Williams, LoisINST # 94-175330 PINELLAS COUNTY FLA.
JUN 15,,1994 5:26PM OFF.REC.BK 8699 PG 1236
CEMETERY DEED
THIS INDENTURE made this day of
1994, between the City of Clearwater, Florida, a municipal corporation
as Grantor and Lois Williams, whose mailing address is 12488 Lincoln
Place, Largo 34644, of the County of Pinellas, State of Florida, as
Grantee:
For the interment of Willis Williams
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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 her 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 3, Lot 70, Block 15, 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.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.
R EC a .sue By:
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D R 219 3, _s't7
Rita Garvey, DS Elizabeth Deptula,
Mayor-Commissionerl".4T _ City Manager
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CERT Attest: ?'1 •°°
Countersign d: 11 RECORDING CITY OF CLEARWATER, FLORIDA
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FE`S /y°
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usan e h6-bpoh, ,
TOTALI U c? Deputy City Clerk ,
Approved as to form and correctness:
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6.LLc.-
Paul Richard Hull,
Assistant Cit Attorney, 3 50
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RETURN TO.
CITY CLERK
POST OFFICE BOX 4748
CLEA M-V T' ^ % 748
PINELLAS COUNTY FLA.
OFF.REC.BK 8699 PG 1237
Page #2 of Cemetery Deed between the CITY OF CLEARWATER, FLORIDA and
Lois Williams, dated , 1994, regarding Block 15, Lot
70, Space 3.
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 g day of
1994.
ce, )6'?c
(SEAL) Notary Public
CAROLYN L. BRINK
Print/type name: Netavy Pttbiie, 6ttrte Fiwida
My comm. expires May 22, 1995
Con m. No. CC 111741
STATE OF FLORIDA )
COUNTY OF PINELLAS)
Before me, the undersigned, personally appeared Elizabeth M.
Deptula, 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 her free act and deed for the
use and purposes herein set forth.
WITNESS my hand and official seal this day of ,
1994.
=4_M°..°i DENISE A. WILSON
:.: MY COMMISSION N CC 201408 EXPIRES
June 18,1996
(SEAL) BONDED THRU TROY FAIN INSURANCE, INC. Notary Public
Print/type name
CEMETERY CHECK LIST
PURCHASE OF CEMETERY LOT
Owner's Name d rJ L ?/? G
Address DATE
rIt - <--
County (if other than Pinellas) L LA c-?
Block S Lot R Space
J/k Cost of Space $ ?(V) `
Recording Fee --
/^ Total Collected $ Sr y 7` ? -
Receipt No.
-T/PQrehas'?r-ssgnsd "F lorida ?of Revenue Return f r Transfers of
Interest in Florida Real Property" form
Give Purchaser copy of Rules & Regulations (in Cemetery file drawer)
,/Deed Prepared
? Deed signed & sent for Recording
Copy of Deed filed in Cemetery drawer
Original deed mailed to purchaser with cover letter
-,-Necessary information entered in Cemetery Plat Book (large green book)
INTERMENT
C" Filled out Cemetery Information Sheet
Vterify ownership in Cemetery Plat Book
Received $ staking fee & issue receipt
the block, lot & space on the receipt)
v'Issue Burial Permit
(include deceased's name and
` Call Bob Maute at 6588 (Faye at Public Service Dispatch) & leave
message for him to return call. When he calls back, give him
name of deceased, block, lot & space, and date & time of service.
Fill in proper line in Plat Book
L/ Fill in proper space on Master Map (in Plat Book)
?- Enter deceased's name in Cemetery Index
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-Al
Department of the
City Clerk
June 20, 1994
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 B O X 4748
CLEAR WATER, FLORIDA 3461 8-4748
Ms. Lois Williams
12488 Lincoln Place
Largo, Florida 34644
Dear Ms. Williams:
Enclosed is the Cemetery Deed, which indicates that
you own Space 3, Lot 70, Block 15, in the Clearwater
Cemetery. This deed has been recorded in Official
Records Book 8699, Page 1236.
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,
4a'? 4g;o?
Susan Stephen on,
Documents & Records Supervisor
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Enc.
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'Equal Employment and Affirmative Action Employer''