HomeMy WebLinkAbout1-08-01 .JUL-18,-2012 WED 11 : 15 AM MOB Bristol Highway FAX No. 423 232 5134 P. 003/005
From:The UPS Store 4239 7725899175 07/17/2012 10:56 #500 P.002/007
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SEBASTIAN•
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NOME OF PELICAN ISLAND
e ete lots/niches purchased by me
Cm
Burial rights in the Sebastian Municipal rY �
^ � r r 0 �.�' 1
J .AtGtuE, c \-61<6(5 i 0 -,ii;/it r /APE 3-014
(Please print name and address of purchaser) 1' P 1 60 I
(Lot/niche,block, unit description)
are intended for interment of the following individuals:
Please print name(s): M1
(1) L (8) ,Gv trS Iv= (11 ) V1civ-0 ?4 --
(2) CJ* 1 ner\ck i P1-•S (7) 6..e.cy'G' .� •-r,. ' - 5 (12) L lrece+4' ici/Pr5
Se k e QY (13) AkAIti ter 04o-5
9 (14) Vi G •'"5 eh
(5) iCY--1t.c.5 1 (10) , .ei ';, pc i44.r5 (15)Vc„ - 1 pIol-
Interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment'lots/niches in the Sebastian Municipal Cemetery are allowed to be
passed on to heirs but the City requires a certified copy of relevant probate or other
court documents.
1 h r® d u to a earns of this agreement.
, /-- 17r1Z
nature Date
mar n"fr— of ZU �� b
8ubsorrrtbre J J.V4��Rk�' before "who this personalty known to -me, ' or has praduaed
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Nol Public. f Fieride TN) z�,$. STATE
Mamas of Intoned en* C/ OF
▪ 2 1 TENNESSEE
• it,‘ NOTARY tit`
1:-7-\ PUBLIC cjiy,
JUL-18;2012 WED 11 : 15 AM MOB Bristol Highway FAX No 423 232 5134 P. 004/005
From:The UPS Store 4239 7725899175 07/17/2012 10:56 #500 P.003/007
ono
4iligliP
NOME of PEUUN ISLAND
Burl I ripphts in the,Sebastian Municipal Cemetery lots/niches purchased by me
�G ub 4 Uc(I'te$15 (‘,5 Tv Ye- )4„r- . 1-1..A.) C,I'(1 1-13 3 7b0i
(Please print name and address of purchaser)
L`.l- 63 d-.)1 blame. a tin A- 1
(Lot/niche,block,unit description)
are intended for interment of the following individuals:
Please print name(s):
2 4 6 4 0-) It i w p i e r►- (f i) a",re_-1 L,n u z,C;e>1 p,O w') 16c.k•z' piD4-
(71 6 -7) V e. -ex (a), -t-- )6 4)- ...1-F)s r) { 2,c'63-j) 1(t, e s p) J--
/6) 0$-) Vi ctAcr., rI G 4- t/y,-) ,L"- zn 7)Cam) vrc -Lrs p1o4-
.V)6c3) 0 i V(\C-Ker s ycc I) is -rte Lox �n {c t?55)barrel Cabu q I 4 tricg,r
(9 ?0Ir 0131 1r V 1 (J- '06) em'. \ (I 1.Y k-r-S 7k36)340i'c-'j (' V; `Q''S ,e.
Interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be
passed on to heirs but the City requires a certified copy of relevant probate or other
court documents.
I h d E4t a terms of this agreement.
-7 -1 '-2 --17--
Signature Date
ubsefibed and sworn to before me lhts day of ( W♦, by
�� �} �iknown me, or has produced
ea identilltsk .4 .,
Nulary Public,Slate oiFJerida _ a ,s, Op -n
_ 9i 4tel SS iC=
Names of Interred form S's AO ttri tic,i
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JUL-18;,2012 WED 11 : 15 AM MCB Bristol Highway FAX No. 423 232 5134
N. uu5iun
From:The UPS Store 4239 7725899175 07/17/2012 10:57 #500 P.004/007
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sEBASTIAN
461211P
• NOME OF PElIUN ISLAND
Burial rights in the bastian Municipal Cemetery lots/niches purchased by me
�&s4AE` E (A0/3 165- Tvt,kCr ii0PE 50(na600 cri.Lt rt-i
(Please print name and address of purchaser)
Lod 3 t `6(eK. $' 0n6+ 1
(Lot/niche,block, unit description)
are intended for interment of the following Individuals:
Please print name(s):
-4' r ( l�- 'car,. - id4e4-•5 (• 301 tow,
.4.. (11 )
VC .7 'G • - c-i- (7/ .7 soy-1_42.1a- (12)
(J4( l 5,1 ) (13)
(; 3-.- V s Cie—ers 0,31.01_ �
((d ('' \AC-V•t.rS pla4— (1' (3) pivk (14)
(F ( )) Y i 04-1Y S n ID Y (71 646)L"-FYLL; 140� (15)
interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be
passed on to heirs but the City requires a certified copy of relevant probate or other
court documents.
I have d and nd t d the terms of this agreement.
7 -- l 7 / 2--
Signature Date
p�DDss q to harem me Ibis 1dBy or�t t ----� by
■ Sgrenbed nd who Is pas__Ti i ..Uxt ,�i°r ha, produced
i1 CJCm s s(p t alt+S. as Identification. 'Q� ". ccj �i
Notary Pubtlo,Slate of Florida •('� ` *' /{0 Mt 1 C=
Names or Inland tetra. 40Y S.P.
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VICKERS, E. W.
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UNIT 1 O.F., Block 8, Lcts 1 2,, ,3, 4, 5
3�_;_ 38, 3;, 110 ,'
a/k/a Lot 2
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Flock 8 Lots 1, 2, 3, 4, 5 T'n=t 1 O.R.
16, 17, 18, 19, 20
a/k/a Lot 2
Vickers, E.W
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VICKERS, E. W.
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UNIT 1 0.B., Block 8, I.cts_1 .21_3, 4, 5
a/k/a Lot 2
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