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Harper, Johnnie Ray CEMETERY CARETAKER Clearwater, Florida - f Burial Permit Date of Birth Date of Death Permission is hereby granted for burial of: i'l j Name of deceased (.~Jt!-IA~?1./}'t.~e.. /t"a.01/ /\ .~.,<_,~c.., ./ f. 'I (/ II) I"~ >' ' r l I ....,..e. I /1 Owner of property (L.UA/YY'v (~-4-/'VH~ L 'd /' f;' /'. -" ./ 5 pace D I (r Clearwater Cemetery .I . . ,,'./ .. ...-'.-' " (o'! /r.,:t/J'~.q ( Block Funeral Home Funeral Director ,.,.,. r /1 .. Time (,< ,(' (, 'If) . 1 '-,,:,' ,,~\ .~' -.r1' .-1' .,"f~~~) , -' , By: CITY OF CLFARWATER \. 'j. / / ,Y. , ,:.\./ L.c.1c.~;",,~j No. -/.3.i~r~ v II( /(., Date .' i' i' / II Ie> '/:: ;; I ('!r:: / /,' '.1 I:~_;.--!,J I ;~: /