Kamensky, RichardDate:
�r / 3
Cemetery Call Work Sheet
Funeral Home / Monument Company:
Contact Name: IQ oLJ k�ti,�Ks Tel. #: 7721- 73 t- '77 /tfFax #:
Reason for call: Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space
Date: / / Time:
(Send email to P&R) ECG, h sky S C'— i 5 4, . C-0 WI
Verifying Burial space wsc�h /
II 5P.'"
Other reason: Nv4%:. Q
e k L ± 7 = awe T -4
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space `"A` t"..e.
S, u i-
'l� ((c- y-v&sk
Owner of Plot: Ctp�e C� y arm a
Deceased Name: Sp:c e, 2 = So pl . , Aa- ev
s1,, 3 -o ) f
Block Lot Space s pc.ce. If _ w,,. Q.j , to ot
Date of Birth: / / Date of Death / / Spe_c_e 10 = `l'`'` "`"' lJ. j .8 ro" �
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: Monday, November 04, 2013 3:15 PM
To: 'kamenskys @msn.com'
Subject: City of Clearwater Municipal Cemetery - Block 1, Lot 7
Attachments: Status Block 1 Lot 7 -Owner Kamensky.pdf
Importance: High
Hello Susan,
I spoke to your dad this morning and he requested burial information for the spaces owned by Theodore Kamensky in
Block 1, Lot 7. See attached documents.
In our cemetery program we're showing Theodore Kamensky as the owner of spaces 1, 2, 3, 4 and 10.
Space 1 is vacant at this time.
Your dad also mentioned that William W. Kamensky was transferred to Sylvan Abbey, but unfortunately we don't show
anything in writing in our files showing this transfer. Also, we don't have a copy of a deed in our files regarding this plot.
Please provide your dad with this information. I will make a note in our cemetery program that Nancy Kamensky has
burial rights in space 1 which is vacant.
If you or your dad have any other questions, please give me a call.
Thank You.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727 -562-4093
1
Status of Block: 1 Lot: 7 as of 11/04/2013
INTERMENTS:
SPACE BURIALTYPE DECL
DECF DECM BIRTH DEATH INTERRED
2 FULL KAMENSKY SOPHIA 1/1/1873 01 / 01 / 1926 1/1/1926
3 FULL KAMENSKY THEODORE 1/1/1836 01 / 01 / 1913 1/1/1913
4 FULL KAMENSKY EMILY 1/1/1850 01 / 01 / 1896 1/1/1896
5 FULL TRUMLY BARBARA 1/1/1901 01 / 01 / 1901 1/1/1901
6 FULL SNYDER ELLA M 11 / 12 / 1968 11/12/1968
6 INFANT SNYDER JOHN A 12 / 10 / 1933 12/10/1933
7 FULL SNYDER H L 3/11/1855 01 / 18 / 1912 1/18/1912
8 FULL SNYDER MARY B 1/1/1860 11 / 22 / 1923 11/22/1923
10 FULL KAMENSKY WILLIAM W 1/1/1927 01 / 01 / 1930 1/1/1930
13 FULL SNYDER JOHN F 1/1/1887 01 / 01 / 1952 1/1/1952
14 FULL SNYDER ELLA M 11 / 12 / 1968 11/12/1968
16 FULL TRUMLY UNKNOWN 1/1/1901 01 / 01 / 1901 1/1/1901
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
PERMIT
0
0
0
0
662
2055
0
0
0
0
662
0
Cemetery Trackiig Systeih
N
Good Afternoon? Today is Monday, November 4, 2013
i Cemetery
SFile
Transaction
View Lot Profile
a Reports
Print._B.uria.l _ lPer nit.
.e.lrS b.. N.60L s...e rld_
Nat.*.
Print /View Lot Status
Monthly Memo
Disinterments
Decaased by Location
Alohabetical List of
Decaased Fila
List of Owners File
B.einte.Lm.enta
P.e rm its._List._by
Permits List by
1 ocation
PRBurial
a Maintenance
Control Data
Vaitt..L.CiCatiODS
Satoritx
[ Previous Pace 1
Cemetery Tracking System - View Lot Profile
Block: 1 Lot: 7
Profile Summary
Page 1 of 1
You are logged in as ]udith.LaCosse
Click 'View Assigned' to view interment details. If more than one individual is interred in a space, a second grid will appear
below, displaying all of the individuals assigned to the space. Click 'View' on the second grid to view the interment details of
that individual.
EAST SIDE OF MYRTLE AVENUE
Space
Owner Last
Owner First
Owner Middle
Max interred
Total Assigned
Interred
1
KAMENSKY
THEODORE
0
0
0
View Assigned
2
KAMENSKY
THEODORE
1
1
1
View Assigned
3
KAMENSKY
THEODORE
1
1
1
View Assigned
4
KAMENSKY
THEODORE
1
1
1
View Assigned
5
1
1
1
View Assigned
6
UNKNOWN
2
2
2
View Assigned
7
UNKNOWN
1
1
1
View Assigned
8
UNKNOWN
1
1
1
View Assigned
9
0
0
0
View Assigned
10
KAMENSKY
THEODORE
1
1
1
View Assigned
Updated on Tuesday, January 06, 2009
Home 1 Feedbark I Departments !contacts 1 Forms
12
[ Too of Pan. 1
http: / /clearwater /Apps20 /cemetery/viewlotprofile. aspx ?b =1 &1 =7 11/4/2013
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K- I
7
Mary B. Snyder { Mrs. Truthly
Nov. 22, 1923 -63 yrs.
H. L. Snyder
Mar. 11, 1855 -
1912
Ella Snyder
16 yrs..
-Jan. 18,
S?YYYD R i Ella Missouri Snyder
33 11 -12 -68
✓ .
.Barbara •a Trumly
Age 20.
Emily Karr.ins e-y
/Theodore Kaminsky
Sophia Ka ains��y
- -Johk Snyder
Dec .11 .1
TNF4NT
Ja N. F. SNYiDER
1837 -1952
William ri ''d rr T Y�
:i L1a W. dI ins i
-1927-1930
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