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2-50-16
__ _._ _ . __.. _ ,. .._� l�l � --z-- �� , - � ,� � �_G_�_. _� • �`' ' r� '� � �s '.,t ,_ r-. ,%' �",. � �' °� Name �� w_i �,., f°,,, ` � . , ; �:'' f , , 1 Unit .:"� '`�r ;" .3 , � m. BIoCk t-�' Lot -- � .f' ��f '�" d� . .+r Jc ..., ..�. Date of Mark-out F__ ?_ rr' "7 --�' ..,» �f �__ Date of Burial � �!`` �~' � . ,� �:s Time f'�' � � '�� �r}r t Name of Funeral Home .- � '1 �.�: c,f •� ��- . ;:_: � � - ° . . n . . . .,- . F, � . . � 1 Authorized by.:.... ; . , : ., .. .:�� �' ---__ . _�� Paid by CEN¢TERY Recei t P No. . . .325 . . . . . . . . . Date . d..... 1?,-15� 82 Liat Pnce S . . .. 300 . 00 . . . . . . . . . . Net Paid S . . . . 300: 0 p • . . . • . Maximum No. P�ial Spaaa . . . . . . . ; ? . . .. . • Wi 11 i NO. O � ......, am P Descovzch 1 R & R ISSUED Monament permitted . . . . .'. .FI a t. , • . . . and /or • • • • • • ..Anna E, Descovich 1'. D. (Data;��� �� � FloridaX 6� $ay Street, Roselar ae for p�y g�� o�� .32958 LOTS 15 & 16, B1ock 50, Unit y2