Faeh, Carrie Lee
Anderson-
Me Queen
Funeral Homes. Cemetery. Crematory
March 22, 2000
Name of Deceased: Carrie Lee Faeh
Date of Birth March 2, 1913
Date of Death March 19, 2000
Name of Cemetery: Clearwater Cemetery ~
Description of cemetery location: Block 6. Lot 14. Space ~ \.. ' ,
I/We
~e-k T Qcel-e5
, the
undersigned hereby certify and represent that I/we are the heirs or authorized
representatives of the owners of the above described interment rights, and hereby
authorize the use of said interment rights for the interment in the herein described
interment rights.
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Relationship to property owner
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Address
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City/ tat~/Zip Code
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Witness
On behalf of myself/ourselves. the next of kin. and the heirs at law, I/we agree to hold
harmless, indemnify and defend Cemetery as well as its representatives. directors,
officers, agents, employees and shareholders. from and against all claims, liabilities or
damages whatsoever (including reasonable attorney's fees) which may result in
connection with the above referenced interment
~
3-~'I-{)o
Date
Please Reply to:
o Ninth Street Chapel
2201 Ninth Street North
st. Petersburg, Florida 33704
Phone (727) 822-2059
Fax (727) 822-3362
D Bobbitt Chapel
7820 38th Avenue North
St. Petersburg, Florida 33710
Phone (727) 347-6636
Fax (727) 345-8166
Email: info@andersonmcqueen.com
o McLeod Chapel
1915 62nd Avenue North
st. Petersburg, Florida 33702
Phone (727) 527-7161
Fax (727) 526-0066
Website: www.andersonmcqueen.com
o Largo Chapel
716 Seminole Blvd.
Largo, Florida 33770
Phone (727) 559-7793
Fax (727) 559-8704
IOOd
March 23.2000
Name of L>eccr:lsed: Carri_~,LI::I..~ Fach
Date of Uirth,Maleh 2. 1913_
Name of Cemetery: Q~'H:.watcr. ~:,c.me[cry
Date of J )eath Mar~h, 1.2. 2000
Description of cemetery location: Ulock 6...LoI14..LSpClCe 10.
I/We, Rellye Reed
, the
undersigned hereby certify and rl~Jlrcscnt that T/we are the heirs or fluthorized
representatives of the owners of the above descrihed interment rights, and hereby
Lluthuri/.c the LIse or said interment rights for the interment in the herein dcs~rihed
interment rights.
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Address
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WItness
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Relationship (0 property owner
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· ,Me Queen
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fUlleri'll ;iOll\es. Cl'm~teIY .. (r?m~tolv
March 22. 2000
~ame of Deecued: Carrie Lee FItCh
Date of Birth March2.191~
Date of Death March 19. 20Q9,..__
Name of Cemetery: Clearwater Cemetery
Delicriptlon orcemetltl)'lucaul)l1: ~6. Lo! 14, Spac\310.____,-____._-_
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Wldcrsi&ned honlDY cetlify and repment that Vwe are the heil'5 or Imhori:z,ed
representatives oftbC' "wnerl afme llb~'e c1esrribed interment rights, and bereby
authorize tne use of said intennent riShts for the Interment in the herein described
intem\ent oght&.
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Anderson-
Me Queen
Funeral Homes. Cemetery. Crematory
March 22, 2000
Name of Deceased: Carrie Lee Faeh
Date of Birth March 2, 1913
Date of Death March 19,2000
Name of Cemetery: Clearwater Cemetery
Description of cemetery location: Block 6, Lot 14, Space 9.
I/We
(Y)a.e ~+es
,
Ada..l ('
, the
undersigned hereby certify and represent that I/we are the heirs or authorized
representatives of the owners of the above described interment rights, and hereby
authorize the use of said interment rights for the interment in the herein described
interment rights.
~4tI ~ Ildrt~
Signature of authorized person
la.r/ld/aUJ ~ 8;.
Address City/State/Zip Code
~~/Lc3l/~lf~
Witnes~(). ,f),...: 4'- \
MlUttV ~ocu-cJ
On behalf of myself/ourselves, the next of kin, and the heirs at law, I/we agree to hold
harmless, indemnify and defend Cemetery as well as its representatives, directors,
officers, agents, employees and shareholders, from and against all claims, liabilities or
damages whatsoever (including reasonable attorney's fees) which may result in
connection with the above referenced interment.
Signature of Next ofKinlLegal Custodian Date
Please Reply to:
D Ninth Street Chapel
2201 Ninth Street North
St. Petersburg, Florida 33704
Phone (727)822-2059
Fax (727) 822-3362
D Bobbitt Chapel
7820 38th Avenue North
St. Petersburg, Florida 33710
Phone (727) 347-6636
Fax (727) 345-8166
Email:info@andersonmcqueen.com
D McLeod Chapel
1915 62nd Avenue North
St. Petersburg, Florida 33702
Phone (727) 527-7161
Fax (727) 526-0066
Website: www.andersonmcqueen.com
[] Largo Chapel
716 Seminole Blvd.
Largo, Florida 33770
Phone (727) 559-7793
Fax (727) 559-8704
Anderson-
Me Queen
Funeral Homes. Cemetery. Crematory
March 22, 2000
Name of Deceased: Carrie Lee Faeh
Date of Birth March 2, 1913
Date of Death March 19,2000
Name of Cemetery: Clearwater Cemetery
Description of cemetery location: Block 6, Lot 14, Space 9.
I/We~he. \ ; Q. C;o..+e~ LLhI ~i "'j hCLM
undersigned hereby certify and represent that I/we are the heirs or authorized
representatives of the owners of the above described interment rights, and hereby
authorize the use of said interment rights for the interment in the herein described
interment rights.
,the
~~bte--r
Relations to property owner
ID5'1(O tkll5 K,'UC, Ra.
Address
eal&~a) q~a-J
Witness
1!omo~c..~ I ~L 34-4-4f5
City/State/Zip Code
On behalf of myself/ourselves, the next of kin, and the heirs at law, I/we agree to hold
hannless, indemnify and defend Cemetery as well as its representatives, directors,
officers, agents, employees and shareholders, from and against all claims, liabilities or
damages whatsoever (including reasonable attorney's fees) which may result in
connection with the above referenced interment.
Signature of Next of KinlLegal Custodian Date
Please Reply to:
o Ninth Street Chapel
2201 Ninth Street North
51. Petersburg. Florida 33704
Phone (727) 822-2059
Fax (727) 822-3362
o Bobbitt Chapel
7820 38th Avenue North
51. Petersburg. Florida 33710
Phone (727) 347-6636
Fax (727) 345-8166
Email: info@andersonmcqueen.com
o McLeod Chapel
1915 62nd Avenue North
51. Petersburg. Florida 33702
Phone (727) 527-7161
Fax (727) 526-0066
Website: www.andersonmcqueen.com
o Largo Chapel
716 Seminole Blvd.
Largo, Florida 33770
Phone (727) 559-7793
Fax (727) 559-8704