Sams, Terry
,/'
INST # 93-112504
AP~ 21, 1993 5:33PM
CEMETERY DEED
PINE~LAS COUNTY FLA
OFF.REC.BK 8245 PG 18i7
THIS INDENTURE made this /~day of ,
1993, between the City of Clearwater, Florida, a municipal
corporation as Grantor and Terry Sams, whose mailin address is 411
Nimbus Avenue Apt. 10, Clearwater 34615, of the County of Pinellas,
State of Florida, as Grantee:
For the interment of Leroy Sams
WITNESSETH: That the said Grantor, for and in consideration
of the sum of $500.00, 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 his 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 2, Lot 65, Block 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 his 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.
FLORIDA
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AttesL/W~
Susan Stephens
Deputy City CI rk
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--.-- .--Approved as to form and correctness:
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.T..V-. --Or
Jr., City Attorney
RETURN TO:
CITY CLERK
POST OFFICE BOX 4748
KARLEEN F. DEBLAKER,JfLERK
RECORD VERIFIED BY:~
PINELLAS COUNTY FLA.
OFF.REC.BK 8245 PG 1818
Page # 2 of Cemetery DeLpd twe n ,'!;"he CITY OF CLEARWATER,-
F. LORIDA and Terry Sams, dated ~, 1993, regarding Block
15, Lot 65, Space 2.
STAT~ OF FLORIDA )
COUNTY OF PINELLAS )
BEFORE ME, the undersigned, personally appeared Rita Garvey,
the Mayor-commissioner of the City of Clearwater, Florida, 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, and who is personally known to me.
seal this/Qday Of~1993.
Notary Public
Print/type name':
iJ
STATE OF FLORIDA
COUNTY OF PINELLAS
~1>~y;..~:'f~~;:;:~ . DENISE A. WILSON
~.(Q'\.~ MY COMMISSION /I CC 201408 EXPIRES
~;~':9'l June 18. 1996
"'''''.9f.:&'f,,'' BONDED THRU TROY FAIN INSURAHCf. INC.
BEFORE ME, the undersigned, personally appeared Michael J.
wright, the city Manager of the City'of Clearwater, Florida, who
executed the foregoing instrument and acknowledged the execution
thereof to be his free act and deed for the use and purposes herein
set forth, and who is personally known to me.
wrJrESS my h~~d and official seal this ;9day Of~993.
/;}fjjJj~;Y ) (J lJ txm )
Notary PublJ.c '" . 1\ / 1'1
Print/type name :jJeAJ 150 f7. UJI 50.u
l'k~.,Y:'?it,~ DENISE A. WILSON
t(p,"'d MY COMMISSION /I cc 201408 EXPIRES
~'~',!>'; June 18, 1996
#;!;;,iif.;i;;'f:'..... BOtIlED TlRJ !ROY FAIN INSURANCE. INC.