Danals, Herbert & GladysCemetery CaII Work Sheet
Date: 7 / a31 13
Funeral Home / Monument Company: I-14r - 3--2-4t-97a,
Contact Name: 't,U%' `r ^_ Tel. #: ��& - `f /`t Fax #:
Reason for call: I/� Staking Request (Interment/Disinterment)"r' Doulke, (Jr,-
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space
Date: / / Time:
(Send email to P &R)
Verifying Burial space
Other reason:
Wr ,
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space f
Owner of Plot: Ie-Kifet
Deceased Name: GI a-A% s homes S - i 1!�r r, e�,./ �4-rv� s U ��► S
Block ' Lot I 1 Space 1 S
Date of Birth: 2 / `t' / 9 Date of Death a / a / 3°07 (04.1/0
Date of Burial: -7 /9-1 / /3 Time: a
r7/ t/a °° - C Ikrtait)
$30.00 Staking Fee (Ftneral-+fea4e) — received on:
2 / / 1 3
try
Copy of permit emailed to Marco Ortega, cc: Mark Tokar /P &R on: / /
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Disinterment:
4:0 y-3 a-
ll" P-f33
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
(c )
LaCosse, Judith
From: LaCosse, Judith
Sent: Wednesday, July 24, 2013 10:49 AM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Vaughan, Karen; Gilmore, Stephanie
Subject: RE: Cemetery Staking Request
Thank you. I will notify Florida Vault.
From: Ortega, Marco
Sent: Wednesday, July 24, 2013 10:42 AM
To: LaCosse, Judith
Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Vaughan, Karen; Gilmore, Stephanie
Subject: Re: Cemetery Staking Request
~' Green flags
On Jul 23, 2013, at 11:21 AM, "LaCosse, Judith" <J udith.LaCosse @myClearwater.com> wrote:
We have a staking request from Harry of Florida Vault for a double Urn burial for:
Gladys Danals & Herbert Danals in Block 5, Lot 11, Space 15
Other burials nearby in this block and lot:
Space 14 = Virginia L Beck — (full)
Space 16 = Vacant
Staking is needed by this Friday, July 26th . The interment is planned for Saturday at around 1:00 p.m.
Please advise me of the color of the flags being used so that we could notify Florida Vault.
Thank You.
Judith LaCosse
StaffAssistan t
Official Records and
Legislative Services Dept.
727-562-4093
1
In payment of
CITY OF CLEARWATER, FLORIDA
MISCELLANEOUS RECEIPT
yJ
14) 6 artn....1
Date
, 20
Amount received
Fund
$
eter,
11-4 r tl,
Cl
1;1,
1:17c. 14- )
Dollars
Code
Department
1. 3 0 ‘t
CITY OF CLEARWATER
Received By
Cemetery Call Work Sheet
Date: 10 /a / a °I3
Funeral Home / Monument Company: C7 4. 146 �`''fi C' `
Contact Name: r Tel. #: -7X-7-7" Fax I Fax #:
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
17 Monument (Marker) being placed (No fee for staking of monument)
For: 14en6,d G /airs T.vJS
Block S Lot I Space I5
Date: / / Time:
(Send email to P &R) V Sp''- 14.: �
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
.'thViSk vi v. A
t4O I'\,K. W..e_ Co •
Date of Birth: / / Date of Death / / SIZ
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: Tuesday, October 29, 2013 8:55 AM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Vaughan, Karen
Subject: RE: Staking Request for Placement of a double monument
Thank you. I will notify the monument company.
From: Ortega, Marco
Sent: Tuesday, October 29, 2013 8:53 AM
To: LaCosse, Judith
Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Vaughan, Karen
Subject: Re: Staking Request for Placement of a double monument
Marked with orange flags.
On Oct 28, 2013, at 4:03 PM, "LaCosse, Judith" <Judith.LaCosse @myClearwater.com> wrote:
We received a call this afternoon from Kevin of Cycadia Monument Co., Tel. No. 727 - 786 -1551, for a
staking request for placement of a double monument.
Block 5, Lot 11, Space 15
Deceased, Herbert & Gladys Danals, both interred in space 15 - Urns
Burial nearby:
Space 14— Virginia Beck (Full)
If possible, Kevin would like the Staking done by this Thursday, October 31St or Friday, November 1St
Please advise me with the color of the flags being used so that we could notify the monument
company as soon as possible.
Thanks for your help.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093