Turner Sr, General Lee and Lora Mae5622023 e02 DISPATCH OFFICE
274 P02 JUN 19 '97 18:49
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June 18, 1997,
AFFIDAVIT
WE, the undersigned, do hereby attest that Ids I. Bir, deceased, was the
daunhter of General Lee Turr SL,And his yri#e, Lora Mae Turri d? ,?asad,
the original cemetery property owner and as their heir, has a right to be buried in
BLOCK 9. LOT 13 SPACE 2 at Clearwater Municipal Cemetery.
WE, further agree to release, Indemnify and hold thc; City of Clearwater harmless
from liability in the event of any claim arising from the use of the above described
property for the interment of Ida L. Bir, deceased..
SIGNATURE/
RELATIONSHIP TO DECEASED
Turner
&M_
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Elliot Turner
Willa
ADDRESS
P. O. Box 1625
Gibsonton, F33534
1733 Knox Road
Clover, SC 29711
2777 !119sbwy Lane
Sato Harbor. FL 3
SWORN TO and subscribed before me this day of June, 1997 by Raymond
Tu_ rr, err who is personally known to me,
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a?aro?r'? yes .
Notary Signa rinted name) so zsj
?o?r? ?3?e?3? soMDrras Co, ? ??
SWORN TO and subscribed before me this day of June, 1997, by Elliot
Turner who is personally known to me.
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Notary Sig a/(Printed name) ?? +as??= asW6OF1, , .foal
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SWORN TO and subscribed before me this day of June, 1997, by 1Mi
Williams w is personall known to me.
otary Sign t /(Printed name) su?x? 0a, 3,#lA6
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