Griffin, Corrie Ham
II' MOSS
M~ ,.' FEASTER
. ilI!!l . FUN ER A L H 0 M E S
RECEIVED
APR 1 2 1994
CITY CLERK DEPT.
P.O, Box 60, Clearwater, FL 34617
Ido hereby solemnly swear that
eorfl'tf"Fi~;~ifiin is the widow
of the late Bert T. Griffin interred
on Space 1, Lot 60, Block #9 in the
Clearwater Cemetery. Dated this
8th day of April 1994.
,Sworn and subscribed before me
by .Linda S. Griffin who personally
appeared before me and produced
Florida Driver License #G6l5-517-54-797-0
and who did take an oath this 8th day of
April 1994.
Qd~Gj)nA~
Notary
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(813)446-2375
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