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Woody, Nathan (3)a IN -'T # 94-136673 MAY 10, 1994 4:55PM PINELLAS COUNTY FLA. OFF.REC.BK 8660 PG 262 CEMETERY DEED THIS INDENTURE made this day of 1994, between the City of Clearwater, Florida, a municipal cor oration as Grantor and Nathan Woody, whose mailing address is P.O. BOX 118, Clearwater, 34617, of the County of Pinellas, State of Florida, as Grantee: For the interment of Wieslaw A. Sobiech Approved as to form and correctness: A Paul Ric and Hu 1, 1L RtTgt City Attorney CITY CLERK 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 his 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 1, Lot 9, Block 16, 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 his 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 tersigne : #?a Garvey, your-Commissioner CITY OF CLEARWATER, FLORIDA By: A" Eliza eth Deptula, City Manager' Attest':.e r? F^ ? Susafi cigtiephenso'r Deput* ty Clerk ° -/.i bCCCPObo ? w t. rr. POST OFFICE BOX 4748 KARLEEN F. DEBLAKER, CLERK 1 TER, FL 3 ~ 618-4748 RECORD VERIFIED BY: -Zz? PINELLAS COUNTY FLA. OFF.REC.BK 8660 PG 263 4 Page #2 of Cemetery Deed between the CITY OF CLEARWATER, FLORIDA and Nathan Woody dated ,1994 regarding Block 16, Lot 9, Space 1. 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. (SEAL) Notary Public Print/type name: CAROLYN L. BRINK W comm. expires 2% M" Gbmtn. Na OG LU74A 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. ' DENISE A. WILSON =.• .- MY COMMISSION N CC 201408 EXPIRES ,. - June 18, 1996 LC (SEAL ) ENDED TNRU TROY FAIN INSURANCE, INC. Notary Public Print/type name: J ? i n ?.. Department of the City Clerk (813) 462-6684 May 17, 1994 C I T Y OF C L E A R W A T F. R P O S T O F F I C E B O X 4748 CLEAR WATER, FLORIDA 3461 8-4748 Mr. Nathan Woody P. O. Box 118 Clearwater, Florida 34617 Dear Mr. Woody: Enclosed is the Cemetery Deed, which indicates that you own Space 1, Lot 9, Block 16, in the Clearwater Cemetery. This deed has been recorded in Official Records Book 8660, Page 262. 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 Stephens n, Documents & Records Supervisor SS: em Enc. 4VV E q u a l E m p l o y m e n t a n d A f f i r m a t i v e A c t i o n E m p l o y e r'' C I T Y OF C L E A R W A T E R Interdepartment Correspondence TO: LEGAL DEPT. FROM: CITY CLERK DEPT. SUBJECT: CEMETERY DEED DATE: April 29, 1994 (X) FOR YOUR SIGNATURE 1. MAYOR 2. CITY MANAGER 3. CITY ATTORNEY 4. DEPUTY CITY CLERK WOODY/SOBIECH Block 16, Lot 9, Space 1 Eleanor Maggio Staff Assistant I cc: cm DATE PURC 4.SE OF CEMETERY SPACE 3OWNER'S NAME , -Ta A IC-1 U-1 m PHO vuwBER ADDRESS ' L (Include Couacy, i.f ocher chaa?ina? T?-) BLOCK LOT SPACE COST OF SPACE S a RECORD NG FEE RECEIPT NO. C7? TOTAL S )C? The Purchaser will fast 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. ?CheckLot Ownership Book y Color in green plat (located in binder in overhead cabinet at receptionist's station /P=are a receipt for the purchaser Have Purchaser sign Florida Dept. of Revenue form Z Prepare deed for each space purchased Fill in Florida Dept. of Revenue form Enter document information re deed in Document Tracking System -/ Prepare routing memo to route deed and revenue form for signature and route After deed is returned to Clerk Dept fully executed, send for recording and enter necessary information in Document Tracking System When deed comes back from recording mark completed in Document Tracking System Prepare transmittal letter sending deed to owner File copy of deed in cemeteryfiles in vault ADDITTOmAL. STEPS FOR AT-:)=D USE OF SPACE (R=MFN7) out burial permit (located in overhead cabinet at Receptionist's station) a Prepare receipt when staking fee ($30.00) is received from Funeral Home Call Pitts (effective 213192) 6.531 and leave message that there is a burial permit to be picked up ,SIlSAAcM0=.:RM .rannaxr. L5, 1992 Fnll in ownership information in Lot Ownership Book