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HomeMy WebLinkAbout1-08-07 --- - -I. 1. • i t I � m •"o z • • `p In r •'V -W s, X (.-y• • - 3� • • „v - ti I 1°. • w �'C W Pn zo( G -c� v :- V' • . ) .CT\ --\ N. n, U k • \NC.-:)3 P. • w c (y,* � CT ^n • 1 ri U cta •J-'lr C'� r �'`±' JUL-18 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 ED ana • HOME OF PELICAN ISLAND Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me �� J v` tr,6t-, t VN-61 .(S ( � . �vdlt;r 1,40E 5-011,0P d I (Please print name and address of purchaser) T b 0 I (Lot/niche,block, unit description) are intended for interment of the following Individuals: Please print name(s): (�) Lox.e),,� yIc.t rS (6) 9 ;(...R.kIS p)o4'-- (" ) (2) ?)044 1lc .pry (7) .e, Vir... 'S (-12) 1.:;Ire e—f4- 1 ' kQ -S (3) 1 1oflo— V'i(Actr`> (S) `„rol ' Y c -QYS (13) lAktglti U4€r5 (14) (4) \14rcam- Vi �,1�er5 (s) (s) y iCK-t.rs F104- (10) 81-C4-0.421\ P� - 5 (15)34a-4)-45 p 1 o - Interment lots/niches are not to be transferred without written approval of the City of Sebastian. interrnent'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 rede Date n4 day or _ 7,1 tiZ! e eubscfib Viand u to before me this i me. or . hers produced who is personaty krwwn 10 me, 7 t. is Identihoatfon. ,NO%ILETr,,i Slate of•Flerida �`,t • STATE • L Notary Public. "t'r.1 i< ar OF karma� �form ' 2° TENNESSEE A t. NOTARY 1 it `•. PUBUC./ //4,.".0-° 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 • c omG 41311P HOME Of PELICAN ISLAND Burl I rights in the Sebastian Municipal Cemetery lots/niches purchased by me rG tb it V c cke✓5 (CCU" I ucJ4'er )(1„c . 6°,300 C,i'9 -r13 7O r (Please print name and address of purchaser) (Lot/niche,block,unit description) are intended for interment of the following individuals: Please print name(s): 9 4 6 c a d i1 i c.iz4: p .i-- ( )6I) S 71 e 2-.t 1 ,5ter) $ " L ) 16c..K.z s 00-}- //l 6 7) V e14-e.' fa),t>-(-- (6?4)- eNc U..LF�a:.s kyn (t P 1-) Vide-e.:s p)o4-- /6l Q f) VI c a^r, pia•4- (f),26� lr.1- -Leu.A.c.11 7' Ca) v r c Les 4)104.- Y/6TT --O Cr ‘fk t-K el-S A 4n P4r05 L✓f)tiWl Vr Pci a Ubv q I A S tri t-k. , (90-0)1.0e3 - VI s (76(0.5).5) 1 \ '(1 l v- (7 1:x6)3"911tel . V;C42.12.-5 le. 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 reievant probate or other court documents. I h d 7teteIofth1s agreement. -7 -( 'z --/Z Signature Date al ubseribed end before, rite this_`, l t known ko,..____. has produced ,. cif�to 1 t e'er as idanlifyili ..... CA WADdhi g c, P‘440.0"— ;���"." C1gp�c Tom ' Notary Public,Mate or�Jorida c =) l N/,Ne 1c= Norm's of IMaro0 form S AttS .r. JUL-1832012 WED 11 : 15 AM MCB Bristol Highway FAX No. 423 232 5134 F. UUS/Un From:The UPS Store 4239 7725899175 07/17/2012 10:57 #500 P.004/007 ('' ) ova 5E11 AST AN • NOME OF PELICAN$LAND Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me �G E� E U(ActS 165" Tvcu6' 1,d r yo(ne, ) 05't Tr-) (Please print name and address of purchaser) Lod St 'bc: a on-A- , (Lot/niche,block, unit description) are intended for interment of the following Individuals: Please print name(s): -'' (,T3 r7 Qroei V Czek-s tg�(3` L, bt:S`r 0104- (11 ) ( 'c., • 0 4- (V $-7 S � (12) Y") (MT Vi C 1Ler-S e0.3_ (,4() t,„...,5,., 7©1�-4-- (13) (yiA Lpsioson IV'vk (14) (' (- VtCY 5 nk 901 6.46)L-FltA;SOP64" (16) Interment lots/niches are not to be transferred without written approval of the City of Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be passed on to hells but the City requires a certified copy of relevant probate or other court documents. 1 have d and 4.rat d the terms of this agreement. 7 - 17 - / 2-- Signature Date 04b.-- 170 Car- bettors me this f iy at�� t —. � by strt citi 9� who le personeW tnec t ,ipr has pmdueed 1K,�QL. CIA L n(,p t e'Ltl S. in idardihaat$on. S;T. Fj�le Notary Public,Sorts of Florid. Tz _ )'' 0?F,6. ' C_- Or ir., Mamas of>M•nee form Al,19...'rk 't= ,,,,iltttttltrto