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_________ (DATE)
_______________ (name of cemetery authority) has identified the following unclaimed burial spaces in ____________ (name of cemetery):
______________________
______________________
(Description of unclaimed burial spaces, including purchase date and record owner)
If you have any right, title, estate, lien or ownership interest in any of the unclaimed burial spaces described above, you must file a claim with (name of cemetery authority) within 120 days of the date of this notice or you will lose your interest in the unclaimed burial spaces described above.
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ORS 97.725