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Turner, Joan WatsonCemetery Call Work Sheet Date: II / y / ©' Funeral Home / Monument Company: V ete rah s Contact Name: PA "^ A "1 s Tel. #: 5 t - 9014Fax #: Reason for call: AMh.O S , V aen.G -(1 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) Verifying Burial space Other reason: qe.el;��� J k. T KO a ' AQ s f CE-R) /Mk it," 0- Ce�.� � y -ID 4-sc1.4iY1- cb �.-� PQ4.ceb eH� ******************************************************************* * * * * * * * * * * * **** * * * * * * * * * * * ** * ** Interment: (One full burial and one urn, or two urns per space) Full Burial ' Urn Space Owner of Plot: %►^tom Deceased Name: Joah Block Lot .1 Space `f Date of Birth: `f / 3 / 19 3 Date of Death 11 / I / ;Iv 1S Date of Burial: I I / a 3 / , ° Time: I am /i $30.00 Staking Fee (Funeral Home) — received on: / / 5 / a-O /- Copy of permit emailed to Mark Tokar, cc: Cherise Sarnoff /P &R on: / / jo avt � fAI"1 tt c 3 C-t I3.a.©q ******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 l lu�%S RECEIVED JAN 0 5 2016 OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPT tidiktati ( 0,1a GE bt zito- U � �/v z�t l r� aeciyi) VETERANS FUNERAL CARE 15381 ROOSEVELT BLVD. CLEARWATER, FL 33760 -3534 PH. 727- 524 -9202 D11TOfO �� 7t f c /err BB&T LL FOR NranrM1 NanklnRUM Truri �inpvn. 1- 800 -BANK BBT BBT,com 63- 91/2631 13209 ,t)-/ rl DATE: $ r _S DOLLARS 8 • 1'- 1f'2C'f' Se ,,I Fsn[urety e Detains on ba. L 3 209e 1: 263 L9 L38?I:0000 24 2 L0 20370 AUTHORIZED SIGNATURE THE FACE OF THIS DOCUMENT CONTAINS HEAT - SENSITIVE INK. TOUCH OR RUE RED IMAGE. IT WILL DISAPPEAR WITH HEAT. BURIAL PERMIT CLEARWATER CARETAKER CLEARWATER, FL Permission is hereby granted for burial of: Name of Deceased: JOAN W TURNER Owner of Property: TURNER & Block : 4 Lot: 1 Space: 42 PERMIT # 1453 January 05, 2016 Burial Type: FULL Date of Birth: September 3, 1932 Date of Death: November 18, 2015 Date of Burial: November 23, 2015 Funeral Home Director: PAM AMOS /VETERANS FUNERAL CARE Time: 12 :15 Staking Fee: 30.00 Date Paid: January 5, 2016 Clearwater Cemetery