Hancock, W Hoyt and SylviaT
fa
This ?uittlaim Deed, Executed this 2 l s tday of October , A. D. 19 4 3 , by
W. Hoyt Hancock (deceased) and Sylvia Hancock,
first party, to
CITY OF CLEARWATER, FLORIDA, a mun.icinal corporation,
whose postofficeadd.ressis P. 0. Box 4748, Clearwater, Florida 33518
second party:
(Wherever used herein the terms "first party" and "second party" shall include singular and plural, heirs, legal
representatives, and assigns of individuals, and the successors and assigns of corporations, wherever the context
so admits or requires.)
.
-witnesseth, That the said first party, for and in consideration of the sum of S 186. 15
in hand paid by the said second party, the receipt whereof is hereby acknowledged, does hereby remise, re-
lease and quit-claim unto the said second party forever, all the right, title, interest, claim and demand which
the said first party has in and to the following described lot, piece or parcel of land, situate, lying and being
in the County of Pinellas State of Florida . to-wit.
Spaces A, B and D, Block 12, Lot 69, Clearwater Cemetery,
Plat Book 50, Page 33, Public Records of Pinellas County,
Florida
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Tio -Have and to Hold the same together with all and singular the appurtennnces thereunto
belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim when-
soever of the said first party, either in law or equity, to the only proper use, benefit and behoof of the said
second party forever.
11ft witness whereof, The said first party has signed and sealed these presents the doy and venr
first above written.
Signed, sealed and delivered in presence of : Ltd '/ 1 c??
Y
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ylvia Hancock
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. STATE OF FLORIDA,
COUNTY OF Pinellas
I HEREBY CERTIFY that on this day, brforr mc, an
officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgments, ))rrsonally ap)?arrd
Sylvia Hancock
to me known to be the person described in and who executed the foregoing instrument and she acl,nt v,lrtfcrd
before me that she executed the same.
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WITNESS my hand and official seal in the County and State last aforesaid this 01--V dad of
./
A. D. 19 3.'•• , ...._!.`' "`fL .....................
NOTARY PU9i.;C, STATE OF FLORIDA AT LARGE
My COfi;i? ON EXPIRES JULY 20, I9i34
W0t h. Slwr Feu- (N d C a+'1 r,,
Tins In-f1rumcni prcparcd by:
AddressThis instrUrnent was oreoarFn ?y:
THOMAS A. B!Ti"J, City !"+tf _)trc•y
City of Clearwater, P.O. 8;_,,(', 748
Clearwater, Florida 33518
C I T Y OF C L E A R W A T E R
. rJ . _
? \ - POST OF F I C E 90 X 4748
_ %• -??'t '.' CLEARWATER, FLORI CAA 33518
OFFICE OF THE CITY CLERK
October 26, 1983
Mrs. Sylvia Hancock
C/O Mrs. Esther Pennington
359 N. E. 43rd Avenue
Ocala, Fl. 32670
Dear Mrs. Hancock:
Ile received the quit claim deed from you in the mail today
and are returning it to you for the two witness signatures.
When you return the deed to us after it is witnessed we
will send you the check. The check would be received more
promptly if you send us your address. The only address we
have is for Mrs. Pennington.
Ile are sorry for the inconvenience, however, all require-
ments for execution of this transaction were stipulated in the
October 18th letter (copy attached) and also explained to Mrs.
Pennington when she came to our office.
Very truly yours,
I .. L1 r`
Cyndie Goudeau
Assistant City Clerk
CG: ds
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C I T Y OF C L E A R W A T E R
P O S T O F F I C E 8 0 X 4748
CLEARWATER, FLORIDA 33518
OFFICE OF THE CITY CLERK
October 18, 1983
Mrs. Sylvia Hancock
c/o Mrs. Esther Pennington
359 N. E. 43rd Avenue. RE: Cemetery Lots
Ocala, Fl. 32670
Dear Mrs. Hancock:
In response to your inquiry and request I am enclosing a
Quit-Claim Deed which you need to sign, have witnessed and
notarized. This deed acknowledges that you are deeding the
spaces to us for $186.15.
