Paciorek, Henry F
C I T Y
OF
C LEA R W A' T E R
POST OFFICE BOX 4748
C LEA R W ATE R, F LOR IDA 3 4 6 1 8 - 4 7 4 8
Ju ly 11, 1991
Cynthia Goudeau, City Clerk
City of Clearwater Municipal Cemetery
P. O. Box 4748
Clearwater, FL 34618
Dear Mrs~ Goudeau;
P lease take th i s 1 etter as your author i ty to grant Right of Interment in the
fo 11 owing property at Clearwater Municipa 1 Cemetery:
permission is also granted to place a memorial on the site.
Space:
Lot No.:
"'\"",r,',A','\
, ,.,:,:-.,.-",-,-...,..,
<: "-
Space Thr~e (3) (Third space from the North) """'" ,,:) 'f.;C
Block:
18
7
For:
Henry F. Paciorek
(Lot owner)
o
/
"Equal Employment and Affirmative Action Employer"