HomeMy WebLinkAbout1-33-181�,�.��1 �`�c�� �3
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H0�'�E OF PELiiAN fSl.AN[?
Burial rights in the Sebastian Municipal Cemetery lots/nic�Zes purchased by me
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(LufiJf��i���e, biocic, uni� ciescrip�ion}
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purct�aser)
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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.)
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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�
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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.
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tVotary ublic,Statec�fFic�rida �--� ojO► NaaryPudicSta�edFlrld
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LyeN G Swift
Names of Mnterred forrn � aT My Commission EE 844974
awd° E�res 11/1Z12016
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