HomeMy WebLinkAbout1-33-171�,�.��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