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Thomas, Freddie Mae (2)INST # 97-209125 JLY 23, 1997 1:05PM CEMETERY DEED THIS INDENTURE made this j d y of 1997, between the City of Clearwater, Florida, a munici r ration as Grantor and FREDDIE MAE THOMAS whose mailing addr is 1114 Palm Bluff Street, Clearwater, FL 34616 in the County of Pinellas, State of Florida, as Grantee: WITNESSETH: That the said Grantor, for and in consideration of the sum of $500.00, to it in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has remised released and quit-claimed unto the said Grantee, and their heirs forever, all the right, title and interest, which the said Grantor has in and to the following described parcel of land, lying and being in Pinellas County, State of Florida, to wit: SPACE Two (2), LOT Five-hundred Thirty-five (535), BLOCK Fourteen, (14), Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. PINELLAS COUNTY FLA. OFF.REC.BK 9781 PG 2300 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 and is subject to such other rules and regulations the City of Clearwater may adopt pertaining to use of said property. TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said Grantee and their heirs and assigns forever. IN WITNESS WHEREOF, said Grantor has caused these presents to be execute&n its na;r2g.by its Mayor Commissioner, by its City Manager, and to be attested and its corporate seal affixed by the City CledZ o_mtbe*aay and'yeear first above written. Co ned: k OF CLEARWATER, FLORIDA By: - RIt Garvey, M yor-Commissione Michael. Roberto, frity ad&, / Attest. Susan Stephensoir, Deputy, y Clark' STATE OF FLORIDA ) ??'?, COUNTY OF PINELLAS) Before me, the undersigned, personally appeared Rita Garvey, the Mayor-Commissioner of the City of Clearwater, Florida, to me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be her free act and deed for the use and purposes herein set forth. _ WITNESS my hand and official seal this __? day of , 1997. (SEAL) _Ualaif Documentary Tax Pd. a Public ?Y ? ' Sy v ? CAROLYN L. OKM MKanpbla Tax Pd. Print/type name: A ISSION # CC 463040 STATE OF FLORIDA a EXPIRES M AY 22,1 U99 15 COUNTY OF PINELLASWIaan F. De Btakor, Clark, Pk*W County Q ppNDEDTHRU INC. OF FVO ATLANTIC BONDING CO., dY Deputy clerk Before me, the undersigned, personally appeared Michael J. Roberto, the City Manager of the City of Clearwater, Florida, to me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be her free act and deed for the use and purposes herein set forth. WITNESS my hand and official seal this day of 1997. 11 RECORDING C, ., n- ACCT Jb_D0%0 kvn-?"-? (SEAL) ?pQY PJ& OOMMISSION # CC 463 tarry Public REC o f, EXPIRES MAY 22,19 Approved a rm and legal suffic...... Print/type name: z Q ?aoTF+au IkIEES -7 ?_T p 1404 FATLANTIC BONDJN John Carassas, Assistant City Attorney PTO TO: DEED.DOC RETURN TO: Pic 9700-0026 C17Y CLERK DOC K-r TY CLERK - Rev. 5/96 INT Y:,f. 4713 "'DOTAL ... 01i \ o 99??TE tt?o? OWNER'S CITY OF CLEARWATER Da to : 7 a -e, PHONE NUMBERlG/a - S Off' ADDRESS BLOCK LOT 53 SPACE INTERRED: COST OF SPACE 0 li RECORDING FEE $_ /c/o& STAKING FEE $ 7 . C? RECEIPT NO. Ceq TOTAL $ C? The Purchaser will first visit the cemetery and obtain the legal description of the space selected from the caretaker at the cemetery. The following steps shall then be followed in their listed order. - -Check Availibility of space Prepare a receipt and a copy of the Rules and Regulation for the purchaser Zcolor in green plat (located in binder in overhead cabinet at receptionist's station) NOTE: FOLLOW]AIG STEPS WILL BE HANDLED BY EMPLOYEES WHO ARE ROUTINELY RESPONSIBLE FOR CEMETERY RECORD KEEPING IF THIS IS AN AT-AEED PURCHASE. PLEASE SEE "ADDITIONAL STEPS FOR AT NEED USE F SPACE (INTERMENT) "AT BOTTOM OF PAGE. 1 ut ownership information in data base program for spaces in all Blocks. Additionally, write information in Ownership Book ocated in vault) for all spaces in Blocks 1 thru I1 only _Ppe pare deed for each space purchased Fill in Florida Dept. of Revenue form -! En r document information re deed in Document Tracking System YPrepare routing memo and route deed and revenueformfor signature - file check list in vault (28-003) fier deed is returned to Clerk Dept. fully executed, send for recording and enter necessary information in Document Tracking System -When dOed comes back from recording, mark completed in Document Tracking System, enter recording date and OR Book & Page ?rr'umber in Cemetery data base file, and pull check list from 28-003 -Prepare -003 Prepare transmittal letter and enclose the original deed and a copy of the Rules and Regulations and send to owner _File copy of deed, check list, and transmittal letter (attached in that order) in cemetery files in vault by owner's last name in 28-001 ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT Fill out burial permit (located in overhead cabinet at Receptionist's station) _Ftk permit to cemetery (6487) and Parks field house (6551) -File per in back of blue binder located in vault above the 28-000 files -Prepare recei hen staking fee ($30.00) is received from Funeral Home (mark in data e file and on paper copy of cemetery permit) \SUSAN\CEMCKLST.FRM January 21, 1997