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Casler, E T and Ruth a QUIT-CLAIM DEED ell 0 THIS INDENTURE is made this 1st day of July, 1992, between First Florida Bank, N.A., Personal Representative of the Estate of Grace H. Casler, as Grantor, and the City of Clearwater, whose mailing address is P. O. Box 4748, Clearwater, FL 34618-4748, of the County of Pinellas, State of Florida, as Grantee: WITNESSETH: That the said Grantor transfers ownership to the City of Clearwater and has remised, released and quit claimed unto cothe said City of Clearwater forever, all the right, title and r- interest which the said Grantor has in and to the following cc described parcel of land, lying and being in Pinellas County, State o of Florida, to wit: Spaces 2, 3, & 4, Lot 17, Block 9, Clearwater 6,,,>< M Cemetery, as recorded in Plat Book 60, Page 30, Public Records of ~ w °m Pinellas County, Florida. Z ---? LU J cc C-D TO HAVE AND TO HOLD the same to the only proper use, benefit, I- > U`_ - "' ~ "- u, and behoof of the City of Clearwater. F- Q IN WITNESS WHEREOF, said First Florida Bank, N.A., as Personal r t Representative of the Estate of Grace H. Casler, acting herein by °J. Evan, its Vice President and Trust Officer, being duly author- ized, has hereunto set its hand and seal this 1st day of July, 1992. Grantor's name: FIRST: FLORIDA BANK, N.A., AS PERSONAL IREDRESENTATIVE OF THE ESTATE OF GRACE H *CASLER By. , 'J"..Evan, it Vice President and .I-Trust Off icer Signed, Sealed and Delivered in the Presence of Us: I Grantor's address: First Florida Bank, N.A. Trust Dept. P. O. Box 479 Clearwater, FL 34617-0479 Witnesses Names and Addresses: Barbara J. Manning 600 Cleveland Street Clearwater, FL 34625 Janice B. Bickel 600 Cleveland Street Clearwater, FL 34625 STATE OF FLORIDA P -„.,,,;,.OUNTY OF PINELLAS co C- L Acknowledged before me on this 1st day of July, 19931t''by-•J. -- Evan a Vice President and Trust Officer of First Flo id,aa';$ank,, r r, N.A. , Personal Representative of the Estate of Grace H. Ca?.ier, R;,. is personally known to me and who did take an oath. ' P t_ P C, DC /\ ' Susan A. Kamuda WIT Notary Public TOTAL 0-y Commission No AA 632029 6 Keif1L..E::E:.N F' a IIC: BL.. )1-<{:::ri, C: {. {",h NOTARY PUBLIC STATE OF FLOWDA. IJ1:R:I:F :C E::ZI B v MY COMMISSION 1993. - - -- - BONDED THRU NOTARY PUW-1- UNLLRWRITGR9. IN THE CIRCUIT COURT FOR PINELLAS COUNTY, FLORIDA PROBATE DIVISION FILE NO. 91-2891-3 ES IN RE: ESTATE OF GRACE H. CASLER, Deceased. RECEIPT The City of Clearwater acknowledges receipt of a Quit Claim Deed to three burial spaces, described as spaces 2, 3 and 4, Lot 17, Block 9, Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida, having a total value of $1,500, which were donated by the heirs of the Grace H. Casler Estate. Dated this day of July, 1992. CITY OF CLEARWATER By: A41?2?' Cynthia E. oudeau U City Clerk IN THE CI f COURT FOR PINELLAS