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Young's Funeral Home (3) OFFICIAL RECORDS AND LEGISLATIVE SERVICES February 17, 2004 Young's Funeral Home 1005 Howard Street Clearwater, FL 33756 Dear Mr. Young: CITY OF CLEARWATER POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748 CITY HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756 TELEPHONE (727) 562-4090 FAx (727) 562-4086 Enclosed is the Consent to Conveyance which indicates that you own Space one (1), Lot fourteen (14), Block Eleven (11) in the Clearwater Municipal Cemetery. 'This space was purchased for the burial of Kirk Shaw. This Consent to Conveyance has not been recorded in Pinellas County Official Records. We recommend that you record this instrument so that in the event the original is lost or destroyed, a copy of the document will be available from the Pinellas County Clerk of the Circuit Court. If you have any questions, please call me at 562-4097. Sincerely, Susan Stephenson Document & Records Supervisor ss BRIAN J. AUNGST, MAYOR-COMMISSIONER HOYT HAMILTON, VICE MAYOR-COMMISSIONER WHITNEY GRAY, COMMISSIONER FRANK HIBBARD, COMMISSIONER ® BILL JONSON, COMMISSIONER "EQUAL EMPLOYMENT AND AFFIRMATIVE. ACTION EMPLOYER" CONSENT TO CONVEYANCE Tjt THIS INDENTURE is made this IL" day of -z '' 2004, between KEITH L. ESTES AND DOLORES ESTES, as Grantor a, , YOUNG'S FUNERAL HOME, PURCHASER(s), whose mailing address is 1K05 HOWARD STREET, CLEARWATER, FL 33756 of the County of Pinellas State of Florida, as Grantee: WITNESSETH: That the said Grantor transfers ownership to Grantee and has remised, released and quit claimed unto the said Grantee, and 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 One (1), Lot Fourteen (14), Block Eleven (11), 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 City of Clearwater, Florida 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 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 heirs and assigns forever. IN WITNESS WHEREOF, said Grantor has signed and sealed these presents on the day and year first above written. (Grantor(s) name.) (Grantor(s) address.) Keith L. Est s ,s ? /?. 9 ?' S. -?' ?2c?s P?v ? vc G??.ar>er.,.1 Lt's. tt t=? ? 3 Z s. a (Name of Se er) is Delores Estes . D erv ? Q? I ?-4 S.'PO? 0s P? T- AQt- C, LJfA0,w ArtR, N L-3 3'7I (Name of Seller) (Witness (2) Signed, Sealed and Delivered in the presence of us:) &t - A. i,.. Cv? STATE OF FLORIDA ) COUNTY OF PINELLAS) (Witness) names and addresses) I l a 5. OSce o Ca. Ave . , CJe,,r oJaL , YL -M-75C, Acknowledged before me on this day of Q 20!1:11, by JS e FS Ae.C who personally known to me or has produced as identification andd?\)whhodid take an oath. V c ? P ,,.1111 Gwen R. Hollander No ry public (SEAL)Notary Public MYCOMMISSION# DD076215 EXPIRES a= January 13, 2006 ???r':1°Q0 BONDED THRUTROY FAN INSURANCE INC Print/Type Name STATE OF FLORIDA ) COUNTY OF PINELLAS) Acknowledged before me on this ? day of >G? 20, by _De IrPr ACs 4c-s who personally known to me or has produced j ,I V e r 4 j e e y4 s'r._ as id tification and vAp did take an oath. bli SEAL N P otary public ?^ ? ( ) otary u c aY r p / tk rri r Cwen R. Hollander PrintfType Name M Y COMMISSION # DD076215 EXPIRES ` January 13, 2006 BONDED THRU TROY FAIN INSURANCE, INC _ Consent to Conveyance Estes/Young CONSENT TO CONVEYANCE The City of Clearwater, Florida, a municipal corporation, hereby consents to the conveyance of Space 1, Lot 14, Block 11, Clearwater Cemetery, from the Grantor, to the Grantee. 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 Deputy City Clerk on the day and year first above written. Countersign : CITY OF LEARWATER, FLORIDA • ~ B' + Bria J. Aungs o ommiss r ,JVilliam B. Horne, II, City Manager Apved as to f ag I ufficiency: / ?Clvt ` c 5`j i.5 rANT G(-ry bTTe ztii~`( Attest: Ct- Pam K. Akin, City Att ey Susan Stephenson, Dep ty City Clerk STATE OF FLORIDA ) COUNTY OF PINELLAS) Before me personally appeared Brian J. Aungst, the Mayor-Commissioner of the above named city, who acknowledged that he executed the foregoing instrument. He is personally known o me and did not take an oath. WITNESS my hand and official seal this 17 day of 20 d "VP Notary public V, Carolyn L Brink (SEAL)Notary Public; MYCOMMISSION# DD203569 . ;.... 80NDEUTHau?2Z ZWr ype Name INSURANCE INC STATE OF FLORIDA ) COUNTY OF PINELLAS) oK Before me personally appeared , , the City Manager of the above-named city, who acknowledged that he executed the foregoing instrument. He is personally known to me and did not take an oath. WITNESS my hand and official seal this 1 7 day of atIt- -1200.4 CA?Iclk ?34 Notary public (SEAL)Notary Public Print/Type Name it"•. Carolyn L Brink MY COMMISSION # DD203569 EXPIRES May 22 2007 n.,•• BONDED THRU TROY FAIN INSURANCE, INC Consent to Conveyance Estes/Young 2