Please have your mother bring your original deed, your
husband's death certificate or a cony, and the authorization
from your children that we discussed. We can make copies of
the documents if you only have the originals.
In order to keen our records up-to-date we need to know
the name and .address lof the current owner of your mother's
lot. If she will bring that information with her it will be
appreciated.
The Action Center is located on the 1st floor of City Hall
immediately on your right as you enter the front door. Dorothy
Silianoff is the clerk in charge of cemetery records and will
have the check ready.
Very truly yours,
C?, tj? t,
Lucille Williams, CMC
City Clerk
Enc.
LW:ds
"Equal Employment and Affirmative Action Employer"
CITY OF CLEARWATER - AUTHORIZATION FOR DISBURSEMENT
nrtn}bQr 18. 1983-
PAY FROM General FUND
PAY TO- Sylvia Hancock
CODE
DESCRIPTION: Re-purchase of Cemetery Lot 69, S?aces
A, B and D, Block 12, Clearwater
Cemetery
$ ) Send check to: Geri Doherty
010-1-97nn-6n2/513
w Total
APPROVED APPROVED
Department Head/Project Manager Other
AMOUNT
$186.15
$1.86.15
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My Mother, Mrs. Sylvia Hancock, has my permission
to sell the cemetery lots in the Clearwater Cemetery at Clearwater,
Florida.
2
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STATE OF FLORIDA, County of Marion ACKNOWLEDGEMENT
"1 HEREBY CERTIFY, that on this day, before me, an official duly
authorized in the state aforesaid and in the county aforesaid to take acknc$+ledge-
meets, personally appeared Faron H_ Hancock.
Robert W. Hancock P _Tenng A_ Hancock ,
Clay_,,. _ 7?. Hancock by hie Mother_ to me well known to be the
persons described in and who executed foregoing instrument they
acknowledged before that they executed the same.
"WITNO5my hand and official seal in the county and state last aforesaid
this day of A. D. 192-. ?
NOTARY PUBLIC, SAate sf Florida at large
My Commission expires: 12
NOTAft fiU1LIC AA% OF RAM" 0 !Aft
W COMMISSION EOM IAA. IZ !Mt
so" of QM" go. 'vww4 ftm
CERTiRG`ATE H
' Department of Health and Rehahllitafive Services STATE FILE NO.
DIVISION OF HFAI31.1 FLORIDA -
TYPE, OR PRINT.IN .rRRKAUGPMAL..fAT1.T1q REGISTRAR'S NO.
11I0MANINT INK
SEE MANDIDOK FOR DECEASED-NAME FIRST MIDDLE LAST SEX DATE OF DEATH I MONTH, DAY, YEAR 1
INsTROLTIONS I WILL, 12. MALE 3 OCTOBER 21, ^
/ 9
5p?9
I
RACE WHITE, NEGRO, AMERICAN INDIAN,
AGE-LAST
UNDER I
YEAR
UNDER 1
DAY DATE OF BIRTH (MONTH, DAY,
COUNTY OF DEATH
EIC. 1 SPECIFY 1 EI RTNDAY 1 YEARS) M DAYS HOURS YEAR 1
MIN
4. WHITE s.. 4 .
sb. st. .
1. AUG, 1933 T. Marion
CITY, T6?Vf RgQ?Ay?Ag DEE6TH
AAjL
jj'?!?{{ JJ
jj?V((?i RU '"slot CITY tIMITs
SPECIFY YES OR NO HOSPITAL OR OTHER INSTITUTION-NAME (IF HOT IN EITHER, GIVE STREET AND NVMBER I
CEM= R
,,
.