CO, !, FLORIDA PROBATE DIVISION HLE NO. DIVISION 3 IN RE: ESTATE OF GRACE H. CASLER, Deceased. ORDER ADMITT,?i G WILL TO PROBATE AND APPOINTING PERSONAL REPRESENTATIVE The instrument presented to this Court as the last will of GRACE H. CASLER, deceased, having been executed in conformity with law, and made self-proved at the time of its execution by the acknowledgement of the decedent and the affidavits of the witnesses, each made before an officer authorized to administer oaths and evidenced by the officer's certificate attached to or following the will in the form required by law, and no objection having been made to its probate, and the Court finding that the decedent died on July 15, 1991, it is ADJUDGED that the will bearing date August 14, 1984, and attested by NANCY SCHAFFRATH and SUSAN T. STYLES, as subscribing and attesting witnesses, is admitted to probate according to law as and for the last will of the decedent, and it is further ADJUDGED that FIRST FLORIDA BANK, N.A., f/k/a BANK OF CLEARN 'ATER, is appointed Personal Representative of the estate of the decedent, and that urea taking the prescribed oath, Letters ofAdministration shall issue . ORDERED this fA C? day of , 1991. STATE OF FLORIDA, PINELL-6 CvL' ;': t hereQy cerut/ t at the tore7cj; ERIC pha*.ostatic cosy as t':-,e sdm-a ai-,pears ` ? amon the files and cocas of this : ou' o ' y This day of -, GTIT JUDGE I? ;?' , . .. / 0 KAF.LcEN F. BLr.K; R N . . Cl:.rk of Cit7t:Ljt Court By,t 4 t? Department of Health and Reh"6111111'e Cervices [MVLSION ()F HFA TTf .uo"o ME Y,PAA RA WrATIE FILE NO. L ?,? v1 FLORIDA'' n REGI6TRAR'6 NO.t?--_ FLAME asst rloo/e LAST SEX DATE Of DEATH NONTN, DAL, IlAR 1 DECEASED- MaY.30, 1974 Male ED ARD BRANNON CASLER . I . , 1 1. RACE WTAm, N1400, AM/AKAN INDIAN, AGE-LAsi UND,R I YEAR uNDeA I DAY DATE Of BIRTH Mo.TN, DAY, COUNTY OF DEATH YEAR 1 11C. I S?KIFY 1 t1AINDAT 1 TtA1s 1 Mos. OATS NOVAS Nw. Dec 17, 1697 ,. Pinellas 6 ; >a . N. White GIVE STREIt AND -61* 1 TMI\ f , I CITY, TOMV, OR LOCATION OF DEATH INSION Cm LIMITS HOS?fTAL OR OTHER IN5TFTUTION-NAME I,$ NOT IN sncffv Yls of No Yes 111 Morton F. Plant Hospital Clearwater Tt . ,. STATE OF BERTH 1 o NOt IN u.s.?., NAM, CITIZEN OF WHAT COUNTRY HARMED, NEVER MARbED. SIRtVfVRVG SPOUSE III Wm. olVt MAIDEN -e) caw RT I W WED, PIVORCED 1 NKIn 1 Married I1 Grace Harman U S A I! ! Kentucky F SOCIAL SECURITY NUMBER USUAL OCCUPATION Ion[ awe of won Dom oURING MotT Or KIND Of BUSINESS OR INDUSTRY wOftUND Lift, EYE" to Rtn.NO 1 Law 11 262?-60--0048 11.. Attorne I? RESIDENCE-STATE COUNTY CITY, TOWN, OR LOCATION INsloe CITY LIMITS STREET AND NUMBER 1 srtcn" TES o. "C" It..Florida IA. Pinellas m Dunedin 1u. Yes IM 00 Mease Plaza FATHER-NAME FIRST Wow IASI MOTHER-MAIDEN NAME fuST MIDDLE LAST Casler Sr. 1 d B Ed Eugenia - Terry ,6 . war 1I . INFORMANT-NAME MAILING ADDRESS ISn1n of R.f.D. NO, CITY OR TOWN, STAR, DFI iT.14rs. Grace He Casler I00 Mease Plaza Dunedin Florida ?,?28 MI IN A PART 1. DEATH WAS CAUSED BY: (ENTER ONLY ONE CAUSE PER IN* FOR (D), (b), AND (C)( NEW EEN ONNi ANO Ol ATN IB IMMEDIATE CAUSE t lal CONSINGINI.K1 01: A A , OR CONDITIONS, 11 AM, oHICH GAVE 1HE 1'o Ib) C I STATINMMNOIATE CA WE lot, G iMB YNa1R. Out TO, OR AS A CONNOW [ d: LYING CAUN LASE (0 "PART 11. OTHER SIGNIFICANT CONDITIONS: COMO1na,s Corn.I.LTTING TO OEATN BUT NOT NLAIID TO CAYN Give" IN ran 1 ID) AUTOISY 1115 ON NOI If YES wlRr 11"DINOS Co". IN DET*MINING CAUSI No OF DEAD I,. 1+, AD[NT SUICIDE IPT.baMs,I DATT OF04JURY . ALONTH, DAY, reAR I HOUR OCCURRED I NNTES NATURE Of INwn IN TART I OR ran it, ITEM II I HOW IN J IgMltl !; OR UNDETERMINED {?.dMI f61E 1N TBt. M. 10/. INJURY AT WORK - PLACE Of INJURY Ar NONE, fAAM, sr.ERT, FACTO", LOCATION 1 $T.Nn Of 4.1.0 . NO., Cm OR tOWN, STATE I ' - 1 AP CIFY TES O1 NO / '.. OMKt NDO., IX. 1 PKI" 1 ,. 24 . CERTIFICATION- MONDN DAY "A1 MONNI DAY "EAR A MONTH w VV A'"fMON .01 ?Tpjf IMAM W IN! DllpAtEII CC(URREG 0 111 LAND, TO?me MsrA :,.:. PHYSICIAN: TO I ATTENDED TNN /Il I Q 11r • tic. . T ,uaV lid 01 MY 1PNOW1e00e, DUN 12A l AM TO Mt CAUNISI STAID. fl. . . 11B DeceANO rw. _ NOVA Of DEATH CERTIFICATION MEDICAL EXAMINER OR CORONER: ON THE BASIS CIS INt MONTH THE O Wit, rRONO1 ONAo AIONTH CAI OAY TEAR MOYR [.AMMATION of no BOO, ANo/01 me INVISTIGADION, IN MY OPINION, DEATH OCCUMND ON M, DAR AND DUE TO THE CAUNISI STAND. M 1? M . _ 111 §j± ?B, ____ -_ M. D. ? LLI3IARA: "r"ehch S A E 0"I ON nT DAT SIGNED J.0.44. DA,, V11411) 1?t. D. 20 , rs MAILING ADDRESS-CERTTNER 1221 Bay A'Trf; 'Clearwat ??A PP. er, 1:"1.G1?Kaa, 33516 STAR l3d .' BURIAL. CREMATION. REMOVAL ETERY OR CREMATORY-NAME LOCATION CITY OR IOwN STAR '. 1 SPKIn I Burial 7 Clearwater Cemetery 1tf Pinellas County, Florida Is. DATE TMONTH , DAY, rtARl 1« Tune 1, 1974 .". HOME-NAME AND ADDRESS I STREET O.. f o. No., 1 . TOWN STAR, ZIP I ERAL rl. Moss Funeral Hom Inc. 1320 Main St., Dunedin, Fla. 33528 Tl! 1 fLR 1REQOR SEj'?IA A Sij E. . _ \ REGIST R NA LYRE .41: Z DAR ECEIVtO BY LOCAL REGISi1A1 Iw ?!'l?1 3/ 7 3 CERTIFIED COPY riUST CARRY THE EMBOSSED SEAL OF THE REGISTRAR OF VITAL STATISTICS I hereby certify that this is a true and correct copy of a certificate on file in the office of the Local Registrar of. Vital Statistics of the Pinellas County Health Department, St. Petersburg, Florida. June 25, 1974 , Deputy Local Registrar P. ova ` qk^s w` Ik mss. `?« Z• STATE OF FLOR11 - ------------- ------- --- --- - ------------ OFFICE- of VITAL STATISTICS CERT FIED COPY CEFMFWA?y1nO?F DEATH L FILk NO. FLORIDA _ 1 DECEDENT'S NAME FIRST MIDDLE LAST 2 SEX Grace Harman Casler Female" ? 4. SOCIAL SECURITY NUMBER 5a. AGE-Last Birttbay SD. UNDER 1 YEAR Sa UNDER 1 DAY s`e6t ?1 3 DATE OF DEATH (Mon,, Day, Year) . 1 July 15. , 19,91 1 - = 2 6 2 -60-0048 (A") 9 0 Months Day. nulaa 9. DATE OF BIRTH (Monts, Day *so T. BIRTHPLACE (City and Sraes or Foreign Country) & WAS DECEDENT EVER IN U.S., ?Au ust 10" ?1900 Augusta, Georgia Iwt ?RCE??