FOREST LAWN MEMORIAL-PARK ASSOCIATION Glendale,  California  91209
An Endowment Care Cemetery /j\
Date_
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gentlemen: APPLICATION AND AGREEMENT
The undersigned, hereinafter referred to as "Purchaser", hereby makes application,  subject to  your approval,  to  purcnasl the  following interment property,
services and/ot commodities; and upon acceptance hereby authorizes Forest Lawn Memorial-Park Association to furnish the following:
MORTUARY SERVICE (UNDERTAKING) includes many things in addition to the casket selected. Some of
these items usually required, and which are supplied without additional cost, include the removal to the mortuary, embalming
and other professional care and preparation, use of funeral coach, slumber room, services, of a funeral director and assistants
at chapel and place of interment, demountable casket carriers when used, organist, care of the flowers and accompanying
cards from donors, and cards for the family to acknowledge the floral tributes. It also includes committal service personnel for
traffic direction, flower handling and placement, both in the chapel and at the interment location, accompanying the funeral
service to the interment location, and chapel care and maintenance. The use of the church is, of cours.e, provided for this
service   without  charge. (Q   Veteran,   Forest  tawn  —□   Veteran,   Outside  Mortuary) $
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OPTIONAL MORTUARY SERVICES
Clothing $_
Memory Folders $.
_Sol
oist $J*
-Limousine $_
.Newspaper Notices  $_
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-Casket Bearers $_
Shipping
-Container
FLOWERS:
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INTERMENT   PROPERTY:     (Show type, space, lot numbers, and location.)
COMMITTAL, INTERMENT (Burial), TITLE AND RECORDING CHARGES inciude the following
items, dependent upon ground or mausoleum interment: Administrative or clerical charges, including accounting, title search
and recording, legal requirements, verifying right of interment, checking and recording interment order, scheduling services,
making up instructions for workmen, etc.; preparation of interment space with labor, trucks and other equipment for removing
sod, digging interment space, removing excess dirt; the us.e of lowering device, chairs, artificial grass, tarpaulins, brace boards,
matting;   removing  marble crypt or niche front,  placing seal   slab  and   refitting  marble front,  etc.
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OTHER CEMETERY SERVICES and COMMODITIES
Concrete   Box   □     Concrete  Vault  Q   (includes   handling  and  placement charge).
Vault Handling Assistance Charge (\
Memorial Tablet NumberSgy **
Lawn Vase $ Vase Servic
Cremation $. Urn $_
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Charge $
Tent Service  $_
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SATURDAY SERVICE CHARGE
ENDOWMENT CARE FUND DEPOSITS
MEMORIAL TABLETS
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PROPERTY
STATE and CITY SALES TAXES as required by law
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PERMIT and FILING FEES
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CASH ADVANCED FOR YOU BY FOREST LAWN:     Minister's Honorarium $ ■.	
L <£?        Estimated
Escort Service  $ Coroner's  Fee $  Certified  Copies  $_¥_ Transportation $
C.M.A.S.  $
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BALANCE  PAYABtElAS  FOLLOWS: ^Credit &r* * **** A**^    -previously paid  01
TOTAL $_
PAID HEREWITH    _
BALANCE $_
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The unpaid balance, plus simple interest at the rate of three-fourths of one per cent per month, is payable.
or more, beginning on the .
day of
CO f-fe- \~>.-\lLY
 .in monthly installments of.
and of each  succeeding month
19_
thereafter. The unpaid balance shall bear interest at the rate shown above until paid. Each payment shall be credited first on interest then due, and the
remainder on principal, and interest shall cease upon the principal so credited. Should any installment not be paid when due, then the whole sum of principal
and interest shall become immediately due and payable at the option of the seller. All payable at the office of seller. No charge will be made for interest
if the full amount of the balance due hereunder is paid within sixty days from date. Any amount received on a claim filed in decedent's estate shall be
credited to Purchaser's Account.
YOU  ARE AUTHORIZED TO  HAVE DEED  ISSUED fj   IN JOINT TENANCY; Q   INDIVIDUALLY TO:
Name	
Address.
Name	
Address_
-FOR-
-FOR_
NOTE:     Unless otherwise instructed, where two or more persons are jointly designated as grantees, the deed will be issued to them as joint tenants or, upon
the death of one, to the survivor.
This application and all commodities and materials furnished and services to be performed are subject to the terms and conditions, on the reverse side hereof
and to nfles, regulations, conditions/Opd restrictions now existing or hereafter adopted governing the mortuary and the cemetery, including the particular
portion  iryw^iich  said Drooertv is  loecrifecA,      A    A  —/ ^
WITNESS^.
Purchaser's Signaturi
Cosigner's Signature.
Application
Number	
Deed Number.