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Ware, Mozella0 1-067201 MAR-& 1'000 1 r .-.ter,, PINELLAS CO SK 11275 111111111111111111111111111111111111111131 IN 369 CEMETERY DEED THIS INDENTURE made this day of ?`t GGG 2001, between the City of Clearwater, Florida, a municipal corporation as Grantor and MOZELLA WARE, whose mailing address is 113 Brinson Road, Thomasville, GA 31757 State of Georgia, as Grantee: WITNESSETH: That the said Grantor, for and in consideration of the sum of ?-band 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 zero zero (00), LOT One Hundred Ninety-nine (199), BLOCK Fourteen (14), Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. This deed replaces deed to Mozellla Ware for Space 00, Lot One Hundred Ninety-five (195), Block 14, which was recorded Mar. 17, 2000 in Pinellas County BK 10847 PG 93. 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 executed in its name by its Mayor-Commissioner, by its City Manager, and to be attested and its corporate seal affixed by the City Clerk on the day and year first above written. Countersig CITY F C ER, FLORIDA ,f!? , Brian J. ngst, M i -Commissioner Willia Horne, II, Int ri y Manager Attest:' y? Susan Stephenson, Depu ' City Clerk STATE OF FLORIDA ) COUNTY OF PINELLAS) Before me, the undersigned, personally appeared Brian J. Aungst, 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. /Q? WITNESS my hand and official seal this / 3Y'day of h`?" '2001. (SEAL) Notary Public Print/t a name: Yp NOTARY PUaLIC - STATE OF FLORIDA C.AROLYN L BRINK STATE OF FLORIDA ) COMMISSION 000034678 COUNTY OF PINELLAS) EXPIRES 5122/2003 eONDED THP.U ASA 1.888-NOTARY'S Before me, the undersigned, personally appeared William B. Horne, Il, the Interim 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 his free act and deed for the use and purposes herein set forth. WITNESS h d d ffi i l l r my an an o c a sea this day of / 2001. PAAGES ?? ? ??• ACCT _ o • REC Notary Public Approved to form: D R21 DS Print/type name: ' ' INr 1 .. s ?L • :Y r'iliii.,,<; - Sl i'?.'.t Jf G-ICI i%::..:. CAkOLYN L. BRINK ES Pamela K. Akin, City Attorney COMMISSION 0 CC834678 EXPIRES 5122/2003 NITF BONDED THRU.ASA 1-888-NOIARW P/C REV DEED.DOC RETURN TO: City Clerk Department - -` 5.r J'.01 t C- P. 0. Box 4748, ClearwaterM 8 5H'-'?-'` " 9700-0026 Rev. 7/97 CHG A1411 CEMETERY DEED THIS INDENTURE made this day of , 2001, between the City of Clearwater, Florida, a municipal corporation as Grantor and MOZELLA WARE, whose mailing address is 113 Brinson Road, Thomasville, GA 31757 State of Georgia, as Grantee: WITNESSETH: That the said Grantor, for and in consideration of the sum of $500.00 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 zero zero (00), LOT One Hundred Ninety-nine (199), BLOCK Fourteen (14), Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. This deed replaces deed to Mozellla Ware for Space 00, Lot One Hundred Ninety-five (195), Block 14, which was recorded Mar. 17, 2000 in Pinellas County BK 10847 PG 93. 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 executed in its name by its Mayor-Commissioner, by its City Manager, and to be attested and its corporate seal affixed by the City Clerk on the day and year first above written. Countersigned: CITY OF CLEARWATER, FLORID Brian J. Aungst, Mayor-Commissioneri, BG: C /William B. Horne, II, Interim City Manager Attact? C Susan Stephenson, Deputy City Clerk STATE OF FLORIDA 1 COUNTY OF PINELLAS) Before me, the undersigne personally appeared Brian J. Aungst, the Mayor-Commissioner of the City of Clearwater, Florida, to me well known to be a person who executed the foregoing instrument and acknowledged the execution thereof to be her free act and deed for the s and, purposes herein set forth. WITNESS my hand and official seal hi day of 2001. (SEAL) STATE OF FLORIDA ? COUNTY OF PINELLAS? Print/type name: Before