(,.aar?}, { go. PUCE OF DEATH (Check only one: see Instructions on other side) 9b. INSIIDVE CITY LIMITS? (Ks of NoI, ' • ,,. HOSPITAL Li Inpatient ' d PAiOutpatlem r l DOA t7THEfl: Il Nure Home Yes rnp *1 Residence nOther (Spocity) 9c FACILITY NAME (Nnot Nis,utk», Otte sthwal end number) 9d CITY, TOWN. OR LOCATION OF DEATH 9R COUNTY OF N r ? 700 "Meuse Plaza, 237 Dunedin Panel as \ ,. 104DECEDENT'S USUAL OCCUPATION , 1Db. KIND OF BUSINESSANDUSTRY 11. MARITAL STATUS -Married, 12. SURVIVING SPOUSE (N Willa, give maldwl minis) Never Married, Widowed, Divorced (Specify) Homemaker' Own Home Widowed 13s, RESIDENCE --- STATE,. 130COUNTY 13c CITY, TOWN, OR LOCATION 13d STREET AND NUMBER Fla Ida in6l1as Dunedin 700 Mease Plaza, X237; 136. INSIDE CITY 13( 21P CODE 14. WAS DECEDENT OF HISPANIC OR HAITIAN ORIQIN? 15. RACE -American Indian, 18. DECEDENT'S EDUCATI LIMITS? (As on NO (Specify No or Yes - Ir )ea, specify HAMM, Cuban, . Black, White, Mtt. (SPeoitY oM how P C?( d) 6 Mexican, Puerto Rican, etc) . XO No ? Iles Specify: r6 Ercmdar Yes 34698,x. White lerrermar cal.(1 ?st spec 12 Ax 1L FATHER'S NAME (First, Mh"o, Lawry' 1& MOTHER'S NAME (first, MIdd4 Malden SumwrM)- t Charles Beck Harman Lucia Mettze tea: iNFORMANT'9 NAME (rype?Rint) 19b: MAILING ADDRESS (St vet and Number Of Rural Route Number CJLyor kwn, State, Zip Coda) % " Otgei? R. Worley 1960 Buckhorn East, Atlanta, GA 30350,: 908 METHOD OF DISPOSITION 20b. PUCE OF DISPOSITION (Name ofoomsl w)s crernarory, or 20C, LOCATION City or Town SLAT 1,\ +` t curer pJece) . r I'v N+ N 'C}dunM?`!7Cr6A>rfanRemovalfrom state aDonatari dOther(SpkfY) Southeastern Crematorium Clearwater,, Ff,';?\"???? 2ta. SIGNATURE OF FUNERAL SERVICE LICENSEE OR 21b. LICENSE NUMBER 21a NAME AND ADDRESS OF FACILITY - t PERSON/(iINGA5SUCH (of License*) MOSS-);`vaster Funeral Home I !? / i r1 i is ?tf /j,1 1320 ?lain St. Dunedin, FL34699'<?;\?; / a 'Tv the:Dest of my knowledge, death occurred at a time, date and place and due to the 23a. On the basis of examination and+br investigation, In my opinion tie lith all t f : ' ' l ?) lhge(S ei atedr ( ¢ the time, date and Place and due to the ea ay and m?nt1M , i { ?32t UATf, fNED(MQ bey )t) HOUR OF DEATH 23b, DATE SIGNED (114d, OR W) 23c HOl1ROFt . ?1 ( ! t I iv, .t W .00 A (? s i fi? ISjs'? 1 1, E I? 124 NAM ,t?,ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER (Type of Print) 23d, PRONOUNCED DEAD (Mo., DaX ri) 23e. PRONWNCEDD /Hate) P .?? 3 + i 4-MA ME ANa ADDRESS OF CERTIFIER (PHYSICIAN. MEDICAL EXAMINER) (type or P W) 1 1, , .? ? x.111 ti?i ',Jones," -,M.D., 833 Milwaukee Ave., Dunedin FL ' 34691 t?j? ! ,?,?? TURE AND DAT 25b. LOCAL REGISTRAR - SIGNATURE 25c DATE RE(31$T JEp (+ y tli1l + SUBREGISTRAR ' III, ?? t li' 11 ?I ?fit "t + 1 rij } ,'+ ART [,'E ter dueaaea, E tuiea, or Cam lion at ca sad the death. Do not en vi dying, such as cardiac or respiratory amstMn$N I r l , 2a the mode t `ix heed faiklrei Lilt only one cause ea Ine. I OltsMailQi!J' , ? h I DMth? IMMaDIATtc CAUSE (FInil ( /h ; ?