Guzman, Jay
~
CONSENT TO CONVEYANCE
THIS INDENTURE is made thi.:\\Lv1h y Of""'. t\. -:-r~ 200~
between JAY GUZMAN, as Grantor ~~ PO~ER(S):('
whose mailing address is 50 COE ROAD APT. 212.~b[AR.NATEf(. FL. 33756 of
the County of Pinellas State of Florida. as Grantee: 8elleair- ~
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:
_Block..ll. Lot 543, Space(s) one (1 ). two (2), three (3). and four (4). 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
KARLEEN F. DE BLAKER, CLERK OF COURT
PINELLAS COUNTY FLORIDA
INST# 2004358788 09/09/2004 at 10:02 AM
OFF REC BK: 13817 PG: 2440-2441
DocType:DEED RECORDING: $18.50
D DOC STAMP: $10.50
forever.
(Witness (2) Signed, Sealed and Oelivered
. ;n the p'es~, /l({;ryJ'h.P. milHej
~), tJ~a<<-
It ()r,'etf:..c..- E. W",,..kmCtV\.
) FlrJr.-&Q.
COUNTY OF ) St. dO k h.S
'1,.-tV\
Acknowledged before me on this ~ day of
IN WiTNESS WHEREOF, said Grantor has signed and sealed these presents on the day and year first above written,
, (Grantor~e:) I (Grantor(s) address:)
10 ~ W <E: /1 R 13. (l, ,f \: _0l J.-..tt fJ:'I 'f3.
S" I. lf1 V b U~S'I' J r{'-R )::" l..
(Witness) names and addresses) ) -3 ~ ~ ~ t
l70{! IInd ,c;ks fa 8 J (,Ia.
$e ./-k<-~Sbl n e Pc
50() A Yl Ct 66a G fQ 8/ (/O(
St- At-t ~s-6,' VL€-. FL-.
STATE OF
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Jk<.gusi ,20~LfbYJ'2J 6 U2.mCH"L. who personally known
'1 as 'd~n a:d wh, 0 didtake an oath, .:
C ~aZ(J~C<<..
Notary Public
to
MARl
Notary Public, St;,t!? ot Florida
My comm. expire"~)ct. 5, 2005
Nn [)I,:,":I6421
CONSENT TO CONVEYANCE
The City of Clearwater, Florida, a municipal corporation. hereby consents to the conveyance of Block 14. Lot 543. Space(s)
1.2.3.and 4, 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. 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,
Countersi do CITY 0 LEARWATER, FLORIDA 4, ... __ ':tt.
, 'amB.Home'Ii'~
Iill";'al'l=~~#', As st t i Y Attorney
Leslie K. Doug~ -Sides
STATE OF FLORIDA )
COUNTY OF PINELLAS)
Before me personally appeared Brian J, Aungst, the Mayor of the above named city, who acknowledged that he executed the
foregoing instrument. He is personally knoJto me and 'd n a oath, r I
WITNESS my hand a~~; mtfl~ . VfHi ' 20Q]:,
:- ~ ~ Commission # 0029623
~>. ~ Expires June 18, 2008
. ~ OF f\' Bonded Troy Fain -tnsuranot,'''''. 801).385.1019
STATE OF FLORIDA )
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 kn91'n to m~Jt~~t~JjJn oat~/
WITNESS my hand and official seal this 4- day o~, 202.1',
~. Denl.. A. W1";"'233 ([\ _~ /). IJ~
' i 'teomrmsslon#00296 ~~ .L--.--
* ,'EXpireaJune 18. 2008 '~ Not~ry Public /" /- I '\
~1tCll'~...._ftln.\lINftIr.......m. ~)f2Vl.s6 A. WI SaAJ
9700-0031
Rev. 08/2004
'-
..
