plot(full burial).
Staking is needed by next week sometime.
Please advise me with the color of the flags being used so that we could notify Ms. Martin.
Thanks for your help.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
1
Jul 31 2012 9: 33AM SUMNER GRANITE 7273210135 page 1
( urnner
GRANITE & BRONZE, INC.
SINCE 1927
IS.55TH STREET SOUTH ST.PETERSBURG.FL 33707 PHONE:(727)321-5498 FAX:(77'7)321.0135
Date: ?-/g1/12._
To: Wiio 'n 17- miq L/ Q j t`72Ju
5022 - 4/1"gZo
From: /69TEC-Ai / MgWr/ kJ -- .3 /- 3'fqg
RE: fl 1T i2 lElie
Number of Pages (Including Cover): 1
Message: 0012 C 9# l fl4AH &)co w L-1 KBE- 70
q--e - lPcicov,q - t E Ki1mei.he;
jPK 2 , rr Is 2 -{ " y /7.. " )C' '`J /10
7/3 V/ - Lee /( a9,( , h o
8///fa. - �f.V,gA.02 b s Q44 4 q.G.l, J- CT
$/��a. — V.c cQ c€,.Q.Q t4 ck -fro......
Si h6.Qt_ M, = 3(.." x (a.. k a f G Q.�ni+ Nlc./�-ti t/ui,i t cP Co r rt cf
uu r p Sh S e p% a1. .� R, --t.
tvu.... ei 4,∎ a n,s. e v �r,�'L4,h...
Gt.4r-Ko -/t F- - Borh = 1 gam(,t
C3-eoc.K 1 1, La 5p• a. zit: VI is a-
k �~ Ger1e- .cLc S. iXx� — 8orn ; (90
O
Jul 31 2012 9: 33RM SUMNER GRRNITE 7273210135 page 2
Ii
ri-j ---
lr- J
C
Cow o
0
44 0 M3
0
0
® « moo
i 1 o0 n
[&=1 .-,,
J
'111111111111110
ill
VVV
f t
f"