Loading...
HomeMy WebLinkAbout1-33-011�,�.��1 �`�c�� �3 cfrvc� �������►� .�. : H0�'�E OF PELiiAN fSl.AN[? Burial rights in the Sebastian Municipal Cemetery lots/nic�Zes purchased by me �'iJ�'�s���� ' ' • . • .i� C �� T ( � L (LufiJf��i���e, biocic, uni� ciescrip�ion} L purct�aser) . � -�- � ar� inEended fpr interment of fhe following individuals: Please print name(s): �,� Myrlee Howton���p � 19 � 2.) 11.) 20.) 3.) 12.) 21.) 4.) 13.) 22.) 5.) 14.) 23.) 6.) 15.) 24.) 7.) 16.) 8.) � 5.) 17.) Vesker RoyalS '�� 26.) � $�) Calvin Royal � � �� , lnterrnent la#slniches are not to be transferred without written approval of the City af Sebastian. interment lots/niches in the Sebastian Municipal Cemetery are allowed to be passed on to heirs but th� City requires a certified capy of relevant prr�bate ar other court dacume�ts. I have read and understand the fierms of this agreement� i� .__------�� -- � �.--� Signature pa�� Su ribed nd sworn ta befc�re me this I� day a{ � ��G�t � �C}jZ , by ° who is persanally knaw�� tc� me, Q� has produced — _.�_. _.._....___�s i�i�fi�catinn. � �. tVotary ublic,Statec�fFic�rida �--� ojO► NaaryPudicSta�edFlrld ��"'� o a LyeN G Swift Names of Mnterred forrn � aT My Commission EE 844974 awd° E�res 11/1Z12016 �w, t;! F,� �� �� ,'��»i j 'i t'iti �� rz; �.r� r' �� �1� �`� �� ` � _ � J 1 }� N \ c� o v� � 1 C-7 `' � .�„` � (_' � � ll� � i 1' �+ �� w � � � � � � , � <. :,;, � `^• � � v��. � Q � ----+ y i S =- ! � � ?t � K ^ � C` � ,;:� < � �� � � r — J i� R � 1 �v � v^] ' ! �_ ._... ('ti 1 � � �' `�i s� � � �., � � � '�� � � 1� N � � � � . r � � - '� �, �1 i� �. -� r �� r � r- � _ � � '. � ..0 �ti r�� t `i ` �� ��;.� F �� i� I .. ',. .� '.. � s`i+, Q �.�. � P , . . • , . , ' •, . . . . . . • ; - ,•,i--- /7 / J ,...../AA:O. „..)...ozi. (........ „ Jz1/7L , • i (4, 0 f - e ii -- , :4 (3 , ft/0 N1 7)4 6)il ' (.4117;471-e4 ' 1 - / U P/1 " '4- , / J / _ e_ •2 4 .-' -,* Aq i / q I .s '1 • 5c _5frie kid / Jo , . ■ , • i 11 I 61-- i . I ' - . ,,,:0 jectieff-e_ •! .. •,It - ,1 . V:vat,:f/frvii,..0,1‘.0,7Jip.--1 I , .,. _ —________ . •-• -- - - --- ------- , . , . , I. . Vema F.Champ MY COMMISS11u01\141410,C2C075052187 EXPIscle lite got4DED IHRU TROY FAIN INSURANCE,