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Paid by &nerar Receipt No. .....205 .... Se t 16 1980
Dated........P .......�..........
last Price $.. * *200.00 **
Maximum No. Burial spaces ..2.. . '
••••
Discount
$. ..............••• Total area in square feet
................
Net Paid $.. *.. *.�QQ.Qp ** Monument permitted ... Flat
Rules & Regs attached. (Data above this line for City Record only)
Block 46, Lots 5 & 6, Unit 2 Addition
Stanley & Helen Orlowski
858 Gilbert Street
Sebastian
Stanley & Helen Orlowsk_
858 Gilbert Street
Sebastian
Deed No. 413
Block 46, lots 5 & 6,
Unit 2 Addition
Deed # 413