2:12
CEMETERY DEED
THIS INDENTURE, Made this ____Z~.!l)_______ day of -----__i.~E.~~~!'_Y_________ A. D., 19_t9___
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 -----.=I.~y.-~-~~~~~.I___~_~~_f!._Q~~I]K~__~~!:~~!_'_________
---------------------------------____Q.J._~9__~!'lA ~~~-------------___________ ________ __________'_, of the
County of ---__J:inf~1-1~s.__________________, State of __z.l_QI'.icJ9._________, parLY._ 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
$-.f-Q~~-h.gAg~~9__9.2~.l~~~__~~_~QJ!.LO_Q)_____________, to it in hand paid by the said parLY-__ of the
Pc,
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.. _seconq--P;rrL.the.....xeceipJ_:wher~of is hereby acknowl~<<:lged, has,. remised, released, and quit-cl~i~ed, unto the
said parLY_ of the second part, and___h..i:.~_______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 A..-B...c-.n- Lot ___..5..':1-...3...____ Block___L4:.______ Clearwater Cemetery,
as recorded in Plat Book__Ji(L__ Pages-~~_-:..~3 Public Records of Pinellas County, Florida.
This conveyance is subject to the condition that Grantee herein shall not assign or convey said property
. i~ ~~ without the written consent of the Grantor, and to the further condition that said property shall be used
",--_1 c; ~
. eLi 52 ~I only for cemetery purposes as human burial sites.
, c-; U cdl,
c';~ ~H ~ ',j
~il 0 uj
Q ;.:q TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said
~ ~ ~
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p::: parL_jl____ of the second parL___bj_~__________ 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 affixeaoy1ts -City -CferK- on "UiiS-lIfe aay-anct'-yelll"""ttrst"-above written:--
~ '----_._-~ ,--.,--'. ~---_.-.-- ------.----
Signed, Sealed and Delivered
in the presence of us:
City Manager.
------~~--~~--,
~~e~
~~~~~~-~~-;~-~r --:~~-~~rrectness:
-- --- ----- ---- ~~-====-.:._----
City Attorney
City Clerk.
State of Florida,
County of Pinellas:
Personally appeared before me, --H.--Ey..er..et..:LHO.ll.g.e.D....__J1.arr..et..'LRL_Stie..r.he.inL___
and ----R-L.G..L_Whi.tJ~.h..~9_5l._________________________________t0 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 severaUy' acknow~ed~~~_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------2::-~_~_________day of
--~~A. D. 19_-Z~.
(Seal) 0
-------------~~---~~---
Notary Public State of Florida.
My Commission expires____________________
Notary Publir, State of Florida at Largl
My Commis;;i:llI hpirzs Od. 22: 1970
Bonded By Amerj~an Fire & Casualty Co.
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CITY OF CLEARWATER
POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748
CI1Y HAll, 112 SOUill OSCEOlA AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4090 FAX (727) 562-4086
OFFICIAL RECORDS AND
LEGISlATIVE SERVICES
August 18, 2004
Mr. Jay Guzman
514 Arricola Avenue
Saint Augustine, FL 32080
Dear Mr. Guzman:
As requested, I have enclosed the Consent to Conveyance that indicates you own Block 14, Lot
543, Spaces 1,2,3, and 4 in the Clearwater Municipal Cemetery. As outlined in the Clearwater
Code of Ordinances and Ordinance Number 5136-91 :
. The Consent of Conveyance shall be recorded in public records following
endorsement indicating consent by the city.
. A request to transfer ownership shall be accompanied by a $25.00 transfer fee.
The fees associated with this transaction are: $25.00 (transfer fee), $18.50 (recording fees), and
$10.50 (doc stamp fees). The total cost to transfer ownership is $54.00.
Please furnish your original deed, the notarized Consent to Conveyance along with a check for
$54.00 made payable to the City of Clearwater in the enclosed envelope. We will complete the
recording process and send the original to your purchaser.
If you have any questions, please feel free to contact me at (727) 562-4089.
Sincerely,
>>~ a~
Rosemarie Alfaro
Administrative Analyst
BRIAN J. AUNGST, MAYOR
FRANK HIBBARD, VICE MAYOR
BU.L JONSON, COUNCILMEMBER
*
HoYr HAMILTON, COUNCILMEMBER
CARLEN A, PETERSEN, COUNCILMEMBER
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER"