HomeMy WebLinkAbout1-08-06 VICKEr?", Geo. F.
'i1-it 1 O.F., Flock 8, Lots 6, „1,8, 9, 10
11, 12, 1�, 14, 15
a/k/a Lot 3
Block 8 Lots 6, 7, 8, 9, 10 Unit 1 O.R.
11, 12, 13, 14, 15
a/k/a Lot 3
Vickers, Geo. F.
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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 07/17/2012 10:56 #500 P.002/007
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HOME OF PELICAN ISLAND
Burial rights in the Sebes ian Municipal Cemetery lots/niches purchased by me
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(Please print name and address at purchaser) 1" 4-2 51 60 1
(Lot/niche,block, unit description)
are intended for interment of the following individuals:
Please print name(s): 11 q
(1) �.. (6) ,Lik- '— X01t�'1" (11 ) Vic. - )4f--
01.�.2-�� �i L�,"S V.
(2) Noyt-cser,a, 1Ii64 ees (7) ae c- 3'"e, Vtt- 4 (12) 1:;Ke.�•64-4- Vir:Kers
p Vi(8) Jf'1'rc}s� kr�[ 41-5 (13) wTZ-( �t:A0-5
(14) (/it.--@'3 (41A
(5) iici .r•S elC-r (10) 81-{Ado 1XrA-21"j (15)lc..r-ek p)o�
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.
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74 ; fthsa9reemeflt.r Z
nature Date �/
Subscribed and ow- to before me this nor day or -- L0 V?/ by
S■n -J. U ." - who Is personalty known to "roe, or has produced
y,� Hs Identification. ` ` %ti��rirr i r
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Moiety Public.Slate ofa 4s ids j i.'...1" STATE <�'1
Nama of totems"form Q/ OF =
w at TENNESSEE I
▪ tt • NOTARY /
.z.',. PUBLIC,,.' ,
ir.rr r►r n u tli�,
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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ono
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HOME OF PELICAN ISLAND
Burl rights in the Sebastian Municipal Cemetery lots/niches purchased by me
p I
;Am it Ue pkwy (CT riiiff r )ope . .zfu C./ cl TO 3 79/
(Please print name and address of purchaser)
(Lot/niche,block, unit description)
are intended for interment of the following individuals:
Please print name(s): PI
LP 6 0-) li i e..izt,-'5 ple,4— I '6i) a7re_ l Liv, &'1 Y" LP w) 1(ic..K.4'- pi 04—
(If 6 ) Vu -et s e 1,r1- - ( ) .a�-> *0,.E 9... st=n V/(631) y i ck..e s p)04--
Pi) Q 1(i CiAli.le°a /VI G.4- (f)(26-) r' 4-1. Lcr-1, 53 )( ) 1(f CJ1& ..-s ,)i u4.
/ 6 t) )c l 1‘C_ -ar S XQ`JJ) f r\ PI P cj) c Ubu&1t s U i ,g„e r.
(96,10Y" -o Y ,r- Vi4 r (7i1 elcfsik i c.-r-erS (,� 367 31.ttoiun c v;c4.24r5 CLe
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. -r-d = •• u •e -' •, a terms of this agreement.
7 -7 —( -2 --1Z
Signature Date ���►►���^^ '
ubsosibed and sworn b before ma this _M� eY of kkoLt ____. �� by
�2L, C .7S 1 f p'sj as IdeMitIkkgs �4�1 f<<t.'ir'4`� me, or has produced
Nulary Public.State otElarida --c1,,, = : 4 Op F \'^
Nemec of Irtsrreo torn =y A4 4`94.i
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'�!1f,IIItIt,�%
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
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ana
5 rifj4 rialwAN
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me
� l ,
}cckc5 165- T'�u6( 1 E 50k, o) C��rc( 1fr
(Please print name and address of purchaser)
Lod 3 t .1 $' On-r+ 1
(Lot/niche,block, unit description)
are intended for interment of the following Individuals:
Please print name(s): /
( ( 1- on. ;C.leer5
(7 . 'C • - -\.- (7/ 17 S A ' (12)
Y-' 03ThViC3-Ef5 *o1- (T' )5r -' e)o- , (13)
( ) r `1)T I C-V•irS p l o 4--' (y ( v LikasOr, 10104' (14)
(7 ( ) \(►L - c5 cfbi- 901 646)L..A,:1;s;°1)4- (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.
1 have d and nd t d the terms of this agreement.
-7 — 17 - / 2--
Signature Date
to before n /his doyen .` � by
��a� ,� who ie rsonaw fp �� r has produced
�,1 C4C. 1 n(k-t e't.e S.. as identification__ .'..'" F /
IMnCA r U 4t.t Sl y^ : r}�t' �N Opf� ��
Notary Public,State of Florida 1-1.3 =Y 3 H NESS► I rC'
_`r' i°LTgRF� -
Namrs of intend f fl' ; •. eell' ; to