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SALEMMARIPOSA CHURCH BUILDING & CEMETERY c/o Everett Davey, 5062650 Mars dale Dr., Peterborough, ON K9L 1Y2Consent for IntermentOwner of Lot: Section: Lot: Grave: I/We, the undersigned, as the *owner(s)/as
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co everett davey 506-2650 is a form used for reporting specific information about a business entity.
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