Sutton, Anna JCemetery Call Work Sheet
Date: / l / X17
Funeral Home / Monument Company: y eAerAA&S uhz' c< ( -e-
Contact Name: ►ma y Tel. #: � 5 3-/-9 Fax #:
i- Stakin ►hr„j. , V�e-rram ' - ' Go fr
Reason for call: g Request (Interment/Disinterment) � t
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space
Date: / / Time:
(Send email to P &R) ✓ 1 ') 9" !� (Or t' 476 ' )
Verifying Burial space
Other reason:
Interment: (One full burial and one urn, or two urns per space)
Full Burial Urn Space
Owner of Plot: hr,`, Sw `i'nh
Deceased Name: Ahy\ a SIA+tort
Block 15 Lot 5Z---? Space `- e 3
Date of Birth: 7 / 3 / 9d-7 Date of Death 1 / / .1)/7
Date of Burial: / ' t /
N c2
Time: ID- am /pm
$3Staking Fee (Funeral Home) - received on:
Copy of permit emailed to Mark Tokar, cc: C. &R on:
c ctA1,es Suir'n
_ V +e r cu wen c,Q Cwt.e. .
I 1 a-S/ /-/
******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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
Status of Block: 15 Lot: 87 as of 01/19/2017
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
2 FULL BECKFORD CARRIE L 8/11/1912 11 / 03 / 1985 11/21/1985 1638
3 FULL SUTTON JAMES 2/23/1918 07 / 08 / 1986 7/10/1986 1671
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
LaCosse, Judith
From: Tokar, Mark
Sent: Friday, January 20, 2017 8:53 AM
To: LaCosse, Judith
Subject: RE: Cemetery Staking Request - Full Burial
Orange flags. For future stakings could you please add Larry Bruce to the list and remove Cherise Sarnoff. Thanks, Mark
From: LaCosse, Judith
Sent: Thursday, January 19, 2017 10:53 AM
To: Tokar, Mark
Cc: Wells, Alexis; Sarnoff, Cherise; Vaughan, Karen; Gilmore, Stephanie
Subject: Cemetery Staking Request - Full Burial
Importance: High
We received a call from Jimmy of Veterans Funeral Care, tel. #727 - 524 -9202, requesting a staking for a full burial in the
following space for:
Anna J. Sutton in Space 4 of Block 15, Lot 87 DOB: 7/3/1920 — DOD: 1/18/2017
Other burials nearby in this plot:
Space 2: Carrie L Beckford (full)
Space 3: James Sutton (full)
Staking is needed by next Tuesday, January 24th at around Noon.
Please advise me with the color of the flags being used asap so that we could notify Veterans Funeral Care.
Thank You.
Judith LaCosse
Staff Asst
City of Clearwater
ORLS Dept.
727 -562 -4093
1
January 20, 2017
Attn: Jimmy
Funeral Home: Veterans Funeral Care
Deceased: Anna J. Sutton
Gravesite: Block 15, Lot 87, Space 4
Full Space Burial
Gravesite flagged with Orange flags
Date of burial: Tuesday, January 24th at around Noon
Nearby Burials:
Space 2 = Carrie L Beckford (full burial)
Space 3 = James Sutton (full burial)
(Cemetery map attached — 3 sheets)
Staking Fee: $30.00
Please make check payable to: City of Clearwater
Mail check to:
City of Clearwater
Official Records Dept. — 2nd Floor
112 S. Osceola Ave.
Clearwater, FL 33756
If you have any other questions please give me a call at 727 - 562 -4093.
Thank You.
Judith LaCosse
City of Clearwater
Official Records & Legislative Services Dept.
CITY OF CLEARWATR
Orruaui. RECORDS & \TIN : SI;RVR:i:s
CI HALL, 112 Sucmi Osc Eol..\ A� i:�� i:, G.c.viivy Vri:a, FLORID 33756
Ti;. rvn c ; (727) 562 -4090 F vx (727) 562 -4086
January 25, 2017
Veterans Funeral Care, Inc.
15381 Roosevelt Blvd.
Clearwater, FL 33760
To Whom It May Concern:
We received your Cemetery Staking Fee check #62008 in the amount of $30.00 for the full
burial of Anna J. Sutton in space 4 of Block 15, Lot 87.
Attached you will find receipt No. 448266.
Thank you,
1
dith LaCosse
Staff Assistant
VETERANS FUNERAL CARE, INC.
15381 ROOSEVELT BLVD.
CLEARWATER, FL 33760
(727) 524 -9202 OR 1 -800- 467 -7850
PAY ER
ORDER City of Clearwater
in is f 63- 9138/2631
BB&T 62008
Erma Banking TrW Caey.y
1- 800 -BANK BBT BBT.com
1/19/2017
$ * *30.00
Thirty and 00/ 100**************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
City of Clearwater
112 South Osceola Ave
Attn: Judith - Official Records
Clearwater, FL 33756
9",M
UShield
D
VOID AFTER 120 DAYS
DOLLARS
PAPER CONTAINS TONER ADHESION PROPERTIES
11'000006 200811' 1: 26 3 L9 1 38 ?':0000 24 2 LO 20 3 ?11•
VETERANS FUNERAL CARE, INC.
City of Clearwater
Date Type Reference
1/19/2017 Bill Sutton
62008
1/19/2017
Original Amt. Balance Due Discount Payment
30.00 30.00 30.00
Check Amount 30.00
RECEIVED
JAN 23 2017
OFFICIAL RECORDS AND
LEGISLATIVE SRVCS DEPT.
BB &T - Checking - Staking Fee: Sutton 30.00
BURIAL PERMIT
CLEARWATER CARETAKER
CLEARWATER, FL
Permission is hereby granted for burial of:
Name of Deceased: ANNA J SUTTON
Owner of Property: ANNA J SUTTON &
Block : 15 Lot: 87
PERMIT # 1460
January 25, 2017
Burial Type: FULL
Space: 4 Date of Birth: July 3, 1920
Date of Death: January 18, 2017 Date of Burial: January 24, 2017
Funeral Home Director: JIMMYNETERANS FUNERAL CARE
Time: 12 :00
Staking Fee: 30.00 Date Paid: January 23, 2017
Clearwater Cemetery
B