Ficarrotta, Frank RDate: / / �' I
Funeral Home / Monument Company:
Contact Name:
Cemetery Call Work Sheet
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Tel. #: `t / - '-t'—?1 I Fax #: `VP- - t F ' O(‘"
Reason for call: V Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space
Date: /
(Send email to P &R)
Verifying Burial space
Other reason:
Interment: (One full burial and one urn, or two urns per space)
Full Burial
Owner of Plot:
Urn Space
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Deceased Name:
11
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Block 1 ( Lot 3('` Space 3
Date of Birth: - / i° / (q)-S1 Date of Death 5 / a a-/ a° f-7
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Date of Burial: 5 / 3a / --O I Time: II" 3 v
$30.00 Staking Fee (Funeral Home) - received on:
pm
to
Copy of permit emailed to Mark Tokar, cc: Cherise Sarnoff /P &R on: / i l a° (7
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******************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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: 16 Lot: 30 as of 05/23/2017
1
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED
1 FULL LIVINGSTON SHIRLEY A 10/25/1961 03 / 14 / 1997 3/22/1997
2 FULL BRIDGES BERTHA 4/22/1914 03 / 14 / 1997 3/22/1997
4 FULL FICARROTTA MARY 9/12/1926 12 / 15 / 2012 12/21/2012
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
PERMIT
2310
2309
1426
LaCosse, Judith
From: Tokar, Mark
Sent: Wednesday, May 24, 2017 8:18 AM
To: LaCosse, Judith
Cc: Wells, Alexis; Bruce, Larry; Vaughan, Karen
Subject: RE: Cemetery Staking - Full Burial
Blue flags.
From: LaCosse, Judith
Sent: Tuesday, May 23, 2017 4:11 PM
To: Tokar, Mark
Cc: Wells, Alexis; Bruce, Larry; Vaughan, Karen
Subject: Cemetery Staking - Full Burial
Importance: High
We received a call this afternoon from Bruce of Farley Funeral Home requesting a staking for a Full burial for:
Frank R. Ficarrotta in Block 16, Lot 30, Space 3 DOB: 2/10/1928 — DOD: 5/22/2017
Other burials nearby in Block 16, Lot 30:
Space 1= Shirley A. Livingston — (full burial)
Space 2 = Bertha Bridges — (full burial)
Space 4 = Mary Ficarrotta — (full burial)
Staking is needed by next Tuesday, May 30th . The service is at 10:00 a.m. and the burial is around 11:30 a.m.
Please advise me with 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
1
May 25, 2017
Attn: Bruce / Farley Funeral Home, Venice, FL
Fax: 941 - 488 -0622
Block 16, Lot 30, Space 3
Deceased Name: Frank R. Ficarrotta
Gravesite marked with Blue flags
Other burials nearby in Block 16, Lot 30
Space 1 = Shirley A. Livingston — (full burial)
Space 2 = Bertha Bridges — (full burial)
Space 3 = Mary Ficarrotta — (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
If you have any questions please give me a call at 727 - 562 -4093.
(cemetery map attached)
Thank you,
Judith LaCosse
Official Records & Legislative Services
City of Clearwater
PAY
PRINTED ON CHEMICAL REACTIVE PAPER WITH
FARLEY FUNERAL HOMES
265 S. NOKOMIS AVENUE
VENICE, FLORIDA 34285
2291
REMITTANCE ADVICE
63- 9138/2631
10933
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CLEARWATER CARETAKER
CLEARWATER, FL
BURIAL PERMIT
PERMIT # 1463
June 01, 2017
Permission is hereby granted for burial of:
Name of Deceased: FRANK R FICARROTTA Burial Type: FULL
Owner of Property: FRANK R FICARROTTA & MARY S FICARROTTA
Block : 16 Lot: 30 Space: 3 Date of Birth: February 10, 1928
Date of Death: May 22, 2017 Date of Burial: May 30, 2017
Funeral Home Director: BRUCE/FARLEY FUNERAL HOMES
Time: 11 :30 Staking Fee: 30.00 Date Paid: June 1, 2017
Clearwater Cemetery
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