Stough, Marjorie Mae
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Date November /3 , 1962
The undersigned hereby assumes full financial responsibility for
payment of the following grave space, to-wit:
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spaces)(~B, Lot 63, Block 12, Clearwater Cemetery (Stough)
in the
to the
amount of One hundred forty-six----dollars payable in cash
City of Clearwater within six months from date hereof.
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Ci.EARWATER. FLORIDA. O8I1:..,\Q, 19sD3
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.N ACCOUNT WITH
CITY OF CLEARWATER
JM-~--
DEPT.
PLEASE UTUltN STATEMENT WITH REMITTANCE
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