Collman, Lela W
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May 10 I 1991
AFFIDAVIT
STATE OF FLORIDA ,)
COUNTY OF ALACHUA ,.. )
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'1 ,th~ under~ i9~ed( do hereby attest that! am the d,'~....ce.l ~d~n.t,'s'o 1e sutvivor
and h~i~:.:.of.(!AaCAl{(I(ISSo#J: I deceased, who is buriedirf sieck '5, Hl/2 Lot 24,
Space ___, Clearwater Cemetery. I am the heir to the remaining cemetery space
andl grant .LelaW.. Col]man, ,deceased, formerly the wife o.f EA~L M<K'55oAl
ded!ased,':,the'right ,to. '~f:t fntarred in the reli1aining""cein~tery "spa-ce 'which is
described as Blo~k 5, ~hl~hot 24, Space 2, Clearwater Cemetery.
I, further agree to re lease, indemnify and hold the City of Clearwater
harmless fr9m l'iability in the event of any claim arising from the use of the
above~~scribed property for the interment of Lela W. Collman.
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WITNESSES:
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RELATIO~~HIP .
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';, ;. J~QR~TQ~ND iSUBSCRIBED before me on this /tJ fl-
of ~. 1'991. in Alachua County,
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