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Smart, Elizabeth Snead• Cemetery Call Work Sheet Date: Funeral Home/ Monument Company: G I?:?.(,t,-l. Contact Name: Tel. #:? - BLVD Reason for call: Fax #: • U Date of Burial: Time; am/pm Disinterment: The following authorization should be obtained prior to disinterment: 1.) A disinterment permit and burial/cremation transit permit 2.) Written authorization from the individual(s) who currently own the burial rights for the plot; and 3.) Written authorization from the individual(s) who would be permitted to authorize burial Owner of Plot: J ? UCX Interment: (One fu// burial and one urn, or two urns per space) SOL, Full Burial Urn Space $30.00 Staking Fee - received on: 00 Deceased Namcr Date of Birth: Date of Death 6 L15 Block 0) Lot Space Monument Being Placed: (No Fee for Staking of Monument) ?,AVNJ RECEIVED AUG n 2007 City of Clearwater City Clerk Department P. O. Box 4748 OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPT 9 August 2007 Clearwater, Florida 33758-4748 Attn: Ms. Nicole: Enclosed is a copy of the Cemetery Deed you requested. Global Mortuary will contact you concerning the burial permit and staking fee required. Thank you, Donald E. Snead 3908 Elm Avenue Montgomery AL 36109 CEMETERY DEED AND CONSENT TO CONVEYANCE THIS INDENTURE is made this _,LY day of &?cr e& ?4-- INST * 98-364575 NnU 16. 1998 3:38PM 1998, between Harvey M. Snead, as Grantor and Donald E. Snead, whose: mailing address is 3908 Elm Avenue, Montgomery, AL 36109 of the County; of Mow,- State of Alabama, as Grantee: P INELLfPS COUNTY FLR. ITNESSETH: That the said Grantor transfers ownership to Grantee; OFF. REC , 8K 10304 PG 1686 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 Nine (9), Block Nine (9), 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-T-GIHOLD-the, ?, of of the said C rantee 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:) H. iarvey M. Snead (Name of Seller) N/A ( (Address) (Name of Seller) (Witness (2) Signed, Sealed and Delivered (Witness) names and addresses) in the presence df us:) ??telL2 z, 4am type/print) STATE OF TEXAS COUNTY OF ?+.' Acknowledged before me on this t` t ` day of 1998, by who personally known to Me., or has, produced as identification anal who did t#ke a}? oath. i (SEAL) Votary Public Print/type name: I CONSENT TO CONVEYANCE The City of Clearwater, Florida, a municipal corporation, hereby consents to the conveyance of Space Four (4), Lot Nine (9), Block Nine (9) , 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: C TY OF CLEARWATER, FLORIDA By: Rita Garvey, Mayor-Comm' oner Michael J. Roberto, City Manager Approved as to form and legal sufficiency: -John Carassas, Assistant City Attorney Attest: _6f??i`? i n fjG?? Susan Stephenson, Deputy ity Clerk STATE OF FLORIDA ? COUNTY OF PINELLAS) Before me personally appeared Rita Garvey, the Mayor-Commissioner of the above named coy, who acknowledged that she executed the foregoing instrument. She is personally known to me and did not take an oath. WITNESS my hand and official seal this ILL day of YL G c"y 1998. (2 rz?-fri. jonn Larassas, Assistant miry Htiorney STATE OF FLORIDA ) ' COUNTY OF PINELLAS) Before me personally appeared Rita Garvey, the Mayor-Commissioner of the above named city, who acknowledged that she executed the foregoing instrument. She is personally known t me and did not take an oath. WITNESS my hand and official seal this / 'day of -? 1998. / Print/type MRtary Public (SEAL) name: ,ip,'y Pt, . cC.ARO YN L rBR r ; STATE OF FLORIDA ) T P., COUNTY OF PINELLAS) OV ?0 ,ariAN; is b6iAAN co.. INC, Before me personally appeared Michael J. Roberto, 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 0-4f-- day of 1998. G / (SEAL) C'E A Notary Public ?V ? Print/type name: {, --? •t;t: ? (?Tih?Iii,. > >il'°:tp,iMC. CONVEY.DOC J - 9700-0031 Rev. 5/96 .ti' Global Mortuary 24/7 communications 727 530 3600 or fax 727 535 1776 E-mail: globalmortuary@usa.net our website is open all nite & weekends.......... www.globalmortuary.com acct ELIZABETH SMART Enclosed are your: ? certified death certificates ? paid statement ? laminated obituary ? documents for signature ? registration cards date 8/15/07 Other. STAKING FEE FOR SEPT 5th enclosed The vault ompany will dig the grave on Sept. 5cth ?.../ s /-? IF ANY QUESTIONS PLEASE CALL,THANK YOU JOHN * additional laminated obituaries are $1.70each, call our office today or return this form with ck (no tax) {orders of 7 or more, add: $3.85 postage/handling) datns co m Nm N 28 N 1. O O M r\ O -I N 00 W Q 0 Z Qo P Z r? ixomo O?LL QN? ?O V 63 N E-i 3 0 V V. 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