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PLEASANTON MEMORIAL GARDENS CEMETERY <br />P.O. BOX 193 <br />PLEASANTON, CA. 94566-0019 <415> 462-2104 <br />Owned and Operated By The Indep. Order Of Oddfellows-Pleasanton Lodget 255 <br />OOTltra.ct <br />PHONE: ===f if:t;/ifii/======= DATE: ==lf!:::7;;1=:7R==== SSN/~==~======================= <br />NAME: .A N 17A v R ic. --------------------------------=----------=-----------===-------------=·- <br />ADDRESS:==k:l:'?:7===~=9 ~~~.J}=LJ R~===~~==================SPACE/APT.:========= <br />CITY:===a~g ~~~==============STATE:====c;,~======ZIP CODE:==~;t}~======a=== <br />CAPACITY LIMITED TO: ONE:· PERSONS <S> EACH. --TYPE BURIAL:f:>(?€.-,-.JEE:.i:) <br />C A,(&. :n::. <br />GRAVE COST: * boo •00 <br />MARKER/VASE SETTING LABOR: $ <br />VAULT COST: <br />================ ------------ <br />MARKER COST: <br />================ ------------ <br />FLOWER VASE: <br />MISC.COSTS: <br />STATE SALES TAX -7 % CA. <br />TOTAL COST:---- <br />PROMISES/REMARKS/TERMS: <br />=============== <br />SERVICE DATE: f'..J /A <br />TIME: REMAINS PLACED: <br />NAME OF DECEASED: <br />D •• 0 • B • ID • 0 • D • : <br />BILLED: <br />PAID: <br />CASH: <br />' ------------------------ <br />$ ~00 • 0 0 -------------- <br />CHECK: i Z.~'--1 g BANK: W c-LLS -F A,-~-G6 <br />pp <br />VETERAN: yes/ no <br />BRANCH: <br />Pleasanton Memorial Gardens agrees that purchaser has the right to use grave (or <br />his/hers and heirs remains and no other purpose.-It is agreed that all <br />interments are considered temporary until the purchase price and all burial <br />oosts are paid in full.-Pleasanton Memorial Gardens shall h~ve the -right to <br />remove all remains in said grave if full payment hasn't be~n receiie~ by the <br />Cemetery.-Pleasanton Memorial gardens has the right to charge 18% interest per <br />annum on all unpaid accounts after one(!) year.--By signing this Contract I <br />hereby agree to the above options and agree to pay Pleasanton Memorial gardens <br />Cemetery the total amount hereinabove set forth. <br />-~·~:'Pl. ---------------------------------------·1411-----~-----•i ... <br />RECOR &~ROBERT A.BARNES-TRUSTEE <br />EXHIBIT ADocusign Envelope ID: 579CA236-8B32-4EC3-8798-12C3B58A287A