Swift, John Dale
August 6, 1996
AFFIDAVIT
STATE OF FLORIDA )
COUNTY OF PINELLAS )
I, the undersigned, do hereby attest that I am the decendant, sole survivor and heir of John Edward Swift, Sr.,
deceased, who is buried in Block Six (6), Lot Thirty-one (31), Space Eleven (11), Clearwater Cemetery. As heir to the
interest and/or control in the above described cemetery space, I authorize placement of the cremated remains of my son,
John Dale Swift, in that space (Block 6, lot 31, Space 11) with his grandfather, John Edward Swift, Sr., deceased.
.' ----~ ---- -I;f'uitfler agree to refease,mderilliny and noldtlfe"ctty ofClearwaterhmmless-fronl liabHityiil1he event of any-
claim arising from the use of the above described property for the interment of cremated remains of John Dale Swift.
,f) SIGNATURE ~
~C:A,.~ ~.
Edward Swift, Jr.
2218 Fox Chase Dnve, Condo A2
Hudson, FL~ 31(pf, Cf
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WITNESSES:
~~~
12218 Fox Chase Drive, Condo A2
Hudson, FL 6d HI"
..3'1669
PRINTED NAME & RELATIONSHIP
Ardith Swift. Spouse
SWORN TO and subscribed before me this ~. day of
Swift, Jr. who is personally known to me or has made himself known to me by
(identification) .
(SEAL)
~
~_/~
Notary
Sharon L Rossler