me, the undersigned, personally appeared William B. Horne, II, the Interim 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 his free act and deed for the use and purposes herein set forth. WITNESS my hand and official seal this day of , 2001. Notary Public Approved as to form: Pamela K. Akin, City Attorney Notary Public Print/type name: DEED.DOC 9700-0026 RETURN TO: City Clerk Department Rev. 7/97 P. 0. Box 4748, Clearwater, FL 33758 99?ATE{1 F?o? OWNER'S ADDRESS -Ifo BLOCK LO CITY OF CLEARWATER 7S Q a 'ACE 0,?:2_ Date: -3 _ `6 1 E NUMBER COST OF SPACE RECORDING FEE $ nc $ STAKING FEE RECEIPT NO. TOTAL $ 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. 'CheckAvailibility ofspace /Pre are a receipt and a copy of the Rules and Regulation for the purchaser _Z Pr in green plat (located in binder in overhead cabinet at receptionist's station) E1) lei E 'U ?V/ is P Ij\0, i! ?I c i'l? 1'1 R( 1,1,51 I_lI 151 ,?TL ?1 './Z111.? l1 ?,? 12r1tlO?It1{ 1'(Crl. l Input ownership information in data base program for spaces in all Blocks. i Book (located in vault) for all spaces in Blocks 1 thru I1 only Prepare deed for each space purchased Prepare routing memo Fill in Florida Dept. of Revenue form L- Enter document information re deed in Document Tracking System Route deed and revenue form for signature -file checklist in vault (28-003) Additionally, write information in Ownership -After deed is returned to Clerk Dept. fully executed, send for recording and enter necessary information in Document Tracking System -Upon return of deed from recording, pull check list from 28-003, mark completed in Document Tracking System, and enter recording date and OR Book & Page number in Cemetery data base file -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 cemeteryfiles in vault by owner's last name in 28-001 ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT) I'F out burial permit (located in overhead cabinet at Receptionist's station) -Fax permit to cemetery (6487) and Parks field house (6551) File permit in back of blue binder located in vault above the 28-000 files Prepare receipt when staking fee ($30.00) is received from Funeral Home (mark in data base file and on paper copy of cemetery permit) CITY OF CLEARWATER CITY CLERK DEPARTMENT POST OFFICE BOX 4748 CLEARWATER, FLORIDA 33758-4748 PHONE: 562-4090 February 13, 2001 Mrs. Mozella Ware 113 Brinson Road Thomasville, GA 31757 Dear Mrs. Ware, It has recently come to our attention that your loved one, Arthur Nellons, is buried in Block 14, Lot 199, Space 00 of the Clearwater Municipal Cemetery and your deed indicates he is buried in Block 14, Lot 195, Space 00. It is necessary that you return your original deed so that we may re-issue a new deed to you for the correct space. Enclosed is a self-addressed, stamped envelope for you to return the deed now in your possession. It will take approximately 3 to 4 weeks to re-issue your new deed. We apologize for any inconvenience this may cause. Yours very truly, Cam(i Motley Central Records Specialist cm Enc. 1 4 4c' , D o ci z? ?AGUA 4-+ ° o 4-4 Gr a, A a? ?w V w U U 0 H O 3 4° 0 a r 4tA? a? U W o O v A ?• i ? O U G4 U O ? M N a o ..c u Q a? a a? a bA o x ?" o 4.4 bA a z 0 ?n w A v? • 00-0786.31 MFR-17-2000 5 : 47pm PINELLRS CO 8K 10647 PG 93 CEMETERY DEED _ 111111111111 111111111111111111 /: THIS INDENTURE made this Q day of , 2000, between the City of Clearwater, Florida, a municipal corporation as Grantor and MOZELLA WARE, whose mailing address is 113 Brinson Road, Thomasville, GA 31757. 