MARION COUNTY Tt. NO 71. WATERWAY--SALT SPRINGS RUN
STATE OF BIRTH I IF NOT IN u. S.A., NAME CITIZEN OF WHAT COUNTRY MARRIED, NEVER MARRIED, SURVIVING SPOUSE (16 WIFE, GIVE MAIDEN NAME 1
COUNTRY) WIDOWED, DIVORCED (SPECIFY)
USUAL RESIDENCE
WHERE DECEASED ?. FLORIDA +. USA ((.MARRIED H. SYLVIA A. PENNINGTON
LIVED. IF DEATH SOCIAL SECURITY NUMBER USUAL OCCUPATION (GIVE KIND OF WORK DONE DURING MOST OF KIND OF BUSINESS OR INDUSTRY
OCCURRED IN WORKING LIFE, EVEN IF RETIRED 1
INstNUTION, GIVE
RESIDENCE BEro.e 17 -44-602 i7.. CARPENTER 17b. CONSTRUCTION CCMPANY
AD RESIDENCE-STATE COUNTY CITY, TOWN, OR LOCATION INSIDE CITY urns STREET AND NUMBER
; I SrlclFr YES OR No I
y? u.. FLORIDA I1b
ION I,t
OCALA 1Ea
YES 132 S
E
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.
. 37
FATHER-NAME FIRST MIDDLE LAST MOTHER-MAIDEN NAME FIRST MIODLF LAST
? C11
Y. S. #612
Rev. 1970
S. JOHN ROBERT HANCOCK 6 ETTA JONES
JINFORMANT-NAME MAILING ADDRESS (STREET OR R.I.D. NO., CITY OR TOWN, STATE, ZIP)
v.. MRS, W. H. HANCOCK 1S. E. 7th AVE. OCALAI FLORIDA 32670
APPROXIMATE INTERVAL
PART I. DEATH WAS CAUSED BY: (ENTER ONLY ONE CAUSE PER LINE FOR (e), (b), AND (c)I BETWEEN ONSET AND DEATH
1I IMMEDIATE CAUSE
(D) DI?owNlr??.
CONDITIONS, IF ANY,
WHICH GAVE RISE TO (III
IMMEDI ATE CAUSE 101
A
,
ATI
T HE UN D ER-
DUE TO, OR AS A CONSEQUENCE OF:
LYING CAUSE LAST
PART (C(
II. OTHER SIGNIFICANT CONDITIONS: CONDITIONS CONTRIBLITING TO DEATH BUT NOT RELATED TO CAUSE GIVEN IN PART 1 (D) JAUTOF5T IF YES WERE FINDINGS CON•
I YES OR NoI SI D[RED IN DETERMINING CAUSE
I1M.
ND OF DEATH
._-_
11%,
IProboblyyl ACCIDENT, SUICIDE O
MOMIOKI; OR UNDETERMINED DATE Of INJURY 1 MONTH, DAY, YEAR) HOUR RED (frlrER NAru.f INlu.r IN PART 1 OR PART II, ITT. 111
II OW INJURY OCCUR
ll,
120a I
Ccri ,? I
m. /0-21-013 I
T«. M. +
20d. e/lc( v wt-wm / Irsm, JLD
INJURY AT WORK
E, OR NOI
lCI/ PUCE OF INJURY AT HOME, FARM, STREET, FACTORY,
OFFICE ND ETC.
(
) LOCATION (STREET OR R.I NO., CITY OR TOWN, STATE I
?
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VV 201 r
nW I?
VII ``
201. '5f t r , &IA16 S Sealy, 11411RION AJTZ
T r= Lo R I I_)/'f
CERTIFICATION- MONTH DAY YEAR MONTH DAY YEAR AND U11 SAW HIM/HER ALIVE ON 1 DID/DIiMW-VIEW THE li
DE ATN OCCURRED AT IMF PLACE
ON THE
PHYSICIAN:
I ATTF LADED THE TO MONTH DAY YEAR BODY AFTER DEATH. ,
IHOURI DATE, AND, TO THE RISE
714. DECEASED FROM
71b.
}IL.
tIl. D I 01 MY KNOWIEDGE, DUE
TI..`M. TO THE CAUSEISI STATED
.
