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` e ontrarl%umber:, + 'C- ti ('a. .. ` <br /> This agreement made this�y7N-day ofej!��J— )QjQ and between City of Pleasanton,located at200 C11d <br /> Bernal Avenue, Pleasanton CA 94566("City"or"Seller").and the person(s)listed below("Purchaser") w <br /> Name: <br /> Address: S"Cs ,.)'r,F��o �r%` rum / X lul-:'AA*A,Q� <br /> ONX <br /> Phone:2 -?R? Cell Phone: Email: <br /> Funeral Establishment: Address: 1.71 <br /> Name of Deceased:_ iY✓''golwlir` ,, 171 el H.-I Z_ <L,-C I Kd <br /> Name(s)on Certificate of Interment Rights: velAdP <br /> Beneficiary: Telephone: <br /> Address: Email: <br /> Purchaser agrees tor purchase,and City agrees to sell,4ubject to all the termsand conditions setforth inthis"Agreijmii t <br /> and to the Rules and Regulations of the Pleasanton Pioneer Cemetery,now or hereafter in effect(with the Purchaser <br /> acknowledging receipt of the Rules and Regulations of the Cemetery as in effect as of the date hereof),the following, <br /> (collectively,the"Rights"); <br /> South Hill West Burial Plot(includes two(2)rights of Interment and Burial ServlcesJ <br /> Type PRE-NEED (ATNEEOLLSKETJCREMAMS <br /> Plot Row: Grave#; <br /> LIM Vault Fee $ T <br /> Burial Service Fee Only(tower care#12,upper Core#2-2,North Hill,North Hill West,South Hill,Sections A-E) <br /> Plot Section: Row: Grave: $ <br /> Vault Fee Casket- Urn $ T <br /> Additional Fees <br /> Grave Marker Installation(Grand, or Bronze $ <` a <br /> Weekend Burial Fee' $ <br /> Disinterment Fee <br /> Additional Misc. Fee <br /> Veteran: Yes o Subtotal $ o <br /> Branch: , <br /> Era Sales Tax $ <br /> Total Purchase Price $ 0 <br /> Honors: Payment Plan-Down Payment(1S%) ,. <br /> :"Icrfal Due Today $ o <br /> 1 have completed the Installment Plan Authorization Form. Initial(s) -- Q#4 0 <br /> lbave read and received a copy of the Pleasanton Pioneer Cemetery Rules and Regulations. <br /> ��'' Pur�ch�iseris) o <br /> rinf Name: Zpf, /4V Pdnt`.Name: ' <br /> gnature: <br /> nato — ./4.. .�.v hate: <br />