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 zero zero (00), LOT One Hundred Ninety Five (195), BLOCK Fourteen (14), Clearwater Cemetery, as recorded in Plat Book 60, Page 30, 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 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 t be executed in its name by its Mayor-Commissioner, by its City Manager, and to be attested and its corporate seal affixed by I City Clerk on the day and year first above written. Countersigned: CITY OF EA R, FLORIDA By:_ Brian J. Aun ayor-Commis loner Mi Attest: J. Roberto, City Susan Stephenson, Deputy gty Clerk STATE OF FLORIDA ) COUNTY OF PINELLAS) Before me, the undersigned, personally appeared Brian J. Aungst, 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 134 day of 2000. ? 31A-01 !:OT PUBLIC - STATE OF FLORPMtary Public (SEAL) CAROLYN L. BRINK Print/type name: COMMAISSION0CC&W78 STATE OF FLORIDA I BONDED THRU ASA 1-86&NOTARYI COUNTY OF PINELLAS) 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 his free act and deed for the use and purposes herein set forth. 1? WITNESS my hand and official seal this ?3day of? , 200Q; PAGES I__ _ ?C • ` a'l..." AC 30 T Notary Public PEC Ap ?d legal sufficiency: DR 21, ' ( Print/type name: NOTARY PUBLIC - STATE OF FLORIDA r CAROLYN L BRINK John Carassas, Assistant City Attorney C ? • COMMISSION 8 CC&W78 lJV MIRES 522/2003 F?(j j UV BONDED THRU ASA 1.888-NOTARYI 'yTF I" J REV DEED.DOC - '; RETURN TO: City Clerk Department Trl'?'` rt P. 0. Box 4748, Clearwatel, FL' 8--- . t.J Dom mentary Tax Pd. T _ U. Karleen F. De Bla;er, 9700-0026 By Rev. 7/97 CEMETERY DEED 1 00-078831 MAR-17-2000 5:4 93 PINELLRS CO 8K 10847 PG 1111111111111111101111111 1111I I I l l 111 11 fill 111 1 i )? THIS INDENTURE made this Q day of , 2000, between the City of Clearwater, Florida, a municipal corporation as Grantor and MOZELLA WARE, whose mailing address is 113 Brinson Road, Thomasville, GA 31757. WI I rvtsslr I H: I nat 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 zero zero (00), LOT One Hundred Ninety Five (195), BLOCK Fourteen (14), Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. This conveyance is subject to the condition that Grantee herein shall no i n or convey said property without the written consent of the Grantor, and to the further condition that said property s II be use my for cemetery purposes as human burial sites and is subject to such other rules and regulations the City of Clear ater may ad t pertaining to use of said property. TO HAVE AND TO HOLD the same to the only proper use, be fit, and /behoo of the said Grantee and their heirs and assigns forever. IN WITNESS WHEREOF, said Grantor has caused these pres nts t be execits name by its Mayor-Commissioner, by its City Manager, and to be attested and its corporate seal affixed y t City the day and year first above written. Countersigned: CITY OF EAR R, F ORI A- By: Brian J. Aun 41, ayor-Commis ioner Mich J. Roberto, City Attest: 1 Susan Stephenson, Deputy Clerk STATE OF FLORIDA ? 7 . - COUNTY OF PINELLAS) Before me, the undersigned, rsonall appeared Brian J. Aungst, the Mayor-Commissioner of the City of Clearwater, Florida, to me well known to be the erso who executed the foregoing instrument and acknowledged the execution thereof to be her free act and deed for the use an rposes herein set forth. WITNESS my hand and official seal this 13* day of 11k4CAwCoL 2000. (SEAL) STATE OF FLORIDA ? COUNTY OF PINELLAS) or, `' J•? NOT PUBLIC - STATE OF FLORp6tary Public CAROLYN L. BRINK Print/type name: COMMISSION 0 CC834678 BONDED THRU ASA 1 868-NOTARYt 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 his free act and deed for the use and purposes herein set forth. WITNESS my hand and official seal this r3 day of /-1*.s.?41? , 2000. Ap ?d legal sufficiency: John Carassas, Assistant City Attorney PA.GES_ I A'% .3 i PEG int/type name: D9,21 D" FFE S S Notary Public NOTARY PUBLIC - STATE OF FLORIDA CAROLYN L. BRINK COMMISSION 0 CC834678 EXPIRES 5/22/2003 BONDED THRU ASA 1-888-NOTARY? P. J REV Downentary Tax Pd. g S: _ -- DEED.DOC - --- ?- Karleen F. Da 9700-0026 RETURN TO: City Clerk Department Tel Vin'` --??-U By Rev. 7/97 P. 0. Box 4748, Clearwate, `F 8----- I1.r / f? ?