CERTIFICATION-MEDICAL EXAMINER OR CORONER: ON THE BASIS Of THE HOUR OF DEATH THE DECEDENT WAS PRONOUNCED DEAD
EXAMINATION OF THE BODY AND/OR THE INVESTIGATION, IN MY OPINION, (15 MONTH DAY YEAR '
DEATH OCCURRED ON ME DATE AND DUE
22. . HOUR
to THE CAUSE(S) STATED.
/
2
.
CERT
F M. TTb. .
1 / M.
I
IER-NAME (TYPE OR PRINT)
2
F2
/ SIGNAT E DEGREE OR TITLE DATE SIGNED (MONTH, DAY, YEAR)
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C - s e%< nt
1 zz-/ 973
MAIL( ADORE -CERTIFIER
t>a. d T, .
STREET GR R. FA). NO. un oR row
STATE', ZII
/U SW IqU? ALA} F12 91D4 3467,1
BURIAL, CREMATION, REMOVAL CEMETERY OR CREMATORY-NAME LOCATION CITY OR TOWN STATE
I SPECIFY I
TE.. BURIAL T,b. HILELCREST CDIETERY OCALA, MARION COUNTYFLORIDA
DATE I MONTH, DAY, YEAR) FUNERAL HOME-NAME AND ADDRESS 1 STREET OR R.F.D. NO., City OR TOWN, STATE, ZIF 1
Tu. 4 s.. H WS FUNERAL HOME 10 SILVER SPRINGS BLVD., OCALA, FLA. 32670
SUN " 5 GNAT
Tsb. R TRAR-SIGNA TUR DATE RECEIVED BY l AL REGISTRAR
T1 (QA p?Q.r(}. Tbb. 2 3 OC 19 73 '
CERTIFIED C 0 P Y
I hereby certify the above to be a true and correct copy of the
Local Registrar's record on file in the Marion County Health
Department in Ocala, Florida.
(Warnings Not valid unless the raised seal of the Marion County
Health Department is affixed.)
2 3 OCT 1973
Date
De ty Lo al Registrar
RECORUtU
aoioLHVE"ooRi acOlaK 66 18221
c
?FED t8 311 PH'66 ' CEMETERY DEED O.R 2337 PAGE 552
THIS INDENTURE. Made this __2Z1h_------- day of -------- luly ---------------- A. D., 19-6-2--
between the City of Clearwater, Florida, a municipal corporation created and existing under the laws of the
State of Florida, party of the first part, and ____W•__ Hot__Hancogk?__? OZ_ l?trs_s1lSQ _Aizt.?__'?
T,alcel end _--_ _, of the ;
-----------------
County of ---- FA11t-------------------------, State of _-_F1o.ri-da-------- party-w -- of the second part;
W I T N E S S E T H : That the said party of the first part, for and in consideration of the sum of
yfo_ dg l?li's ? 2g 49? to it in hand paid by the said party. __ of the
second part, the receipt v-`*reof is hereby acknowledged, has, remised, m"nased, and quit-claimed, unto the
said party_--_ of the second part, and-_._hiS------- heirs forever, all the right, title and interest, which the
said party of the first part has in and to the following described parcel of land, lying and being in Pinellas
County, State of Florida to wit: Spaces _?I31 Lot - -6-q ------- Block __-12------ Clearwater Cemetery,
as recorded in Plat Book _ _ 5Q_ _ _ Page _ _ 33- _ _ Public Records of Pinellas County, Florida.
This conveyance is subject to the condition that Grantee herein shall not assign or convey said property
without the written consent of the Grantor, and to the further condition that said property shall be used
only for cemetery purposes as human burial sites. .
TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said
party ------ of the second part ----- hi_s_-------- heirs and assigns forever.
IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, has caused these presents
to be executed in its name by its Mayor Commissioner, by its City Manager, and to be attested. and it#
corporate seal affixed by its City Clerk on this the day and year first above written.
Signed, Sealed and Delivered
in the presence of us-
-- -- ------------
- x _- --------------
Approved as to form and correctness:
- - - Attorn -
city ey
State of Florida,
County of Pinellas:
CITY OF CLEARW
By _ t
Coun - g?plid:7
FLORIDA
City Manager.
ror oner.;
City Clerk.
