Fitch, Helen LouiseAFFIDAVIT
We, Helen Louise Fitch and Mildred Mangham, the undersigned, do hereby
attest that we are the descendants, sole survivors and heirs of Joyce Lewis, our sister,
who is buried in Block 8, Lot 63, Space 1. Joyce Lewis was the owner of Block 8, Lot
63, Spaces 1, 2, 3 and 4 in the Clearwater Municipal Cemetery. We are the executors
of the Estate of Joyce Lewis when she passed away. Spaces 2, 3 and 4 remain empty.
We authorize the granting of interment rights as follows:
Block 8, Lot 63, Space 2: Helen Louise Fitch, sister of Joyce Lewis.
Block 8, Lot 63, Space 3: Kimberly Christy, daughter of Helen Louise Fitch.
Block 8, Lot 63, Space 4: Michael Fitch, son of Helen L. Fitch
Mildred Mangham, other sister of Joyce Lewis, is not interested in these spaces as she
already has other arrangements.
Please take this affidavit as your authority to assign interments rights in spaces
2, 3 and 4 of Block 8, Lot 63.
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
Helen Louise Fitch
Mildred Mangham
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1 3,33 7 1.. 6- ��
SWORN TO and subscribed before me this 3 day of � �
200 by Helen Louise Fitch who produced identification in the form of
L�r'iv£ r 1_ rc�c and who did/d'd not take an oath.
is
J. LETICIA COSTANZO
Notary Public - State of Florida
My Commission Expires Jul 26, 2011
Commission # DD 699436
E ord 'd Through National Notary Assn.
Notary Public/
J�
My
ommission expires:
SWORN TO and subscribed before me this v -P day of ,Jtrtccct,
200 y Mildred Mangham who produced identification in the for of
,6.-t1,si,4. hc...�+e+v and who diid not take an oath.
No aryPublic
-23-99'2.
My commission expires: