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Turner, Robert M. FarrellDate: (`' / a-9 / ac40 Funeral Home / Contact Name: Reason for call: Monument Company: Pa,w,. S Cemetery Call Work Sheet Ve. e ra.n vkiit Tel. #: )-`e-Aa©01-Fax #: Staking Request (Interment/Disinterment) os Affidavit (Burial Rights) • J(2.:1-zr6 U' cu,C-Corv+ 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: f'^-0 liter. ************************************************************************************************** Interment: (One full burial and one urn, or two urns per space) Full Burial Owner of Plot: Tk.A..K271- Urn e7 Urn Space Deceased Name: R L t Ikk• err -1`,t^ Block `t Lot 1 Space 't3 Date of Birth: / / 3 / t6136, Date of Burial: 1 / / )-O.a° Date of Death / / Time: (0 30 /pm $30.00 Staking Fee (Funeral Home) - received on: 7 / i / aOaO NA, 1:)\P N J , (l OA-, f tj�1� Q� k.X 44. tt 1Q d $(• oar7035- Copy of permit emailed to Nathan Brigman, cc: Matt Anderson/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 6/2/2020 LaCosse, Judith From: LaCosse, Judith Sent: Tuesday, June 30, 2020 9:09 AM To: Chaplinsky, Timothy; Brigman, Nathan Cc: Anderson, Matthew; Vaughan, Karen Subject: RE: Cemetery Staking Request - Full Burial Importance: High Tracking: Recipient Chaplinsky, Timothy Brigman, Nathan Anderson, Matthew Vaughan, Karen Thank You. I will notify the funeral home. Read Read: 6/30/2020 10:32 AM Back in 2015 we had received a request from Veterans Funeral Care to have spaces 41, 42 & 43 in Block 4, Lot 1 staked for vault placements. Judith LaCosse Staff Asst City of Clearwater ORLS Dept. 727-562-4093 From: Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com> Sent: Tuesday, June 30, 2020 8:55 AM To: LaCosse, Judith <Judith.LaCosse@myClearwater.com>; Brigman, Nathan <Nathan.Brigman@MyClearwater.com> Cc: Anderson, Matthew<matthew.anderson@myclearwater.com>; Vaughan, Karen <Karen.Vaughan@MyClearwater.com> Subject: Re: Cemetery Staking Request - Full Burial 1 Far east side of cemetery orange flags. I probed the plot, already seems to have a vault first time, • across this scenario. So I included the photo. Get Outlook for iOS 2 From: LaCosse, Judith <Judith.LaCosse@myClearwater.com> Sent: Monday, June 29, 2020 9:51:02 AM To: Brigman, Nathan <Nathan.Brigman@MvClearwater.com> Cc: Anderson, Matthew<matthew.anderson@myclearwater.com>; Chaplinsky, Timothy <Tim.Chaplinsky@MyClearwater.com>; Vaughan, Karen<Karen.Vaughan@MyClearwater.com> Subject: Cemetery Staking Request - Full Burial Good Morning, We received a cemetery staking request this morning from Pam Amos of Veterans Funeral Home for a full burial. Please stake Block 4, Lot 1, Space 43 for a full burial. Deceased Name: Robert M. Farrell Turner - DOB: 9/13/1936 DOD: 6/26/2020 The space needs to be marked by this Thursday, July 2"d, around 10:30 a.m. Other burials nearby in Block 4, Lot 1: Space 42 = Joan W. Turner - full burial Space 44 = James Turner — full burial Please let us know the color of the flags being used so that I could notify Pam Amos at Veterans Funeral Care as soon as possible. If you have any questions please give me a call at 727-562-4093. Thanks !! Judith LaCosse Staff Asst City of Clearwater ORLS Dept. 727-562-4093 3 ana/`001QO************************,*******************.**«««********************. 00 270350 1: 263 L9 L3871:0000 24 2 LO 20370 Veterans Funeral Care Inc./15381 Roosevelt Blvd 06/26/2020 City of Clearwater Date Type Reference Original Amount Balance Due 06/26/2020 Bill Robert Turner 30.00 30.00 Check Amount 10029 BANK AND CA 027035 Payment 30.00 30.00 30.00 OFFICIAL. RECORDS AND LEGISLATIVE SERVICES July 2, 2020 CITY OF CLEARWATER Veterans Funeral Care, Inc. 15381 Roosevelt Blvd. Clearwater, FL 33760-3534 Attn: Pam Amos Dear Ms. Amos: POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748 600 CLEVELAND STREET, SIITE 600, CLEARWATER, FL 33755 TELEPHONE (727) 562-4090 FAx (727) 562-4086 We received your Cemetery Staking Fee check #027035 in the amount of $30.00 for the full burial of Robert M. Farrell Turner in space 43 of Block 4, Lot 1. Attached you will find receipt No. 452042. Thank you, 1 -4 -IA. ecrI4g-- Judith LaCosse 'Staff Assistant Encl. Mark Bunker, Councilmemher Kathleen Beckman, Councilmemher Frank V. Hibbard, Mayor David Allbritton, Councilmember Hoyt Hamilton, Councilmember "Equal Employment and Affirmative Action Employer"