HomeMy WebLinkAbout1-08-02 ,JUL-1B-2012 WED 11 : 15 AM MCB 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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HOME OF PELICAN ISLAND
Burial rightt(ss���in the Sebes 'ran{{ Municipal Cemetery lots/niches purchased by me
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(Please print name and address of purchaser) s 1 60 1
(Lot/niche,block, unit description)
are intended for interment of the following Individuals:
Please print name(s):
(f) L (6) .LR•Q.t'S e 1 0-4— (11 ) Vi C.in-2✓5 )4-
(2) 0• 1.1\e1,C tciii. .Pi-5 (7) ae.cv-u .Z -c.... ' . 5 (12) J=am vece.4' Virii2Y5
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(5) ;cK- .c-s 1 (10) • ' .ds i.1 VYr)14-er5 (15)Yi'c.K i 1101-
Interment lots/niches are not to be transferred without written approval of the City of
Sebastian. interment tots/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.
t h re d u to e arms of this agreement.
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nature Date
in0 day or Zo 1Z by
Subscribed
h lneut J V • ; to before mwhothis
is personalty known to ' has produced
•_ . , , , Is Identification. ` ���t 1%11/Trii
Notary Pub$lo Slate o1•Klerida "T'� �`r• STATE ': tr y
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karma stintstted form = a TENNESSEE t A
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JUL-18;2012 WED 11 : 15 AM MCB 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
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SEBASMAN
. NOME OF FEUCAN ISLAND
Burl I rights in the''S�ebastiian Municipal Cemetery lots/niches purchased by me
;Alit ft E- UC(ACK5 (65" !'viK r )o„c . .4u C./ CI TO 3 1
(Please print name and address of purchaser)
(Lot/niche,block,unit description)
are intended for interment of the following individuals:
Please print name(s):
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(7f 6 -i) V ei-e/s 01c,-(-- (6,1)- o., sse= ���7 V i d e-s p)o4--
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9?) 9) "Dcf, v(IGKe1rs y6O`j) to 05 Lif` `r\ (.9 4. a Ubuei1As (r,,,
(9(2i))1.0k ,r V i crs ( -(057 i k (i C -ter-S 2 ( )3Lc -r2 C v;C.{.Z.Q. S je.
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= -s.d = •• •e t-' ' e terms of this agreement,
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Signature Date
ubaeribed and sworn to before, me this _ X71, of
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WAp ���a -s^—• f�4..; • 4?...
Notary Public,State o1�Jarida N
Names of IMarree form N t A 44, 4. i g.
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JUL-18-2012 WED 11 : 15 AM MCB Bristol Highway FAX No. 423 232 5134 f. UUS/UU5
From:The UPS Store 4239 7725899175 07117/2012 10:57 #500 P.004/007
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HOME OF PEUUUN ISLAND
Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me
�t)EI E V(Jci5 165 ilitucr l.PE 51-06)60o C,(7(c rrJ
(Please print name and address of purchaser)
Lo;-- 3 t `6 8' 0(64- I
(Lot/niche,block, unit description)
are intended for interment of the following individuals:
Please print name(s):
�,1,. (11 )
. 'C.. • r c-t- (7/ 1"1 soy- n l a—. (12)
4 (43.--) V i C.iL-8r5 00.1_ (y () p)1:4-' (13)
(yit c 3san p)GH' (14)
(f ( ,5-) V t j (5 c b i- 901 646)L.P11-: 1°1k-1- (16)
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.
V? - / 7 - 1 Z--
Signature Date
to before roe Ihis 1daY af�� s --.---� by
SNDscn��grul� who is personally kr`pd f2Ctj li,or hes produced
1 i.Z DCr bar C s.LT-t-';'lt.,S. as identification_ �3Q' r•.......•...•.6),,j
Notary Public,Stale of Merida •1-13 E. y c IIr0?-0 C_
Names W intense term : '••.., 4 k , rn
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