HomeMy WebLinkAboutINTERMENT RIGHTS - VICKERSJUL-16-2012 WED 11:15 AM
From:The llPS Store 4239
MCB 6ristol Highway
7725859175
ono
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HOME OF PEIICJW ISSJIND
FAX No. 423 232 51�4
07117/2012 10:56
P• 003/005
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Bu�iat rights in the Seba,s}'ran Municlpa4 Cemetery IotsJniches purchas�d by me �
�ta��1 � V�G��E�S ( �h ��i����' 1A►�� ���1►SaN�;�'r
(Pleasa p�int name and!adttress aT purchase�)
(LoUniche, black, unil descriptian)
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are intended for interment of the fallowing individuals:
Ptease print name(s):
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lnterment lols/niches are not to be transferred without written epprovai of the Cily of
5ebastian. Mtem►ent'lotslnlches in Ehe Sebastfan Municipat Cemekery are atloweci ta be
passed on to heit� bullha City ret{vlres a cen�ed copy of relev�mt probale or vthet
cou�t documents.
1 h re d u ta e erms oi thls Sgreement.
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nature Date
8ubsc�ibed snd vw to betors me thk
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bt. b Ia e'7_li�^�s 14�Milioatlon. ,������L�u�i� �
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Nolary Publia S!sleof•Kbrida -t'y� ��F,`Z'P �8TATE� • �G�;.
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JUL-18-2012 wED 11�15 Ah�
Fram:'ihe UPS Store 4239
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�,�8 Bristol Highway
7725899175
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FAX No. 423 232 5134
07117/2012 10:56
P• 004/005
#500 P.003/007
ri hts in the ,S�basi'�an Municipat Cemetery Iotslniches purcheaed by me
�G�b �� �" Ut �!iw5 ,— � 6�' ���t'c'" ��uE �s�.� C.�'�t -r� 3 7�1
(Please print name and'e�dress at purchaser)
JO d''..�`� ��0�. a �r1.r�- �
are intended ior interment �t the follawing individuals;
Ptease ptint name(s):
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r�'P G �� 4��,•�s ���(,r�.a� -���a., �s�=�2 c�� '�7 Y� �) �1--
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�i S g��;a. � � G.�- c�,�� '�c.�..r�- L��s c�, 53��� ��? V r c,tK�.rs ,g� ) u�—
�� !gi Jon ��t.._kers 5����J. �Z �`yr�'� L.���n �� �J`�7 �`�.�a Uav�1As (��c.-k-��
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�r�'Ca��r ll�i��� 1'- V 1 � + J ` �1�..�� �1 ` � I l.�`�YJ ���L.�r��i � • ��-I��Q� ��
tnterment lois/nichss are not to be translerred without wriKen approval oF the Cfty of
Sebastia�. (ntemnent lotslniches in the Se6asti�n Municipa�l Cemetery are allowed lo be
passed on to heirs but the City requires a ceR�eci copy of r�ievf�nt probate ar other
cou�t documents. .
{ h d L�t e terms of thls agreement.
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5ignature ��te
uDscr�ad and swom te betore me lhis � eY e► �,r by
, who JQ���_ ria4��i.kt�vwn me, o� t►ei p�uduced
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Nvlary Publ�e, Ut� ol�aorkla � �
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JUL-18-2012 WED 11:15 AM
From:The UP5 Store 4239
MCB Bristol Highway
7725899175
ana
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NOME 0� PEtICAN �fU1ND
FAX No. 423 232 5134
07117/2Q12 10:57
Burlat rights tn the�g bastian Mun�clpaS Cemetery tots/ntches pit�chasc�d by me
t�E1 � V���S f6s TW�ucr j��� y G,��a r����c rr�
(please print name artd address ot purcnaser)
l.,o�- 3l '�1cc� �5 e3n`�+ �
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are intended fcr intennent af the followtng Sndividuals:
Ptease p�nt name(s):
'� (1" � I ��_...n'...�n.c�1, Q V'C1zer5 �
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#500 P.004/007
irrterment lots/niches are not to be transfecred without written approval of the Ciry of
Sebastfan. InteRnent lotslniches in the Sebastian Municipai Cemetery are al�awed io be
passed on ta heIts bu1 the City requftes a ce�tif►ed copY nt relewmt ptnbate or ather
aauR dacuments.
I have d and nd t d lhe terms of thts agreement.
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Signature Date
�{1Dseribsd �u) 10 belors Me Ih1s ��dAYk�
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Notary Publb. smt. ot �1eri�da �-, � _ y : I�►0'�� ; � _
Namrs o( IM�1reA fe�++►
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