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Carmichael, FaithAFFIDAVIT STATE OF FLORIDA COUNTY OF PINELLAS I, Trava Alston, the undersigned, do hereby attest that I and my sister, Faith Carmichael, are the descendants of Juanita Alston and Albert Alston, our parents, who are the owners of Block 14, Lot 305 & Lot 307 in the Clearwater Municipal Cemetery. Our mother is buried in Block 14, Lot 305, Space 00 and our father was buried in South Carolina. Please take this affidavit as your authority to assign interment rights to my sister, Faith Carmichael, in Block 14, Lot 307, Space 00 in the Clearwater Municipal Cemetery. Per the City of Clearwater Rules and Restrictions the maximum capacity of a space is two burials provided at least one person is cremated or two cremated remains. I 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 Trava Alston 7.76P 7 At ,E3 e lev, `✓ -CL J 3 ( 15) 73s=36`/7 rQCAC) SWORN TO and subscribed before me this7 day of Ocr py 7C T' who produced identification in th : form of F L 0)- l J M � and who o did/did not take an oath. Notary Publ a3 aoaoL My commission expires: S;,".P.°sib WILLIAM TAGGART * , , * Commission N GG 209208 Expires Apr1123, 2022 OF FIOr Banded Thru Budget Notary Services