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JUL-18 2012 WED 11 : 15 AM MCB Bristol Highway FAX No, 423 232 5134 P. 003/005
From:The UPS Store 4239 7725899175 07117/2012 10:56 #500 P.002/007
ED
5 046 0,4 Qh4
HOME OF PELICAN IStANO
Burial rights in the Sebes}tan Municipal Cemetery lots/niches purchased by me
AA le,W A t V\6(4(S ( Ph 44.,J ;r I Ape: 3-064op e I
1
I (Please print name and address at purchaser) '' 0 ' 1 60 I
(Lot/niche,block, unit description)
are intended for interment of the following individuals:
Please print name(s):
(1) L (6) ,Lik•4!5 p)0 4— (11 ) Vi a )U
-
(2) ' Q(.\hner.. \It ,,, (7) 6-E'•0,-3•e.. yir..-jA4.1' (12) 1�ve-c' 1(ic4 e-s
(3)' vc Ono- V't Gkc�..-5 (8) SAY-P/') ii( c ry (13) YkkAttl •r oKe.r'S
(1a) - rL4-•.•'- tot
141��cam- V i ��•e.r'-5 (9) <1
(5) Vi( ptc-5 ,t) (10) 61.t41$r V) 4 -u (15) Ya-ek-47 p1.)-
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 777; fthsa9reement.17 r 2--
nature Date y
Subscribed and AV- to berors me this _day or "_4 1 or has producby
I r t s ,c�U . who Is known to me.
�J Istdentirioetlort. sot%ifiirri,,
\,.yam^, 14A .(` i.
Notary Public:, tate oi. 4 id ['a �`P' STATE '%
N+rno•of Intortvfl form 4r OF
..7. i
' TENNESSEE I
E. it NOTARY / R
r
%`. PUBLIC A
///,'rNrr1 tiCiioo
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
one
7rBASTiArsi
414116P
NOME OF KUUIN MAID
Burl I rights in the Sebastian Municipal Cemetery lots/niches purchased by me
G b it E 1 eRc(5 (( S" 1'vcKct' )4uc . ou e, 9 T13 3 j
(Please print name and address of purchaser)
I- - 5o 4'..31 1 \0c-Y-- a C'c�i-1- t
(Lot/niche,block,unit description)
are intended for interment of the following Individuals:
Please print name(s): ( �/ ,!
( ( )6l) ate_" L..`yu5Zr1 1` '`7X07 V Ic�'.2'rS p104-
tl tP� i1 i GK�.' l
4.i""
(14.6 7) V i e e/s 0,0-i- /)(p )-1- 0...43uos n c, r.J'77 .i r ti..>'.-'- p)&--
Pi) Q() 11 e.A.r, r i ,..s_. viy,26-) r -1..f c.+� 7)(am) V r cli~w,rs el o4_
')0) )tr 'iGKerS y4.-t2 fires LA)t. (" Pcf)1 c Uauq)As rick,,,
(51a J)r Fosi r- V 1c , s (7q05,---) 1 \ (■c -rS 2/(k36) .10iv r c V1 .Q,5 7k
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- fr.-1'.d = •• u •e t-' ., ' e terms of this agreement.
/"r.- r 1 '7 "!'L
Signature Date kt ,ume._ubseribed end sworn to before methis`, LeYk --a_ hu podu
es IdentVi ...... (F1',, cebd y
Lint "i; ''?4,...\
Whey Public,Slate g 4 Op ' '
Names of Worm,form t rem,tl nu .i M
7,///m1.1100
JUL-18;2012 WED 11 : 15 AM MCB Bristol Highway FAX No. 423 232 5134 F. UUS/UU5
From:The UPS Store 4239 7725899175 07/17/2012 10:57 #500 P.004/007
(..(7 )
orta
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me
(Please print name and address of purchaser)
Lod v t ` tc $' car,-r4- 1
(Lot/niche,block, unit description)
are intended for interment of the followtng Individuals:
Please print name(s):
(• 34I thw, . 41.14— (11 )
'C • rs-}- (7/ r7 5 j-- (12)
f (M---) V s Cil—er-5- 6,1_0_1_ (y'() trg.05 t o) (13)
( �,j(3 1,CeslagOn e1o3' (14)
(/4 I 04—er 5 a , ( r ) (43 L•.FjtiS••104- (15)
interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal l Cemetery are allowed edr to be
passed on to heirs but the City requires a certified copy probate
court documents.
1 have d and nd t d the terms of this agreement.
-7 — / 7 - 1 Z--
Signature Date �71
S� q to Wore me Ihis ` dny a/��t 1 ' A - by
PS�IC.Pfl6i 41,� who Is personalty kt`Qd '• .f t((bet•1.pr has produced
\s2 Cat+ t sib t a-u..,S. as Identification. :+•"°S,`'••.
IISMCA,�.I�rL l _ t,tA �- 5 *r l�cti p�1F s fi�
Notary Public,slate of Merida -�,J _y 9 4.041E ; C
Mamas e<Ietarre0 farm --,1•\.84/0 ..