• . , + disease or condition rosunlnbin death) . s I/f 3i a t 1. i t V'h; S A---- DUE TO (OR AS A CONSEQUENCE OF); f ! /a l;f f, ,,1? ire JF lisloorltlshy list c'ondhiohs, A S H D ( r( i N arty, loading to immediate b cause. Enter UNDERLYING DUE TO (OR AS A CONSEQUENCE OF): CAUSE (Diseiae of i*ry that Inn0lted av*ft I .a r"u"ing in death) LAST c. DUE TO (OR AS A CONSEQUENCE O>7: PART IL Other significant conditions contributing to death but not resulting in the 276. WAS AN AUTOPSY 27b. WERE AUTOPSY FINDINGS 26. CASE REPORTCU underlying cause given in Part 1. PERFORMED? USED TO COMPLETE l TO Me 1JA..L I/ s (* o O) CAUSE OF DEATH? (Yes or NO) a7ul jE ? X. .. ' Yes, ff<< a' 29. IF FEMALE, WAS THERE A 309IF SURGEtiY IS MENTIONED IN PART I or it ENTER CONDITION FOR WHICH IT WAS PERFORMED 30b DATE OF SURGERY (Aso., ()ey Na(T),/ 1 •q PREGNANCY IN THE 3 MONTHS? O YES O 'A 31. PROBABLE MANNER OF.- 326. DATE OF INJURY 32b. TIME OF 32c. INJURY AT WORK? 32d. DESCRIBE HOW INJURY OCCURRED DEATH RELATED TO (Mon,, Day, 1bu) INJURY (Yes or No) CONDr NS.IN PART l ti ABOVE (SiuictQeii ftfyy), Natural. =11 hontialda M ttstrriined to 32e. PLACE OF INJURY - At home, farm, 321 LOCATION (Street and Number or Rural Route Number, City or town, Stab) ao Natural street, factory, etc. (Spacify) .i; , • r - TI $ C TRUE A CO RECT COP F T FFICIAL RECORD ON FILE IN THIS OFFICE f G2 J? ?, ISSUED: July 18,1991 OLIVER .H. BooROe ..?'?, . }It Deputy::.Registrar, . Pinellas County -..?. State Registrar ,THE aT?? f , ANY REPRODUCTION OF THIS D0CUfv1FNF IS PROHIBITED BY LAW L)1) NOT ACCEPT UNLESS ON SFCURI FY PAPER WITH COLORrD ? - "WARNING- - __ ? BACKGROUND AND GOLD EMBOSSED GREAT SEAL OF THE Sl ATE OF FLORIDA, ALTERATION Old FRASUFIF JOINS THIS CERTIFICATION. O°n?unw`rwrneC FIRS FORM 11594A 1-881 ? ooe era S7, awn i ?.r , .? ?L. . - :: -.dt. 1 >! \ tD i A ? a ... .car icsa, '?.•?' ' ?^ :c . June 23, 1992 Mr. J. Edward Evan, Personal Representative for Estate of Grace H. Casler First Florida Bank, N.A. P. 0. Box 479 Clearwater, FL 34617-0479 RE: Cemetery Property deeded to E. B.Casler, Jr., and Grace H. Casler Dear Mr. Evan; Enclosed is the form used by the City of Clearwater to transfer cemetery property to the City of Clearwater as we discussed on the phone. This property which is descibed as Block 9, Lot 17, Spaces 2, 3, and 4 is presently deeded to E. B. Casler, Jr., and Grace H. Casler. Please complete the pencil-checked areas of the form in the presence of two witnesses and a notary and return it to me along with the following attachments: Death certificates for E. B. Casler, Jr., and Grace H. Casler Letter of Administration for Estate of Grace H. Casler First Florida Bank, N.A., Authorization for your signature Sincerely, Susan