Sanders, Frank A.
.... .,
May 15, 1991
AFFIDAVIT
STATE OF GEORGIA )
COUNTY OF ~J L1 (J~~~
I, the unders i gned, do hereby attest that I am the wi dow of James A.
Sanders, deceased, who is buried in the f"""',( Iir~ Cemetery in
~Pn'1.e"'/1' Georgia. I relinquiih an) ight, title, and interest in the
cemetery prope~:~ fo~~~~~_own~~~~~~an~ers, deceased, de~c~!b~d~~ ~~O:k
15, Lot 15, Space D, Clearwater Cemetery~-
I further agree to release, indemnify and hold the City of Clearwater
harmless from liability in the event of any claim arising from the use of the
above described property for the interment of Frank A. Sanders.
~~RE
69/15 . !:?l~
(Witness
~ ~/0?L2- U r7?~
(Witness)
SWORN TO AND SUBSCRIBED before me on this ,~~ day
of ~ye , 1991, in ~ County, State of Georgia.
/h ~-~
' JiPtary . , .
J;( -, -:J/- 7:3
My comm~ssion expires:
(SEAL)
);,r
RECEIV~D
JUN 0 6 1991