Bir, Ida L
5622023 802 DISPATCH OFFICE
2'74 P02
JUN 19 '97 18:49
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June 18, 1Q97 ' '
AFFID~'lIT
WE. the undersigned, do hereby attest that IU l. Bir, deceased, was the
daughter of Generallp 1'Ymtr Sr. A~ ,his wife. LOri! Mile TJlLIJi[. both ~.!..Ilieased,
the Original cemetery property owner and as their heir, has a ught to be buried in '
rn:OCK 9.lQT.1.t.~1= 3 at Cleillwater Municipal Cemetery,
WE, further agree to release, Indemnify and hold the City of Clearwetter harmless
from liability In the event of any claim arising from the use of the above described
property for the Interment of Ida.... BiI'. dK:eaud.~
SIGNATURE!
RELATIONSHIP TO DECEASED
ADDRESS
~~~
mom.l Turner
L..Q~..B.Q~ 1625
Gibs~mtoo, FL 33l!~~
t' C~A-1~ _b/
Elliot Tllmer I
11ll..KnQX Road
~Iover. SC 21711
~/f/~ )c;~
Willa Williams, ,(,
2777.. ~J..n8
~ Har~Qt. FL 3 ,,__
SWORN TO and sub$cribed before me this \~< day of June, 1997 by Raymond' ,
T"rner who is personally known to me.
, ~i)~ ' .7MII 3. ILAVIclI
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Notary SagrlC:i rintecl name) ..... U%.UItIo-::'1IIIJ "
.' CD,,_,
SWORN TO and subscribed before me this ~day of June, '199'1" by Elliot ;,."'C-
Tumer who is personally known to me.
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(~ day of June, 1SQ7, by WillI ;;,~
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aPIQI ~ 01,' UW
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