Coachman, WilmaLaCosse, Judith
From:
Sent:
To:
Subject:
Yellow flags.
Tokar, Mark
Friday, February 20, 2015 8:01 AM
LaCosse, Judith
RE: Cemetery Staking - Placement of a marker
From: LaCosse, Judith
Sent: Thursday, February 19, 2015 3:00 PM
To: Tokar, Mark
Cc: Wells, Alexis; Sarnoff, Cherise; Vaughan, Karen
Subject: Cemetery Staking - Placement of a marker
Importance: High
We received a call this afternoon from Nancy of Casket & Monument Co. requesting a cemetery staking for placement of
a marker. Staking is need by Monday, February 23`d
Please stake Block 6, Lot 29, space 1- (Wilma Coachman)
Other Full Burials nearby in this plot:
Space 2 — Carl Coachman — Full burial
Space 3 — Horace Coachman — Full burial
Space 4 — Oliver Crile — Full burial
Please let me know the color of the flags you will be using so that I could notify Casket & Monument Co.
Thank You.
Judith LaCosse
Staff Asst
City of Clearwater
ORLS Dept.
727 -562 -4093
1
Cemetery Call Work Sheet
Date: 11 / I / 3 -vt`t-
Funeral Home / Monument Company: Ho t( (4)7 c. }� .
Contact Name: / e4ve- Tel. #: 8i3- ?S-3'i Fax #: g/
Reason for call: ✓ Staking Request (Interment/Disinterment) IQ-
11- a-t -tv,
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space M Q . /A .12 V. N et
Date: / / Time: en (1..aA
(Send email to P &R) +0 4 L
atz
Verifying Burial space
Other reason:
9-e
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Interment: (One full burial and one urn, or two urns per space)
Full Burial ` Urn Space
Owner of Plot: 3 64-,h'v°n Cock 6e,crp/. C i
c Qh4v",
Deceased Name: ■Q�m. Co C C-L ^1',
Block C Lot � Space i-
Date of Birth: / a3 / let()-5" Date of Death 11 / "7 / 11-
Date of Burial: la- / a / Time: 10:0c?
$30.00 Staking Fee (Funeral Home) — received on:
pm
i 1 Pte,h,,;,I' rtts"
Copy of permit emailed to Mark Tokar, cc: Cherise Sarnoff /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 11/24/14
—t x Status of Block: 6 Lot: 29 as of 11/21/2014
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED
PERMIT
2 FULL COACHMAN CARL - H 12/6/1849 08 / 18 / 1955 8/18/1955 1171
3 FULL COACHMAN HORACE * H 1/22/1919 01 / 15 / 1991 1/18/1991 1948
4 FULL CRILE OLIVER M 1/1/1901 07 / 29 / 1965 7/31/1965 448
5 FULL CRILE BLANCHE E 1/18/1882 03 / 28 / 1963 3/29/1963 265
6 FULL EICHELBERGER WILLIAM H 1/1/1853 01 / 01 / 1938 1/1/1938 0
8 FULL EICHELBERGER VIOLET N 1/1/1889 01 / 01 / 1919 1/1/1919 0
9 FULL NELSON BERNICE C 1/1/1910 09 / 12 / 1955 9/12/1955 1176
10 FULL CRILE HARRY A 1/1/1901 08 / 13 / 1963 8/24/1963 302
11 FULL GLESSNER JOHN 1/1/1872 09 / 23 / 1958 9/23/1958 1347
12 FULL SMITH EDWARD H 1/1/1879 07 / 30 / 1958 7/30/1958 1340
13 FULL SMITH CARRIE C 1/1/1877 01 / 01 / 1956 1/1/1956 0
14 FULL THORPE LISLE M 1/1/1884 01 / 01 / 1980 1/1/1980 0
15 FULL THORPE THYRA R 1/1/1889 06 / 14 / 1956 6/14/1956 1214
rr
DISINTERMENTS FROM SPACE: (,v l.9 etc
�►v�u vtJ
srt
No Matching Records
it `7 V (..c A..
