Patterson, Betty Ann RagerAFFIDAVIT
STATE OF FLORIDA)
COUNTY OF PINELLAS)
I, Betty Ann Rager Patterson, the undersigned, do hereby attest that I'm the only
known descendant of Edmonia H. Dear, my aunt, who is buried in Block 14, Lot 539,
Space 4. Edmonia H. Dear was the owner of Block 14, Lot 539, Spaces 3 and 4 and
Block 5, Lot 7, Spaces 7 and 8 in the Clearwater Municipal Cemetery. Space 8 of Block
5, Lot 7 remains empty.
Please take this affidavit as your authority to assign interment rights in space 8
of Block 5, Lot 7 to myself and my husband, George L. Patterson Sr.
We 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 as
stated above.
SIGNATURE/
ADDRESS /PHONE
Bettyynn Rag Patterson
.fir Pt-- ii ticQ urn. /-j C^b 33-7 ° 7
til'''4 WORN TO and subscribed before me this "Za+-1' day of (Y(J rCh
20Q` by Betty Ann Rager Patterson who produced identification in the form of
...PC115Z, - -e and who did /did not take an .ath
otary 'ublic
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My born mission expires: