Sloan, Sally SCITY OF C LEARWATE R
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
DEPARTMENT OF THE
CITY CLERK
September 11, 2002
Ms. Sally S. Sloan
1624 Keystone Court
Clearwater, FL 33756
Dear Ms. Sloan:
I am attaching herewith two deeds to cover the transfer of cemetery spaces located
in Block 7, Lots 128 and 129. Please have Grace C. Harris execute both documents before
witnesses and a notary public. In addition have her sign and complete the two Florida
Department of Revenue forms where indicated in yellow. These forms must accompany
each of the deeds when we send them for recording. After she has executed the documents
please return them to me and I will have them executed by City Officials.
After the deeds are recorded, I will send the originals to you.
If you have any questions, please contact me at 562-4097.
Sincerely,
Susan itephenso
Document & Records Supervisor
0
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER"
CONSENT TO CONVEYANCE
THIS INDENTURE is made this day of , 200_,
between GRACE C. HARRIS, as Grantor and SALLY S. SLOAN,
PURCHASER(s), whose mailing address is 1624 Keystone Court, Clearwater,
Florida 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 four (4) Lot One Hundred Twenty-nine (129) Block Seven (7)
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.)
Grace C. Harris
(Witness (2) Signed, Sealed and Delivered (Witness) names and addresses)
in the presence of us.)
STATE OF
COUNTY OF
Acknowledged before me on this
to me or has produced
By:
who personally known
Notary Public
day of
CONSENT TO CONVEYANCE
The City of Clearwater, Florida, a municipal corporation, hereby consents to the conveyance of Space four (4), Lot One
Hundred Twenty-nine (129), Block Seven (7), 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.
Countersigned: CITY OF CLEARWATER, FLORIDA
Brian J. Aungst, Mayor-Commissioner
Approved as to form and legal sufficiency:
Pamela K. Akin, City Attorney
Susan Stephenson, Deputy 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 to me and did not take an oath.
WITNESS my hand and official seal this day of -,20-.
STATE OF FLORIDA ) Notary Public
COUNTY OF PINELLAS)
Before me personally appeared William B. Horne, ll, 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 day of 20
Notary Public
20_, by
as identification and who did take an oath.
William B. Horne, II, City Manager
Attest:
CONVEY.DOC 9700-0031
Rev. 5/96
CONSENT TO CONVEYANCE
THIS INDENTURE is made this day of , 200,
between GRACE C. HARRIS, as Grantor and SALLY S. SLOAN,
PURCHASER(S), whose mailing address is 1624 Keystone Court, Clearwater,
Florida 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: Spaces one (1), two (2), three(3) and four (4) Lot One
Hundred Twenty-eight (128), Block Seven (7) 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:)
Grace C. Harris
(Witness (2) Signed, Sealed and Delivered
in the presence of us:)
(Witness) names and addresses)
STATE OF
COUNTY OF
known
Acknowledged before me on this
to me or has produced
day of , 20_, by
as identification and who did take an oath.
who personally
Notary Public
CONSENT TO CONVEYANCE
The City of Clearwater, Florida, a municipal corporation, hereby consents to the conveyance of Spaces one (1), two (2),
three(3), and four (4), Lot One Hundred Twenty-eight (128) Block Seven (7), 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.
Countersigned: CITY OF CLEARWATER, FLORIDA
Brian J. Aungst, Mayor-Commissioner
Approved as to form and legal sufficiency:
Pamela K. Akin, City Attorney
Susan Stephenson, Deputy 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 to me and did not take an oath.
WITNESS my hand and official seal this day of 20
STATE OF FLORIDA ) Notary Public
COUNTY OF PINELLAS)
Before me personally appeared William B. Horne, II, 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 day of -,20-.
CONVEY.DOC
Notary Public
9700-0031
Rev. 5/96
By:
William B. Horne, II, City Manager
Attest: