Petition And Motion For Access To Cememtry Burial Ground Or Grave Page 2

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premises for the statutory purposes mentioned hereinabove.
6. Petitioner requests the following additional relief from this Court:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
SWORN to and Subscribed before me
)
)
This ____ day of ________________, 20_____.
)
)
)
Notary Public for South Carolina
)
Signature of Petitioner or Person Filing
My Commission expires:
)
e on Behalf of Petitioner
SCCA/680
10/2007

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