Turner, Joseph Kempton JrCemetery Call Work Sheet
Date: r/ / / ° IS
Funeral Home / Monument Company: \fe.:t z raA $ T""-i^ -`d;
Contact Name: A9- Tel. #1.0- - Sad- Fax Fax #:
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) ✓ r. 1 4 ( d-
Verifying Burial space
Other reason: - -+A-)c-s.r f i V p.124 ce n,,e, ig
Mo 6k 4 ) Lot 3. S c:zy
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space
Owner of Plot:
Deceased Name:
Block Lot Space
Date of Birth: / / Date of Death / /
Date of Burial: / /
Time: am /pm
$30.00 Staking Fee (Funeral Home) — received on: ) / a- ( / /s
Rc,,42. *90 00 f.
3 S
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
& LEARWATER CEMETERY, BLOCK 4, LOT 1, SPACES 33 thru 44
33
Due to reconfigureation these spaces are not long enough for
traditional casket -and -vault burial but can be used for cremation
34
37
Turner,
Joseph
Kempton
1907-1990
Tumer,
Laura
Ware
1910 -1993
i u er,
Joseph
Kempton
1932 -0000
Turner,
Joan
Watson
1932-0000
39 40 41 42
CLEARWATER CEMETERY, BLOCK 4 LOT SPAC thru 20
Turner,
Robert
Farrell
1936 -0000
38
Turner,
James
Edward
1944-2015
44
Turner,
Arthur
Campbell
1844-1929
1
Turner,
Jesse
Kilgore
1895.1895
2
Turner,
Lillian
Ramage
1853 -1896
3
Turner,
Keziah
Kilgore
1850-1885
4
Turner,
Keziah
Fay
1885 -1886
5
Turner,
Edgar
Kilgore
1885-1886
6
Turner,
George
Nelson
1900 -1900
7
Turner,
Anna Lydia
Kempton
1868 -1915
8
Turner,
Edward
Campbell
1898 -1918
9
Turner,
Anna
Virginia
1901 -1921
10
Due to
irregular size spaces,
these numbers
do not exist.
11 12
13
14
Crane
Robert B.
_1890 -1890
Martin,
Leo
Forrest
1883 -1978
16
Martin,
Harriett
Lillian
1891 -1980
17
Tumer,
Nellie
Rosanna
1892.1978
18
Turner,
Robert
Barnett
1902 -1974
19
Turner,
Margaret
Farrell
1898 -1976
20
Martin,
Nina M.
1914 -1998
15
LaCosse, Judith
From: LaCosse, Judith
Sent: Thursday, July 09, 2015 9:00 AM
To: Tokar, Mark
Cc: Wells, Alexis; Sarnoff, Cherise; Vaughan, Karen
Subject: RE: Staking Requests - Vault placement
Tracking: Recipient Read
Tokar, Mark
Wells, Alexis
Sarnoff, Cherise
Vaughan, Karen Read: 7/9/2015 9:00 AM
Thank you. We will notify Veterans Funeral Care.
Judith LaCosse
Staff
City of Clearwater
ORLS Dept.
727 -562 -4093
From: Tokar, Mark
Sent: Thursday, July 09, 2015 8:23 AM
To: LaCosse, Judith
Cc: Wells, Alexis; Sarnoff, Cherise; Vaughan, Karen
Subject: RE: Staking Requests - Vault placement
Red flags.
From: LaCosse, Judith
Sent: Wednesday, July 08, 2015 1:23 PM
To: Tokar, Mark
Cc: Wells, Alexis; Sarnoff, Cherise; Vaughan, Karen
Subject: Staking Requests - Vault placement
Importance: High
We received a call today from Allen of Veterans Funeral Care, phone # 524 -9202, requesting three stakings for vault
placements in the following spaces:
spaces 41, 42 & 43 of Block 4, Lot 1
Staking is needed as soon as possible.
Other burials nearby in this plot:
Space 39 = Joseph K Turner Sr — (full)
Space 40 = Laura W Turner — (full)
Space 44 = James E Turner— (full)
Note: We recommended to Alien to have a family member present before digging commences on these spaces to
ensure the correct spaces have been marked due to a past issue we had with space 44.
1
•
Please advise me of the color of the flags being used so that we could notify Veterans Funeral Care.
Thank You.
Judith LaCosse
Staff Asst
City of Clearwater
ORLS Dept.
727 - 562 -4093
AY TO THE'
ORDER OF
VETERANS FUNERAL CARE
15381 ROOSEVELT BLVD.
CLEARWATER, FL 33760 -3534
PH. 727 - 524 -9202
LL FOR
1
63- 91/2631
13000
DATE ,,� c / 2 7, 2 C9 /J
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1- 800 -BANK BBT BBT.com
00 L 30000 1: 26 3 LEI L 38 71:0000 211 2 LO 20 370
AUTHORIZED SIGNATURE
Security
oni:N. on back
THE FACE OF THIS DOCUMENT CONTAINS HEAT- SENSITIVE INK. TOUCH OR RUB RED IMAGE. IT WIL ' DISAPPE R. WITH NEA.
OFFICIAL RECORDS .AND
LEGISLATIVE SERVICES
July 29, 2015
CITY OF CLEARWATER
Veterans Funeral Care
15381 Roosevelt Blvd.
Clearwater, FL 33760 -3534
POST OFFICE Box 4748, CLEARWATER, FLORIDA 337584748
CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562 -4090 FAX (727) 562-4086
To Whom It May Concern:
We received your Cemetery Staking Fee check #13000 in the amount of $90.00 for vault
placements in spaces 41, 42 & 43 of Block 4, Lot 1.
Attached you will find receipt No. 448110.
Thank you,
dith LaCosse
Staff Assistant
"EQUAL ENIPI.QYN1ENT AND AFFIRMATIVE ACTION ENIPLOY GR"