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PLE. NTON MEMORIAL GARDENS CEME'1r,Hy <br /> P. O. BOX 193 <br /> PLEASANTONyIt CjA. 94568-0019 Ownedand. Operated By The! Indep. Order Of Oddf 16ows Pleasa <br /> nton Lodge# 255 <br /> oontr c -t ` � O <br /> P I op <br /> HONE: _ gqI� de,_ toy_ ?�_3S_3 DATE: <br /> NAME: _ # ZZ 7 _ <br /> --- AK I <br /> ADDRESS•_ ==5�'--��__�E�� _I�Y.:_ <br /> CITY: -_---C __---_�-___- -SPACE/APT. . <br /> �_ -on?_---- STATE: CA SIP CO =---___-- <br /> _� E: <br /> CAPACITY <br /> IMITED TO:_Q��--- <br /> R PERSONS (S) EACH. -TYPE BURIAL: <br /> CEM. n section: ^j�== ULL----_____ <br /> LOT/ROW• ? : <br /> •�c _ -Al_ SERVICE DATE: W <br /> GRAVE COS I,: A J __ --- ----- <br /> ED$ gj� TIME: !p RJR REMAINS PLACED MARKER/VA E SETTING LABOR: $ ___- -� E <br /> -~__------ '_ <br /> • NAME OF DECEASED <br /> 7 <br /> VAULT COS $-I----------- <br /> 'fKA(wKCNA'` GES1Et�S�'i <br /> -23� ao __D.o. B /D. o!D. . _ <br /> MARKER COST: <br /> _ BILLE� - <br /> FLOWER VA E: _--------___ ;PAID: <br /> �_Ilo <br /> MISC.COSTS L---------- _I�U'_ 80 �.- `t�211aD <br /> $ I CASH: <br /> STATE SALES TAX.- 7 1/4% Ca. $-�-__ ------ ----- <br /> j� CHECK # y33 Aw�e.�t. <br /> TOTAL COST: `;------� -_ _Si S _ _BANK:_ F7RST r,0;�.�. �a <br /> BALAN E DUE. '7 ��___----____ <br /> 6 <br /> PROMISES/ -EMARKS/TERMS: LO) S j�J PAS! <br /> 13LLLW g'33133 NET' �3a dp4 ys /NS'W I VETERAN: yes no <br /> BRANCH: 0 N�Vy <br /> •P 1 easantol Memorial' _ <br /> Gardens agrees that <br /> his/hers a!nd heirs remains aa� nn other Purchaser tas the. right to use inter considered tem�orary untiluthe e• y It is grave fo <br /> greed that all <br /> Cos are paid in full . -Pleas nt.orr Memorial G rdensashaPl ice <br /> and <br /> all <br /> burial <br /> remove aIR remains in .said grave if full <br /> Cemetery. Pleasanton Memorial' right to <br /> Payment hasn' t been received by the <br /> anngardens has the right to charge 18% interest <br /> hereby <br /> oa it unpaid accounts after one(1J <br /> hereb Yea --By signing this Contract IPer <br /> Y ag ee to the above opt'•ons and agree t ' <br /> Cemetery the total amount herinabove set for �hpay 'Pleas nton Memorial <br /> gardens <br /> RECORD:ROB T A. BARNES-TRUSTEE. <br /> __ ______ __________ SIGNED: <br /> ---- •PURCHASER: <br /> - _ - - - - --- - ---------- <br /> j: i S 20 ,a 2. ✓ <br />