Petersen, Thomas
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CEMETERY DEED
THIS INDENTURE, Made this -___~~h________ day of ____1f9-'~,~~~_:r____________ A. D., 19_~1i___
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!\~~--~~_~!!~~~D_L_________________~_~________---
--------J.-~}.-t--~~--~~~~_~~~!l__~.!.E!!l_~~_t.______~!!I~~~!.~~________________________'______._', of the
County of ---~_~r:-!!_~1-_~!I_____________________, State of __f.!~~!~~________, partY___ 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
$--~~!~'!~-l--~!1~~~_~_~~_;~~~_J~_7~_!.P_'!~____________, to it in hand paid by the said partY__ 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--__bt!!______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 -~_________ Lot ___~~_______ Block____~~______ Clearwater Cemetery,
as recorded in Plat Book___~_Q__ Page___~_~__ 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
parL_}t___ of the second part______b_il________ 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
---~9~_~~~_~J_~~__~_~~~________________,
By ________________________________________
/s/ James R. Stewart
Countersigned:
City Manager.
/s/ Kathryn C. Green
----_L_~[__~9_~__~~~D~_~___________________
--------------------------------------------
Approved as to form and correctness:
Attest:
/s/ R. G. Whitehead
Mayor Commissioner.
----L~-L__ij~~9~~~_tl~__~~~~1l___________
City Attorney
--------------------------------------------
City Clerk.
State of Florida,
County of Pinellas:
Joe Turner. Jaaes R. Stewart
Personally appeared before me, __________________________________________________,______________,_
and ___l!~__~_!.__~!~~_~!I_~~________________________________-__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------:J:~_~!1________________day of
--JJ~ty.e.IDPj:~,I'______A. D. 19_~_~__.
(Seal)
/s/ Lucille Bell
------------------------------------.----------------
Notary Public State of Florida.
My Commission expires___________________