Stephenson Document and Records Supervisor SS/cm t. ' E 27092913 TUTBLANX REGISTERED U S PATOFFI(rE FORM 1109 Fldrida Phow?oc QUIT CLAIM DEED. 245 Turtle law Prtnt PUblIshe/S, 7?utla/Id.Vl. O.R. 21,02 PAGE 12 Wherever wse-d herein, the term "party" shall include the heirs, personal representatives, successors and/or assigns of the respective parties hereto; the use of the singular inn shall include the plural, and the plural the singular, the usr of any gender shall include all grndcrs; and, if used, the term "note" shall include all the notes herein described if more than one, Made this day of zaa+v&,wV ,,,?? .1. D. 1.9 65 Between E. T. CASLER, joined by his wife RUTH CASLER, State of Florida, county of e*0*94 4` I HEREBY CERTIFY, That on this day personally appeared before me, an offtcer duly authorized to administer oaths and take acknowledfinents, Lot 17 and North Half (Nil) of Lot 8, Block 9, Clearwater, Cemetery <re4 CttT Ci.. STATE aF FLORiDA to >.. r? i ?T o DOCUMENTAL" -STAMP .TAY. !. Crv N a FE818'65 i ?c 3 _ r ?1?. aL P8 90124 LLER f 1 url ! Ct,014- can, rl ,...,* ??? / Pd C oe To Have and to Hold the same, together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, aA - right, title, interest and claim whatsoever of the said party of the first part, either in law or equity, to the only proper use, benefit and behoof of the said party of the secondC- 0?°- part. 51t t.. R,. t t/,.• 7 X41 -'' In Witness Whereof, the said party of the first part has hereunto set his hand and seal the day and year first above written. C_ft ' k Signed, Sealed and Delivered in Our Presence: ??4'.?i?r? ?, a,,,?..? ?*+w?+ E. T. C LER -RUTH CASLLK I Bartow , of the County of Polk and State of Florida party of the first part, and E. B. Casler, Jr. and Grace H. Casler, his wife, P. 0. Box 517, Clearwater of the County of D ne i.n Pinell s and Stae o Florida It party of the second part, Witne88eth, that the said party of the first part, for and in consideration of the sum of Dollars, in hand paid by the said party of the second part, the receipt whereof is hereby acknowl- edged, has remised, released and quitclaimed, and by these presents does remise, release and quitclaim unto the said party of the second part all the right, title, interest claim and demand which the said party of the first part has in and to the following described lot s , piece s or parcel s of land, situate lying and being in the County of ';.. Pinellas State of Florida, to wit: a E. T. Casler, joined by his wife RUTH CASLER, to me -well='known to be the person described in and who executed the foregoing instruyrUent -and they acknowledged before me that they execaite . "th' same freely and voluntarily for the purposes therein expressed. WITNES,5; my. hand and official seal at Csre County of ,-°1(' and State of Florida, this day oft-? .I. D. Notary Public .My Commission Expire A 7 .W J4" V l\+ ` O 'W A V z r 1 W ?h M ?r