Williams, JacquelynINST # 95-099479
APR 27, 1995 5:03PM
CEMETERY DEED
PINELLAS COUNTY FLA.
OFF.REC.BK 8976 PG 1564
?
THIS INDENTURE made this ? day of s 1995, between :11 ,RECORDING
the City of Clearwater, Florida, a municipal corpora on as Grantor and JACQUELYN ACCT (00-U-1 0
WILLIAMS, whose mailing address is c/o Young's Funeral Home 1005 Howard Street, •
Clearwater, FI 34616 of the County of Pinellas, State of Florida, as Grantee: REC
'FEES -
WITNESSETH: That the said Grantor, for and in consideration of the sum of MTF
$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 her PTG
heirs forever, all the right, title and interest, which the said Grantor has in and to the :; T7 eZC
following described parcel of land, lying and being in Pinellas County, State of Florida, Doc-,,
to wit: Space 3, Lot 89, Block 15, Clearwater Cemetery, as recorded in Plat Book 60, :TOTAL C?
Page 30, Public Records of Pinellas County, Florida. so 7
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 her 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.
Cou ned: CITY OF CLEARWATER, FLORIDA
By:
Rit Garvey, Mayor-Commissio r Elizabeth Dept ity anager
Attest:
J?
Doct nontary Tax Pd. $
ln:rn,i.loTax Pd. Susan Stephenson, Deputy City,Clerk
STATE OF FLORIDA j:;J'rcn F Co C:a'ccr, C:crk, Pir>-Eas County
COUNTY OF PINELLASQy 11'7DIL Deputy Clerk
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 1 995
(SEAL) of ry Public
ry •,, DENISE A. WILSON )
MY COMMISSION M CC 201408 EXPIRES
Print/type name:
June 18, 1996
BONDED THRU TROY FAIN INSURANCE, INC.
STATE OF FLORIDA )
COUNTY OF PINELLAS)
Before me, the undersigned, personally appeared Elizabeth M. Deptula, 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 1995.
i
DENISE A. WILSON
e ;'.`j?% No ry Public
(SEAL) P« MY COMMISSION # CC 201408 EXPIRES (? `
f as June 1
Appr ed f m a d le a sufflclenCy,1*06;h , BONDED THRU TROY ame:
( A IR,p N T
Paul Richard' Hull, Assista t City Attorney CITY CLERK
POST OFFICE BOX 4748
CLEARWATER, FL 34618-4748
PURCHASE OF CEMETERY SPACE CHECK LIST
ATE:
OWNER'S NAME t ,
ADDRESS
BLOCK LOT SPACE
INTERRED: COST OF SPACE
RECEIPT NO.
RECORDING FEE
STAKING FEE
TOTAL
NncluJr (- u-(V. if uthrr than hnellmc)
x ?G D
x
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 them be followed in their listed order.
-Check Availability of space
lZPrepare receipt for purchaser -4-- Cc, (Q?t
_1color in green plat (located in binder in overhead cabinet at receptionist's station
IVOTR; 'Fn CdT?INi' STEPS WILL BE igAADLRD -Y',EIilPL0)EES t??Nl? R I;dr)71NEL}'RESP4IVSIBX FOR 'CEit E7 K}
RECORD ILEEPIAG. IF THIS IS ANA T--N.,ED PURCHASE PLEASE SEE -ADDITIONAL STEPS FOR'AT NEED USE OF SPACE
INTERylE)VT
') AT 60TZOM OF A,4 GE.
1
r J,
`'Fill to ownership uformation in Cot?ew'ie I Book A Prepare deed for each space purchased
Fill in Florida Dept. of Revenue form
Zprcpare routing memo to route deed and revenue farm for signatures and route
Enter document information re deed in Document Tracking System
After deed is returned to Clerk Dept. fully executer!, send for recording and enter necessary information in Document
Tracking System
When deed comes back from recording, mark cnlnpleted in ocument Tracking System
Prepare transmittal letter sending deed to owner, enter in Document Tracking S •ter l
File copy of deed in cemetery files in vault
ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT)
Fill out burial permit (located in overhead cabinet at Receptionist's station)
Fax permit to cemetery and parks
1GPrepare receipt when staking fee ($30.00) is received fi-om Funeral Home
I.SUMMCEMCnST. FRAf
June 27, 1994
j? a t F... ?j ets,
Department of the
Clty Clerk
(813) 462-6684
May 1, 1995
C I T Y OF C E E A R W A T E R
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618-4748
Mrs. Jacquelyn Williams
c/o Young's Funeral Home
1005 Howard Street
Clearwater, FL 34616
Dear Mrs. Williams;
Enclosed is the Cemetery Deed, which indicates that
you own Space Three (3), Lot Eighty-nine (89), Block
Fifteen (15), in the Clearwater Cemetery. This deed has
been recorded in Official Records Book 8976, Page 1564.
It is important to keep this deed in a safe place
and to make a separate note of the official record book
and page numbers. In the event the original deed is lost
or destroyed, this information will be needed to obtain
a copy from the Pinellas County Clerk of the Circuit
Court.
If we may be of service in the future, please call
upon us.
Yours very truly,
Susan Stephenson,
Documents & Records Supervisor
SS: em
Enc.
-Equal Employment and Affirmative Action Employer"