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et 220 Dec. 31, 1980
Paid by =&j&cipt No. Dated ....................... . for Earl Robert. s
* *100.00 ** Z ✓�ca�
List Price $.........0.000.... Maximum No. Burial .spaces • • • • Interred 12126180
Discount $. ........ -- Total area in square feet ................ Block 46, lot 15,
........
* *100.00 ** Flat Unit 2 Addition
Net Paid $0000.. 0.0..0 0 .0000 Monument permitted
Deed # 427 -- /�
(Data above this line for City Record only) FI . 33406 ruiQla ¢ CC/rCtt�
aid by Jeanne Johnson, 719 Executive Center Drive, West Palm Beach,
Roberts, Earl (by Jeannie Johnson) Deed # 427
,5ebastian 719 Executive Center Drive
Apt. 212A
West Palm Beach, F1. 33406
Block 46, lot 15, Unit 2 Add'n.
interred 12126180
Block 46 Lot 15 Unit 2 Addition
Deed 427
Earl Roberts interred 12126180
.(Jeannie Johnson phoned from Palm Beach, F1.
will bring in check)
Check received 12131180