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2 '2 -
!— p o a/ �. CO
09 Z-7 / 1a4, 5 6Al
Lo
Vo /Y cv a/ Co Le
Paid by General Receipt No: . , Z.86
........ .... Dated.:.AP.?'?:1..30. 1980
List Price x,40000
Discount
Net Paid' $ 400.00'
Maximum No. Burial spaces ...4........
Total area in square feet .......
Monument permitted ...f2.,, t
(Data above this line for (qty Record only)
Donald L. Cole
Cor Gibson & Berry Sts
P• 0. Box 62
Roseland, ,i:'1 32957
Blk 48 Lots 2,3,4 & 5
Unit 2