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Saporito, VincentDate: 9 / 3° / 9-°;.•1 Funeral Home / Monument Company: Cemetery Call Work Sheet Ho 5 .s Few s -t€ - 4 . 7 X7 Contact Name: Pa - Tel. #: 5-6).- o 7 c Fax #: Email: c la rt to e, Reason for call: ** Staking Request - Interment $30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday) Full Burial ✓ Urn Burial (One full burial and one urn, or two urns per space) VI ekkt s�.ro+o Vi nceht So��r, tv Lot I° 6 Space ' Owner of Plot: Deceased Name: Block 9 Date of Birth: 1 n / )! / 161 3 / Date of Burial: 1 0 / 9 / J -°,-;L 1 ** Date of Death 9 / 9 / Time: Woo arr pm _ Monument (Marker) being placed - (No fee for staking of monument) For: Block Lot Space Affidavit (Burial Rights) Other reason: Date: / / Time: Verifying Burial space Send email to P&R to stake the space Notify funeral home/monument company with color of the flags used to mark the space Staking fee received on: I , / S / 3 1 From: k ° 5 5 Ft s rt -e-. F. -It . Copy of permit emailed to: 14.9 '7 Nathan Brigman, cc: Matt Anderson, Tim Chaplinsky, Erick Peterson in P&R on: 10 / 7 / ************************************************************************************************** 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 ORLS/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20 Revised 4/21/2021 Status of Block: 9 LOT: 106 as of 9/30/2021 INTERMENTS BURIAL DECL DECF DECM BIRTH DEATH INTERRED PERMIT SP TYPE 1 FULL CARLSON ANDREW A 1/1/1918 1/1/1946 1/1/1946 0 3 FULL JEFFREY LENA H 1/1/1885 1/1/1948 1/1/1948 0 4 FULL KIRK MAMIE E 1/1/1882 1/1/1946 1/1/1946 0 DISINTERMENTS REINTERMENTS LaCosse, Judith From: LaCosse, Judith Sent: Thursday, September 30, 2021 3:16 PM To: Brigman, Nathan; Anderson, Matthew; Chaplinsky, Timothy; Peterson, Erick Cc: Vaughan, Karen; Horsely, Christopher Subject: Cemetery Staking Request - Full Burial Attachments: Block 9 Lot 106.pdf Importance: High Tracking: Recipient Read Brigman, Nathan Anderson, Matthew Chaplinsky, Timothy Peterson, Erick Vaughan, Karen Read: 9/30/2021 3:23 PM Horsely, Christopher Read: 9/30/2021 3:17 PM Good Afternoon, We received a cemetery staking request this afternoon from Paul of Moss Feaster Funeral Home for a Full burial. Please stake Block 9, Lot 106, Space 2. Deceased Name: Vincent Saporito - DOB: 10/21/1931 DOD: 9/29/2021 The date of burial is set for Saturday, October 9th at around 11:00 a.m. (See attached burial status for Block 9, Lot 106) Please let us know the color of the flags being used so that we could notify the funeral home. If you have any questions please give me a call at 727-562-4093. Thank You !! Judith LaCosse StaffAssistant ORLS Dept. 727-562-4093 1 LaCosse, Judith From: LaCosse, Judith Sent: Monday, October 4, 2021 9:07 AM To: paul.maclaren@nsmg.com Subject: Cemetery Staking - Vincent Saporito Attachments: Cemetery Map -Sheets 1, 2 & 3.pdf Importance: High Good Morning, Our Parks and Recreation Dept. has marked Block 9, Lot 106, Space 2 with pink flags for a full burial. Deceased: Vincent Saporito Date of burial: Saturday, October 9, 2021 at 11:00 a.m. Nearby Burials: Space 1= Andrew A Carlson (full burial) Space 3 = Lena H Jeffrey (full burial) Space 4 = Mamie E Kirk (full burial) (Cemetery map attached — 3 sheets) Note: The number in the circle is the block and the number in the square is the lot. (map does not show the spaces) Staking Fee: $30.00 Due to the City Please make check payable to: City of Clearwater Mail check to: City of Clearwater Official Records Dept. 600 Cleveland St. 6"' Floor Clearwater, FL 33755 If you have any other questions please give me a call at 