Brown, Bernice
INST # 95-108255
MAY 5, 1995 5:52PM
,1 RECORDiNG
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CEMETERY DEED
=--TiiisINDENTURE made this /5'day of
. t< the City of Clearwater, Florida, a municipal corpor
,BJm'wN}\vhose mailing address is 12048-135thAve
r.'iTs- C(r(j~.~(lff'Pinellas, State of Florida, as Grantee:
PINELLAS COUNTY FLA.
OFF.REC.BK 8986 PS 263
, 1995, between
I n as Grantor and BERNICE ~
eN., Largo, FL 34644, of the
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-'-WITNESSETH: That the said Grantor, for and in consideration of the sum of
7,.-::,:(: $-500;<OO,-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
,y' follo,:",ingdescribed parcel of land, lying and being in Pinellas County, Sta~e of Florida,
9r to Wit: Space Two (2., Lot Eighty-eight (SS), Block Fifteen (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.
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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.
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WITNESS my hand and official seal this L day of
STATE OF FLORIDA )
COUNTY OF PINELLAS)
(SEAL)
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STATE OF FLORIDA )
COUNTY OF PINELLAS)
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B~~izabeth Dep~~~t~.g. e.,.r. :~.:' .' ;,........... ",' .'....,' . "
Attest: /lA ./ '_____________ '
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Susan Stephenson, Deputyti~y Cl~rk "(, " .
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,1995(1__.A.J~_ ~ ~
~BRINK Notary PubliC
Print/type name: lltoi:"'ry Public, State of Flori,l,
My comm. expires May ~~, 11l1lO
eom.m. No. CC 1117U
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Before me, the undersigned, personally appeared Elizabeth M. Deptula, the 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
~,1995.
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CAROLYN L. BRINK Notary Public
P,rj[\t/tyBe name: Nct"ry Public, State of Flori:!l~
RETUKN I : '11II", comm, expires .May :.:::.::, 1
~o..J N CC 111741
CITY CLERK eom.m. 0.
POST OFFICE BOX 4748
CLEA,RWA TER, FL 34618-4748
(SEAL)
OWNER'S NAME
PURCHASE OF CEMETERY SPACE CHECK LIST
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9s:
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ADDRESS
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BLOCK
2- (Indl.u/(" Co un
SPACE
COST OF SPACE $ Sc?O~C1!)
RECORDING FEE $ I L/roo
STAKING FEE $ 30, DO
TOTAL $SL/ cj-t 00
INTERRED:
RECEIPT NO. .;2 $d 7 OJ
The Purchaser will first visit the cemetery and obtaillthe legal description of the space selected from the caretaker at the cemetelY.
The fpllowing steps shall then be followed ill their listed order.
l/ Check Availability of space
d;repa" receipt for purchase< ci- Cc~ "1, ~
LColor in greell plat (located in binder in overhead cabinet at receptionist's station
1.1_'Jll'..ifii~~b'~.~I~j.lf.lfiil.'Di~1
V Fill ill ownership information in Lot Ownership Book...t c{
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Zfe deed for each space purchased
_Fill in Florida Dept. of Revenue form
_Prepare routing memo 10 route deed and revenue form for signatures and route
_Ellfer documellf information re deed in Document Tracking System
_After deed is retumedto Clerk Dept. fully executed, send for recording and enter neccssm)' information in Documcnt
Tracking System
_When deed com" back from recording, mark ~tPleted in ocumem Tmcking System ~
_Prcparc'trallsmilfallelfer sending deed to owner, ellfer in Documellf Tr~~,~.tf'6
_Ffle. copy ofileed in cemetery files in vault
ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT)
_Fill out burial permit (located in overhead cabinet at Receptionist's station)
_Fax permit to cemete,y and parks
_Prepare receipt when staking fee ($30. (0) is received from Funeral Home
ISUSAMCEMCKLST. FRM
June 27, 1994