Personally appeared before me, _ Robert_ L_ _Weatherly._ James _R._ Stewart - -------
and _2._-G-Whitene-ad------------------------------------ to me well known to be the persons who
executed the foregoing instrument of conveyance in the capacity of Mayor Commissioner, City Manager, City
Clerk respectively, and they severally acknowledged that they executed said instrument in their respective
capacity by and on behalf of and as the free act and deed of the City of Clearwater, Florida, a municipal cor-
poration, for the uses and purposes therein expressed.
of
Witness thy hand and official seal at Clearwater, Florida, this the_______--------- day
=---- - --, =----A. D. 19_-ek- e- ------------- - i ?---------
(Se Notary Public State of Florida.
N STATE of F L O R I D A M ors ?'?uTilic° taet'tepo area at??rgs--
r
`; 7 pOCW IENTAP`,STAMP TAX My Commission Expires Oct. 22, 1962
., - ?''
- Bonded by American Surety Co. of N. Y.
6
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QUIT-CLAIM DEED ` RAMCO FORM 8
332283817
This quit-Maim deed, Executed this 21Stday of October , A. D. I9 83 , by
W. Hoyt Hancock (deceased) and Sylvia Hancock, ?• ?• 5643 PACE 720
first party, to
CITY OF CLEARWATER, FLORIDA, a municipal corporation,
whose postoffice address is P. 0. Box 4748, Clearwater, Florida 33518
second party:
(Wherever used herein the terms "first party" and "second party" shall include singular and plural, heirs, legal
representatives, and assigns of individuals, and the successors and assigns of corporations, wherever the context
so admits or requires.)
Witnesseth, That the said first party, for and in consideration of the sum of $ 186.15
in hand paid by the said second party, the receipt whereof is hereby acknowledged, does hereby remise, re-
lease and quit-claim unto the said second party forever, all the right, title, interest, claim and demand tvltich
the said first party has in and to the following described lot, piece or parcel of land, situate, lying and being
in the County of Pinellas State of Florida , to-wit:
Spaces A, B and D, Block 12, Lot 69, Clearwater Cemetery,
Plat Book 50, Page 33, Public Records of Pinellas County,
Florida 1 14555648 78 1.
bhi(7t3,'
41 0.y
TOTAL. 0.90 CA51-11
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Er Jill C=
40 Rec 0-0 1? Z
o Jul
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ll_ X - 41 S C? Documentary Tax pd.
MUO
} CD 43 Int wwwww , ITT F • • Intangible Tax Grp `
1- De aker, lurk, pineGGa?
O Tot
'_"- .uty Clem c"
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To -Have and to hold the same together with all and singular the appurlennnces theretmto
belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim ta,ltnt-
soever of the said first party, either in law or equity, to the only proper use, benefit and behoof of the said
second party forever.
In -fitness whereof, The said first party has signed and sealed these presents the day and yrnr
first above written.
Signed, sealed and delivered in presence of
ylvia Hancock
STATE OF FLORIDA,
COUNTY OF Pinellas
I HEREBY CERTIFY that on this day, before me, an
officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgments, prnonally Appcarr-d
Sylvia Hancock
to me known to be the person described in and who executed the foregoing instrument and she AcknouIr,lled
before me that she executed the same.
WITNESS my hand and official seal in the County and State last aforesaid this p( da? t,f
A. D. 19 3.
------_.._.........Q ..............
NOTARY PtMLIC, STATE OF FLORIDA AT LARGF
My COMM510N EXPIRES JULY 20, 1954
Bonk; e• sax Far„ fAe &ua;:v r?.
This Insirumcni prepared by:
AddressThis instrurnent ti?,as ?yreeare?i ivf:
THOMAS A. Bsn f' d C;tyAtf,,, r _.y
CRY of Clearwater, P.0, c; _7 48
Clearwater, Florida 33518