Fulle, A. Marguerite
09/13/96 09: 28
. ZEPHYRHILLS .. 813 462 6488
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DONNA at JOHNSON
:t .. MY COhUSS1ON , CC287711 EXPIRES
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SEP-13 96 F~I 01:07 PM
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Septernber13,1996
To Whom It May Concern:
I authorize intennent for Marguerite FuUe. I relinquish my intexment right to space in Clearwater
Cemetery, Lot 1, Block 3, Space 17.
o~ t:1j.L/
Theron C. Holines .
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Notary Public, Stote of Collf ni
r,in~ipgl Offj~, Los Angeles oun
eTR1NA M. OUNYON
COMM. .1057567
NaTAIn' Nll.JC.CAIJFOAI
lOS AMGEWI coum
Camm. EJP. May 4. ..
SEP-12-96 THY 20:29 RED-HILL-INC.
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TO WHOM If MAY CONCERN
I authorize InterMent tor .y sister Margwr1te HolMel Fulle
an~ rel1nqul.~ ay In~er.ent rlgktl to tAG .pace in Clear water
Ceaetry, Lot 1, Block J Space 17.
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SEP-13-96 FRI 09:09 AM MOSS FEASTER BE~
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AUn: Camille
462.6488
I relinquish my Internment rights at Clearwater Cemetery block 3. block 1, space 17 in
order to Inter Mrs. A Marguerite Fulle In that space.
Sincerely,
2J~ !~
William Holmes
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SEP-.l~-96 FRl ~~:le AM MOSS FEASTER
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, FLORIDA BHORT-FORM INDIVIDUAL ACKNO~ (FA""
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The for8gOIrig InstnUn8nt was acI010WIedged betore me un": '.. - .- '. "L
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or who has produced
(Type 01 1denIBCl!Ilon)
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. LINDA W SMITH
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Ellfllr- New. '2, .eta
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(SEAL ABOVE) ~\~~ ~ r · ~;.~ (NamO 01 Notary typed. p"","d <,,,,","00<11
A'TI'2tf11ON NCJT^"'tr ,..".,,,,n .. InIOmI8tan ............ III 0I'11ONAt..1l CllIl.Id...... ~ ........""4 D1lhls certilim..1O Wl!Mlr." ..... ~.~ ""',,,
nns CERTIFICATE
MUST BE ATTA.CHED
TO THE DOCUMENT
DESCRIBED AT RIGHT:
nte or Type of Documr - ~
Number of Pages _ Date of Document
Signer(5) Other Ulan Named Above
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