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RATING
CREDIT LIMIT
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Deed # 329
-t� r2/
Paid by%= Rceipt No . ..... /,0.;7 ...... Dated ...... . . �-/ -177V ......... Herman & Shirley Martin
List Price Maximum No. Burial spaces .... 2.... • • 445 Plover Drive
Discount $.......`......... Total area in square fact .......... Barefoot Bay, )b,,ke o--
Net Paid' 4P Monument permitted ..........Flat ........... Unit 2, Blk 3, lots 4 & 5
Herman interred 2123,178
Rules & Regs attached (Data above . this line for City Record only) —
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Deed # 329
-t� r2/
Paid by%= Rceipt No . ..... /,0.;7 ...... Dated ...... . . �-/ -177V ......... Herman & Shirley Martin
List Price Maximum No. Burial spaces .... 2.... • • 445 Plover Drive
Discount $.......`......... Total area in square fact .......... Barefoot Bay, )b,,ke o--
Net Paid' 4P Monument permitted ..........Flat ........... Unit 2, Blk 3, lots 4 & 5
Herman interred 2123,178
Rules & Regs attached (Data above . this line for City Record only) —
City Of Sebastian
Grave Detail Report
Cemetery Name
UNIT NUMBEIBLOCK
LOT%NICHE
Site Type Status Date of Status ... Est(x)
CITY OF SEBASTIAN
2 3
5
OCCUPIED
Notes
Owner s
Last Name
First Name, MI Suffix
Resident
Martin
Herman and /or Shirley
X
Occupant(s)
Last Name
First Name, MI Suffix
Level Date of Burial Est. Burial Type
Martin
Herman Dillard
1 02/23/1978 Burial
Informant(s)
Last Name
First Name, MI Suffix
Address
City,State,Zip Phone
Martin
Shirley
445 Plover Drive
Barefoot Bay, FL 32976
Care /Memorial Information
Purchase Plan
Plan Price Perpetual Care Plan
Annual Fee Inscription
$175.00
$0.00
Memorial Company
Memorial Type
Date Placed Est. Manufacturer Material
Deed Information
Deed # Date of Deed Est. Purchase Date Est. Payment Date ... Est(x) Check # Sales Agent Original Owner Transfer Date..Est(x)
329 02/27/1978 02127/1978
Notes