Sansom, Lonnie
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CEMETERY DEED
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\ co~. THIS INDENTURE made this';</,.d- day Of~ !'l2o
j~ ~ between the City of Clearwater, Florida, a municipal rporat on as Grantor and
.. . "<j'" ~ Lonnie Sansom, whosemail ing address is 8710 94th Avenue, Seminole of the County
f2~: 6 CV) of Pinellas, State of Florida, as Grantee:
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gs U ~ LL WITNESSETH: That the said Grantor, for and in consideration of the sum
tJ.j j:: tt 0: of $200 . 00, to it in hand pa i d by the sa i d Grantee, the rece i pt whereof is hereby
oc (3 0 ~ acknowledged, has remised released and quit-claimed unto the said Grantee, and
t:; ~ 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
w County, State of Florida, to wit: Space A, Lot 85, 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.
Signed, Sealed and Delivered
in the presence of
"
CITY OF CLEARWATER, FLORIDA
By ~--A/ --<<II~
Ron H. Rabun, City Manager
Approved as~/ for: an correctness:
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M. A. Galbraith, J(:jCity Attorney
State of Florida,
County of Pinellas:
Personally appeared before me Rita Garvey, Ron H~~R46~~, and Cynthia E.
Goudeau to me well known to be the persons who executed thefo~egoingins~rument
of conveyance in the capacity of Mayor Commissioner, City Manager, and'City Clerk
respect ive ly, and they severa llyacknowledged that they executed "saddinstrument
in their respective capacity by and on behalf of and as the free:a,d: and deed
of the City of Clearwater, Florida, for the uses and purposes therein' expressed.
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~/.4d~~ t~iS{J~"-~ om~ ~ a 1 sea 1 at Clearwater. F 1 Orfrf:"jt~i~\:,~~;~,:;,:,;:
11 REC..Q,l\Q_IR~ t2J)l~~";~o
~~CT ~o 'State..?'\~~~f\~~id~(-:-I;~\.J..'/:~}~:" "
REC. ~ .'\'" - 0 " ,..'
FE"ES ___~ . . , ""- tfoi~~~,:'~i{t~'j~.J n':~r:~~;"'~) ,
MTF . . . My Comm~~c~t1s :^ii.lillqo~ h,vj
PTG Th 1 s 1 nstrum~nt was pre~ared by. ~.. 'ond.d':lm'i.;~ytll4>"'~"PI~'i'?t""'\~,<
PIC fVt. A. Galbralth, Jr., Clty Attorney 'i';!!t!?ll",!j;,'i'~';"'~:\\' ...
no City of Clearwater, P. O. Box 4748 '>"'~:'!"!I':;;,;""
~~~c Clearwater, Florida 346181.
TOTAL '1.\0
~
:ocumentllry Tax Pd. $--Ll.O-
- Intan~;h'e Tax Pd.
Kar/eon F. De Blaker. Clerk p' "
' Ino as County
By ___
---- - O:>r.ry CI~r"
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(,UG 22 ~ 1 ('l!:;-O 3: ;.''/P11