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Sowell, Mary L Date: Cemetery Call Work Sheet Funeral Home: f`"l?s S `- 4 Qe 2-3--7 5 Contact Name: Q: -- L SAeLO .-` Contact Name: Tel. #: Fax -1 -4 RE: Deceased Name: ??-? L• DOD: (; 7 /OS DOB: Owner of Property: Mew 5d wet E . s ,' d?-e M +I P Block I-"- Lot SL Space Interment: Full Burial: Urn Space: ($30.00 Staking Fee) - (One full burial and one urn, or two urns) Date of Burial: ?r «?g Time:?am/pm Disinterment: The following authorization should be obtained prior to disinterment: 1.) A disinterment permit and burial/cremation transit permit 2.) Written authorization from the individual(s) who currently own the burial rights for the plot; and 3.) Written authorization from the individual(s) who would be permitted to authorize burial Monument Being Placed: (No Fee for Staking of Monument) V- (EC ?C . ,)- '-*;09 L ('Monument Company: Tel. #: Fax #: C-'-? "I-;? ---P?C-f 4s)-? r-?C?-? L - ao?'-?? 77 78 79 60 ` 64 63 62 61 4 55 56 57 58 59 60 46 45 44 43 42 41 1 35 36 37 38 39 40 7 26 2S 24 23 22 21 R ] 2 ' R R R 1 -- PO 0 72 373 574 575 576 571 5 13 562 561 560 559 558 557 fp -- 553 554 S55 556 T 540 539 538 53T 43 !O 531 532 533 534 535 536 !3 522 5211520 519 518 SIT 0 511 512 513 r'Lp-}"'1 )3 502 501 150O ]l c SHEET 3 1 YRTL_F b?Q?. ly Ivv Ws ro Iwo I vc I -.- I - t ; .. 1 f01 Sit 77 68 29 20 5 11 102 911 - 78 67 30 19 6 90 79 66 55 42 31 18 T M104 19 80 65 1 56 1 41 2 17 8 105 918 64 57 40 33 16 9 106 ?7 M82 63 58 ' 39 34 15 10 107 1 8i6 83 62 59 38 35 14 11 1 815 84 61 60 37 - 38 13 677 1176 ISS 154 133 132 111 110 89 56 3 1 134 131 112 109 90 a17 > M74 57 . J2 135 130 113 108 91 180 173 158 151 136 129 114 107 92 181 472 1591 150 1137 1 17-81 115 106 93 i 92 77 68 T6?? 91 78 167 90 79 66 5s 42 89 F 80 65 sa 4t t67]-82 81 64 57 40 63 58 39 9 86 63 62 59 38 84 61 60 37 88 6T .66 43 44 87 68 M44 3 86 69 2 85 TO 63 48 41 $4 71 62 49 40 182 171 11,60 149 138 12 7 116 1105194 83 72 61 150 139 183 170 161 148 139 126 117 104 95 82 73 60 51 38 184 {169 162 147 140 125 118 103 96 1816 ;i68 163 146 141 124 119 102 97 l y71' 164.16{! 14gl /?3?/add I Iyell, f , AV E 81 74 59 52 37 80 75 58 153 1316 7 9 76 -157 54 1 35 F j78 72 56 : 55 134 tv U E 25 16 is 4 s I 24 17 14 7 4 23 to ? R 8 22 19 12 21 20 11 C? E?l 9 L 10 l, 6 K S .P 21 i 6 it 9? 4 M r;