Cerepak, Gregory J
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",l-':;- '-c: 1. 4:6
CEMETERY DEED
THIS INDENTURE, Made this _____~?.!h______ day of ______~~_~~_________________ A. D., 19_JH__
between the City of Clearwater, Florida, a municipal corporation created and existing under the laws of the
State of Florida, party of the first part, and ________<!r_~&..Qt'y-~-L-~!!~9A~K..-------------------------
______9jta~___~!:Ltth_~_y~Jly.~_N..Q~:tb_l._-----------------l4NQ----------------------------, of the
County of ___.P-1neU&JIL-------------------, State of ____F-1-oclda.------, part-Y-- of the second part;
WIT N E SSE T H: That the said party of the first part, for and in consideration of the sum of
$__QJl~LJ~~I!~t~!t(L~Q~!~_~!I__~llAQ~_Q!tL____________, to it in hand paid by the said part17- of the
second part, the receipt whereof is hereby acknowledged, has, remised, released, and quit-claimed, unto the
said part_y__ of the second part, and____MEL_____heirs forever, all the right, title and interest, which the
said party of the first part has in and to the following described parcel of land, lying and being in Pinellas
County, State of Florida to wit: Space __D_________ Lot __6.&_&t.______ Block__-1!l______ Clearwater Cemetery,
29&30
as recorded in Plat Book__J_Q___ Page_S______ 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.
TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said
parLy_____ of the second part______hlJL______ heirs and assigns forever.
IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, 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 its City Clerk on this the day and year first above written.
Signed, Sealed and Delivered
in the presence of us:
CITY OF CLEARWATER, FLORIDA
__j_~j__~_~g_~lJl~__~~_~1__________________.
~y __L9L_~gITle~LJL___SCt~_Yl,;i_:rt:_________
City Manager.
/s/ Kathryn C. Green
Countersigned:
/s/ H. Everett Hougen
--------------------------------------------
Mayor Commissioner.
Approved as to form and correctness:
Attest:
__J_sJ__lierJbe~t__MJ__~_:rQJi[L____________
City Attorney
.______LELL_Ji~--~_}ibi_tfU1elid__________
City Clerk.
State of Florida,
County of Pinellas:
Personally appeared before me, ____!!.!__~.!.~~~.!~__i!9_~~~!l_L~~~._KL_S.~_t!~t'~_______ -
and ______~_!.__~!__~!~J~b~4_______________________________to me well known to be the persons who
executed the foregoing instrument of conveyance in the capacity of Mayor Commissioner, City Manager, City
Clerk respectively, and they severally acknowledged that they executed said instrument in their respective
capacity by and on behalf of and as the free act and deed of the City of Clearwater, Florida, a municipal cor-
poration, for the uses and purposes therein expressed.
Witness my hand and official seal at Clearwater, Florida, this the_____28.:tb________-'_______day of
____!,L~D_e.__________A. D. 19J~]___.
(Seal)
_______LJiL_Lu.cilLe__Jiell______________ -------
Notary Public State of Florida.
My Commission expires___________________
"