HomeMy WebLinkAbout2-04-02Paid by General Receipt No. 103 Dated.........Dec
..... ..eg..... l ,, ,1977.
List Price *350.00* Maximum No. Burial spaces • .2• .....
Discount $ .................. Total area in square fact ................
Net Paid $... *350.00* Monument permitted .... Fla .. • , . , . •
Rules & Regs attached. (Data above this line for City Record ouly)
Joseph,$ Lorraine Leddy
144 Edward Drive
Sebastian
Deed # 325 / ¢
Blk 4 lots -,1gE-& Vni
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Z- /79,
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Name,
Unit �4
Block !
Lot GC
Date of Mark -out.
Date of Burial �Zj 3/0 1 Time 0V,
Name of Funeral Home
Authorized by_`:� <�
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