REINTERMENTS:
No Matching Records
Page 1 of 1
Status of Block: 2 Lot: 7 as of 11/21/2014
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH
1 INFANT COACHMAN, JR SAMUEL C 10/2/1934 12 / 14 / 1937
1 INFANT COACHMAN ANNE 7/20/1909 06 / 09 / 1910 12345
2 FULL COACHMAN SAMUEL C 12/6/1904 07 / 14 / 1946 7/14/1946 0
3 URN MORAVEC JOSEPH 8/22/1927 10/29 /2010 11/21/2010 2618
4 URN COACHMAN EVELYN M 6/25/1912 05 / 09 / 1997 5/14/1997 2312
4 FULL COACHMAN SOLOMON S 4/4/1862 03 / 09 / 1931 2046
5 FULL COACHMAN JESSIE C 9/19/1877 07 / 09 / 1959 7/13/1959 1369
5 URN COACHMAN SR HUGH M 1/6/1907 08 / 03 / 1984 8/14/1984 1575
6 URN COACHMAN JR HUGH M 9/11/1936
6 FULL COACHMAN JAMES W 3/14/1911 10 / 19 / 1994 10/22/1994 2180
7 FULL COACHMAN WINIFRED 4/16/1911 07 / 27 / 2004 8/2/2004 2539
7 URN COACHMAN JAN C
9 INFANT COACHMAN, JR S S 8/19/1902 04 / 30 / 1913 0
9 FULL COACHMAN JODIE 5/13/1889 10 / 30 / 1905 0
10 FULL COACHMAN, JR HUGH M 12/22/1863 11 / 17 / 1902 0
10 INFANT COACHMAN INFANT GIRL 10/9/1892 10/09/1892 0
12 FULL COACHMAN BUDDY 8/6/1920 01 / 21 / 2000 1/26/2000 2429
13 FULL COACHMAN MARGARET P 4/16/1921 08 / 23 / 1980 8/26/1980 1383
14 FULL COACHMAN LILLIAN H 1/12/1916 09 / 24 / 1968 9/27/1968 656
INTERRED PERMIT
0
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
5 rkc
15 ?r 16 = V
l Status of Block: 3 Lot: 23 as of 11/21/2014
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
1 FULL MOASE CHARLES 7/22/1834 02 / 08 / 1913 2/8/1913 0
2 FULL MOASE CORNELIA 0 9/23/1841 10 / 18 / 1904 10/18/1904 0
3 FULL MOASE WILLIAM L 4/20/1869 10 / 02 / 1912 10/2/1912 0
4 INFANT HART AMES 1/1/1920 01 / 01 / 1920 1/1/1920 0
5 FULL HART LUCIEN 1/1/1852 01 / 01 / 1916 1/1/1916 0
6 FULL HART DELLA E 1/1/1871 01 / 01 / 1936 1/1/1936 0
6 URN HART IVAN W 1/1/1895 12 / 02 / 1963 12/2/1963 318
7 URN MACDONLEY IRENE L 6/3/1884 07 / 17 / 1963 8/8/1963 299
8 FULL COACHMAN EDWIN H 12/13/1869 02 / 06 / 1949 2/6/1949 0
9 FULL COACHMAN MARY S 5/6/1871 01 / 30 / 1950 1/30/1950 0
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
Status of Block: 3 Lot: 13 as of 11/21/2014
r
INTERMENTS:
SPACE BURIALTYPE DECL
DECF DECM BIRTH DEATH INTERRED
6 FULL CRITCHELL GEORGIA 1/1/1901 01 / 01 / 1901 1/1/1901
6 INFANT CRITCHELL BABY 1/1/1901 01 / 01 / 1901 1/1/1901
9 FULL MARTIN JAMES SR H 1/1/1881 07 / 16 / 1968 7/18/1968
10 FULL MARTIN MAMIE C 7/29/1888 06 / 11 / 1987 6/15/1987
11 FULL COACHMAN BENJAMIN G 4/3/1857 08 / 07 / 1911 8/7/1911
12 FULL COACHMAN MAYBELLE 9/22/1868 03 / 30 / 1946 3/30/1946
13 FULL MARSHALL ALEITHA C 6/26/1905 12 / 05 / 1988 12/7/1988
14 FULL PICKERILL JAMES L 1/1/1886 01 / 01 / 1963 9/4/1963
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
Cc) etc 1r4 t J pG
PERMIT
0
0
641
1706
0
0
1776
305
LaCosse, Judith
From: Tokar, Mark
Sent: Tuesday, November 25, 2014 8:31 AM
To: LaCosse, Judith
Subject: RE: Cemetery Staking Request - Full burial
Yellow flags.
From: LaCosse, Judith
Sent: Monday, November 24, 2014 11:51 AM
To: Tokar, Mark
Cc: Sarnoff, Cherise; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: Cemetery Staking Request - Full burial
Importance: High
Today, we received a stakin request from Dave of Holloway Funeral Home for a Full burial for:
Wilma Coachman in this plot, Block 6, Lot 29, Space 1 DOB: 2/23/1925 — DOD: 11/7/2014
Other burials nearby in this plot:
Space 2 = Carl H Coachman (full burial), son of Wilma Coachman
Space 3 = Horace H Coachman — (full burial), husband of Wilma Coachman
Space 4 = Oliver M Crile — (full burial)
Staking is needed by Tuesday, December 2nd at around 10:00 a.m.
Please advise me of the color of the flags being used so that we could notify the funeral home.
Thank You.
Judith LaCosse
Staff Asst
City of Clearwater
ORLS Dept.
727 -562 -4093
November 25, 2014
Attn: Dave
Funeral Home: Holloway Funeral Home
Fax: 813- 855 -1626
(This fax includes a copy of Cemetery Map)
# in the circle is the Block, # in the square is the Lot
Deceased: Wilma Coachman
Gravesite: Block 6, Lot 29, Space 1
Full Space
Gravesite flagged with Yellow flags
Date of burial: Tuesday, December 2nd at 10:00 a.m.
Nearby Burials:
Space 2 = Carl H Coachman (full burial)
Space 3 = Horace H Coachman (full burial)
Space 4 = Oliver M Crile (full burial)
Note: Staking Fee amount due: $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
'HOLLOWAY FUNERAL HOME, INC.
woman:.., • • +OUOlnmYlen,
112 BAYVIEW BLVD. PH. 813- 855 -2439
P.O. BOX 1148
PAY OLDSM I, FL 34677 -1148
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