Squire, Joseph & Edith
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Owner's
CEMETERY CHECK LIST
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Address
Cost of Space
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Space ~ ,cRnm ~),U ~T ~~
$ /1//!-
/1/,4-
fi/4-
$
County (if other than Pinellas)
Block
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1,:;;1"'1!. ~ . ,.' ~71!:'.~;!;. ;:j: ~",'
Recording Fee
Total Collected
Receipt No.
Purchaser signed ItFlorida Dept. of Revenue Return for Transfers of
-Interest in Florida Real Property It form
Give Purchaser copy of Rules & Regulations (in Cemetery file drawer)
Deed Prepared
Deed signed & sent for Recording
_Copy of Deed filed in Cemetery drawer
_Original deed mailed to purchaser with cover letter
_Necessary information entered in Cemetery Plat Book (large green book)
INTERMENT
/Filled out Cemetery Information Sheet
~Verify ownership in Cemetery Plat Book
v/Received $15 staking fee & issue receipt (include deceased's name and
_ ;the block, lot & space on the receipt)
~~ssue Burial Permit
~all Bob Maute at 6588 (Faye at Public Service
message for him to return call. When he calls
Jame of deceased, block, lot & space, and date
~ll in proper line in Plat Book
~Jill in proper space on Master Map (in Plat Book)
~Enter deceased's name in Cemetery Index
Dispatch) & leave
back, give him
& time of service.
.
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Owne r
Cemetecy Information
Edd-h S~
Address: /5'11 ~ve.. x:f+
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Date of birth: 1Du-~7;/~'gCJ
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Day/time service: ,',/f.A-, ~~OC) t.)r/"}
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Deceased name'
Date of death
Funeral home
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Space Lf ~~-ik~t~
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Director/phone:
Legal description:Bl
Staking fee: 1/5:~
Staking fee required minimum 12 hrs prior to service.
Cemetery attendants hours 7:00 am -- 3:30 pm; fees paid after
these hours will not be called over until next working day.No
caretaker on duty on holidays.