Wenning, BerthaCemetery Call Work Sheet
Date: 11 / .P0 / 1.3
Funeral Home / Monument Company: Rkoc F 1+.
Contact Name: Bob Gsra tt Tel. #: `H" "3 °55- Fax #: `"/n - Oa 53
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) v'
Verifying Burial space
Other reason:
Mi"le-t &i 1 w t2e14
I1 -21 -13
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space V
Owner of Plot: - �c_rtt..'. Wer"t i
Deceased Name: Aer11.4- �
Block IS. Lot I u Space
Date of Birth: / 11 / (9 I `¢ Date of Death 11 / 11 / aO 13
Date of Burial: 1 l / Z-1/ c3-°V3
Time: am /pm .
Ste, Br 11 la-7
$30.00 Staking Fee (Funeral Home) - received on: i( / / 13 : (Le3S
( u
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
Status of Block: 15 Lot: 100 as of 11/20/2013
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
1 FULL WENNING ROBERT 1/4/1917 05 / 16 / 1989 5/20/1989 1801
3 FULL HENRY LOUISE 1/8/1902 02 / 15 / 1991 2/23/1991 1961
4 FULL NEIL BERRIE C 4/30/1925 12 / 16 / 1974 12/18/1974 1060
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
LaCosse, Judith
From: LaCosse, Judith
Sent: Thursday, November 21, 2013 9:31 AM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: RE: Cemetery Staking - Urn Burial
Thank you. I will notify the funeral home.
From: Ortega, Marco
Sent: Thursday, November 21, 2013 9:04 AM
To: LaCosse, Judith
Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: Re: Cemetery Staking - Urn Burial
Marked with yellow flags.
On Nov 20, 2013, at 3:12 PM, "LaCosse, Judith" < Judith .LaCosse@myClearwater.com> wrote:
We received a call this afternoon from Bob Grant, Funeral Director at Rhodes Funeral Home for a staking
request for an urn burial.
The deceased name is Bertha Wenning. Please Stake Space 2 of Block 15, Lot 100.
The date of burial will be for the day after Thanksgiving, November 29th. Please have area staked by
Wednesday, November 27tH
Other burials nearby:
Space 1: Robert Wenning — full burial
Space 3: Louise Henry — full burial
Space 4: Berrie C Neil — full burial
Please advise me of the color of flags being used.
Thanks,
Judith LaCosse
StaffAssistan t
Official Records and
Legislative Services Dept.
727-562-4093
1
November 21, 2013
Attn: Bob Grant
Funeral Home: Rhodes Funeral Home
Fax: 727 - 443 -0253
(This fax includes a copy of Cemetery Map)
# in the circle is the Block, # in the square is the Lot
Deceased: Bertha Wenning
Gravesite: Block 15, Lot 100, Space 2
Urn Space
Gravesite flagged with Yellow flags.
Nearby Burials:
Space 1 = Robert Wenning — full burial
Space 3 = Louise Henry — full burial
Space 4 = Berrie C Neil — full burial
Staking Fee: $30.00
Please make check payable to: City of Clearwater
Mail to:
City of Clearwater
Official Records Dept. — 2nd Floor
112 S. Osceola Ave.
Clearwater, FL 33756
Please contact me with any questions.
Thank you,
Judith LaCosse
Official Records & Legislative Services
City of Clearwater
727 - 562 -4093
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