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<br />QColumbarfum <br /> <br />PURCHASE AGREEMENT <br /> <br />I hereby purchase for the price of $ niche no. <br />church building owned by The Pa~ish of, St. Ch.r, 5>+0 llh.,<.-r'S Ep,'su/'J?t r <br />Ro.'3<!.,v.;)tR. ) rY\)u SSI(3- LJ;)-(t() , r I <br /> <br />in the Columbariurn located in the <br />t.J, vq-C4-.. I d .:;, co l'J., l"fa-v:-- I.' Vl "- A V' (. I <br /> <br />I agree that the niche will be used only as a place for interment of cremated human remains in accordancewith the terms <br />and conditions attached to this Purchase Agreement, and any rules and regulations adopted by the Parish of <br />S.f.(."\~<.';."''r~ (d\i.:-'-',s. I' relating to Lise of the Colt,(rTl'oarium. I acknowledge that this Purchase Agreement relates <br />only to use of the niche and that I am not acquiring any property right in the niche. <br /> <br />I hereby designate the following person~ as. those whose remains may be placed in the niche: (give full name and address) <br /> <br />1, <br /> <br />2. <br /> <br />'- <br /> <br />I understand that I may change this deslgnatien by notice in writing delivered to and accepted by The Parish of: ST. <br />(~ i:" .~. d' ..\-.., I . . I <br />. '_A ,. \ .... \ v f r. i:.T' S . <br /> <br />..: OpTIONAL' <br /> <br />, <br />i <br />II n the event of my death, the followihg person shEll I ni3ve th~ p'ower to designate the persons whose remains may be <br />I placed in the niche: (give full name and address) <br /> <br />I <br />I <br />I <br />I <br />I <br />i . <br />i <br />l <br /> <br />Dated <br /> <br />Purchaser's <br />Signature <br /> <br />(print full name and 'address) <br /> <br />ACCEPTANCE <br /> <br />rhis AGREEMENT is accepted and receipt of the purchase price referred to above is acknowledged. <br /> <br />]ated <br /> <br />By <br /> <br />its <br /> <br />PURCHASER <br />