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Hill MollyBURIAL PERMIT To: Cemetery Caretaker Permit No. Clearwater, FL Date: Date of Birth: Date of Death: Permission is hereby granted for burial of- Name of deceased: Owner of Property: Space: Lot:_ Block: Funeral Home: 44e al Director: Date of Burial: Time: Staking Fee $ Y Paid Date: _ CITY OF?CLEARWATER (lb/dbf/plat/call 6579 & fax to 6551 (Parks & Rec) By: ALSO EMAIL TO: JoElll ng, Glenn erry, Loug/cey and Larry Dowd 0 6 Clearwater Cemetery. o? (1?vt/PM) LL City of Clearwater, Florida ° City Clerk Department } Clearwater _ --ft, ? ? Phone (727) 562_4090 0 _ Fax (727) 562-4086 FAX MESSAGE TO: Lou Dacey LOCATION: Parks and Rec FAX NO.: 4825 COMMENTS: See attached Burial Permit for Block 14, Lot 532, Space 3, Molly Hill FROM: Lois Norman, (727-562-4091) DATE: 06/05/01 NUMBER OF PAGES THIS MESSAGE (INCLUDING THIS PAGE): 2 f v 5 ?n c a 5 b 5 0 0 w 0 N CD n N -n n m n r n m m 7DD O c n m ^ N O v a d 0o '00 COR-0009 (8/99) U) --I D ? m m m m K O r r O m n O z N O N t3 A (0 ? m mm m ty m TTt O m ® rri K o 0 O c z 0 ? Z O k? cr)' Oo