727-562-4093. Thank You. Judith LaCosse StaffAssistant ORLS Dept. 727-562-4093 1 CITY OF CLEARWATER sT-*at/SHE4�q*4 �r`rrl0/ Y. OFFICIAL RECORDS AND LEGISLATIVE SERVICES October 7, 2021 Moss Feaster Funeral Home and Cremation Services 693 South Belcher Road Clearwater, FL 33764 Attn: Paul POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748 600 CLEVELAND STREET, SUITE 600, CLEARWATER, FL 33755 TELEPHONE (727) 562-4090 FAx (727) 562-4086 We received the Cemetery Staking Fee check #2309 in the amount of $30.00 for the full burial of Vincent Saporito in Block 9, Lot 106, Space 2. Attached you will find our receipt No. 452124. Thank you, dith LaCosse Staff Assistant Mark Bunker, Councilmember Kathleen Beckman, Councilmember Frank V. Hibbard, Mayor David Allbritton, Councilmember Hoyt Hamilton, Councilmember "Equal Employment and Affirmative Action Employer" MOSS FEASTER FUNERAL HOME AND CREMATION SERVICES 693 SOUTH BELCHER ROAD CLEAR WATER, FL 33764 (727) 562-2070 PAY TO THE ORDER OF City of Clearwater ---Thirty And 0/100 --- MEMO Saporito etati.;' g . F* BANK OF AMERICA 64-1278/611 10/1/2021 30.00 DOLLARS VOID AFTER 180 DAYS CHECK CANNOT EXCEED $10,000.00 TWO SIGNATURES NEEDED IF OVER $5,000.00 AUTHORIZED SIGNATURE 8 0467300 2 30 911' i:06LL1127881: 0033598LOOS LII' JOSS FEASTER FUNERAL HOME AND CREMATION SERVICES 2309 Comments Saporito Staking Fee Amount 30.00 30.00 MOSS FEASTER FUNERAL HOME AND CREMATION SERVICES 2309 L# Comments Amount 1 Saporito Staking Fee 30.00 Total forSaporito Staking Fee 30.00 7DELUXE coRr- 1+800-328-0304 www.deluxeforms.com 881084/03-16 6082180000M CLEARWATER CARETAKER CLEARWATER, FL Permission is hereby granted for burial of: Name of Deceased: VINCENT SAPORITO Owner of Property: VINCENT SAPORITO Block: 9 Lot: 106 BURIAL PERMIT 10/7/2021 PERMIT # 1497 October 7, 2021 Burial Type: FULL Space: 2 Date of Birth: October 21, 1931 Date of Death: September 29, 2021 Date of Burial: October 9, 2021 Funeral Home Director: PAUL/MOSS FEASTER Time: Staking Fee: $30.00 Fee Paid: 10/5/2021 12:00:00 AM Clearwater Cemetery By I`i Sit jcs `t Date: `� / / �t / a-,t)ri Funeral Home / Monument Company: Contact Name: Email: Reason for call: ** Cemetery CaII Work Sheet Cy �t 2 [>i1 4t ttn ✓t� (C>_ V' � Tel. #: ?“✓ -/3 / Fax #: Staking Request - Interment $30.00 staking fee (Weekdays) - $50.00 staking fee (Saturday, Sunday & Legal Holiday) Full Burial Urn Burial (One full burial and one urn, or two urns per space) Owner of Plot: Deceased Name: Block Lot Space Date of Birth: / / Date of Death / / Date of Burial: / / Time: am/pm ** Monument (Marker) being placed - (No fee for staking of monument) For: V,n-ce�fi C ri t - P �' Block 9 Lot Space Affidavit (Burial Rights) Other reason: lF ) Date: /) 7 / Time: Verifying Burial space ************************************************************************************************** V Send email to P&R to stake the space Notify funeral home/monument company with color of the flags used to mark the space �.�/pk Gylv-t f;.,/ fC.,-19,,) Staking fee received on: / / From: Copy of permit emailed to: Nathan Brigman, cc: Matt Anderson, Tim Chaplinsky, Erick Peterson in 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 ORLS/Cemetery/FormsPermitsTemplates/Cemetery Call Work Sheet -20 Revised 4/21/2021 Status of Block: 9 LOT: 106 as of 2/14/2022 INTERMENTS BURIAL DECL DECF DECM BIRTH DEATH INTERRED PERMIT SP TYPE 1 FULL CARLSON ANDREW A 1/1/1918 1/1/1946 1/1/1946 0 2 FULL SAPORITO VINCENT 10/21/1931 9/29/2021 10/9/2021 1497 3 FULL JEFFREY LENA H 1/1/1885 1/1/1948 1/1/1948 0 4 FULL KIRK MAMIE E 1/1/1882 1/1/1946 1/1/1946 0 DISINTERMENTS REINTERMENTS