Smith, Geraldine
CEMETERY DEED
I
00-016158 JAN-18-2000 6'07~
P INELLFlS CO BK 10787 PC; '1268
IIIIIIIIIIIIIII~ II.IIIIIIIIIIIIIIIIIIJII.~ I11I
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ill
THIS INDENTURE made this 10 day of
of Clearwater, Florida, a municipal corporatio ias Grant
mailing address is 1 0004 LaSalle St Clearwater FL
Florida, as Grantee:
J.()"-tJ
, ~ between the City
nd Geraldine Smith, whose
755 County of Pinellas, State of
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 their 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 zero zero (00), LOT three hundred forty-one (341 ).
BLOCK fourteen (14), 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 their heirs and
assigns forever.~'I;,J
. I~ WITNESS WHEREOF, said Grantor. has caused these p~esents to be .executed in its ~ine ?y its ~ayor-Commi~sioner, by
Its CIty Manager, and to be attested and Its corporate seal affixed by t City Clerk on !9Il.J~Y dr'td year first above written.
Counter igned: CITY F RWATER, FLORIDA )1\-' ~",
(SEAL)
Attest: " ",
Susan Stephenson, Depi.llt; ityCler. <'>.. dif'fi'
STATE OF FLORIDA -~'",., '. . Ir~fJ~; .
COUNTY OF PINELLAS)" :", "" ..~i,:'f;/tJi';,:' '
Before me, the undersigned, personally appeared Brian J. Aungst, the MaYOr-C~mmisS&!i'6r 'M' the City of Clearwater,
Florida, to me welJ known to be the person who executed the foregoing instrument and aCk'W. . wledged the execution thereof to
be her free act and deed for the use and purposes herein set forth. ,~tll' , ,
WITNESS my hand and official seal this It) day of ~ , 1~
~ Ctk,.~,,__~~
Notary Public
NOTARY PUBliC. STATE OF FLORIDA
CAROLYN L BRINK
eOMrlo,~_ , CCl3c678
EXPIRES 512212003
BONDEDTHRUASA'~OTARYf
Print/type name:
STATE OF FLORIDA )
COUNTY OF PINELLAS)
Before me, the undersigned, personally appeared Michael J. Roberto, the City Manager of the City of Clearwater, Florida, to
me well known to be the person 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.
WITNESS my hand and official seal this I (I day of ~
PAGES I
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- Notary Public
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COMMISso., CC834e78
EXPIRES 512212003
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DEED.DOC /lJ- .1
RETURN TO: City Clerk Department TCT/~.L ~ ,C
P. O. Box 4748, Clearwater, r:Lc1fl:~_ -
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Docurncn
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Karlzco F Da
By
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In!:r.:;:!:b T:.'t Pd.
, Clerk, Pix::.:.c County
Dop~J CIClrk
9700-0026
Rev. 7/97
t
CITY OF CLEARWATER
CITY CLERK DEPARTMENT
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 33758-4748
PHONE: 562-4090
January 21, 2000
Geraldine Smith
10004 LaSalle Street
Clearwater, FL 33755
Dear Ms. Smith;
Enclosed is the cemetery deed which indicates that you own
SPACE zero zero (00), LOT three hundred forty-one (341),
BLOCK fourteen (14), in the Clearwater Municipal Cemetery.
This deed has been recorded in Pinellas County Official
Records Book 10787, Page 1269.
It is important to keep this deed in a safe place and to
make a separate note of the official record book and page
numbers. In the event the original deed is lost or
destroyed, this information will be needed to obtain a copy
from the Pinellas County Clerk of the Circuit Court.
If we may be of service in the future, please call.
Yours very truly,
(iLC/
Adrienne E. endrick
Staff Assis ant
aek
Enc.
SEJ?L" ?
99?ATER
OWNER'S NAME
PHONE NUMBER
ADDRESS ! U7 ' : l
BLOCK ILI LOT SPACE
INTERRED: 1? IY)Z- COSTOFSPACE $
RECORDING FEE $
STAKING FEE $
RECEIPT NO. e5kJ95 j TOTAL $
The Purchaser may visit the cemetery and obtain the legal description of the space selected from the Parks Staff met by appointment at the
y Clerk Staff may also assign spaces from the plat book The following steps shall then be followed in their listed order.
cemetery., Cit
*?C k availability of space
pare a receipt and a copy of the Rules and Regulation for the purchaser
Pre
Color in green plat (located in binder in overhead cabinet at receptionist's station)
* Purchaser must be present for steps. :VOTE: FOLLOJVING STEPS WILL BE H.9NDLED BY EMPLOYEES JVHO ARE ROUTINELY
RESPONSIBLE FOR CEWETERY RECORD KEEPLVG. IF THIS IS AN AT-NEED PCLRCHASE. PLEASE SEE "ADDITIONAL STEPS
FOR AT-:'FEED USE OF SPACE (MTERME;VT) " AT BOTTOM OF PAGE.
Input ownership information in data base program for spaces in all Blocks. Additionally, write information in Ownership
X Book (located in vault) for all spaces in Blocks 1 thru 11 only
`!Prepare deed for each space purchased
-jXill Prepare routing memo
in Florida Dept. of Revenue form
-Enter document information re deed in Document Tracking System
Route deed and revenue form for signature -file checklist in vault (28-003)
IfAfter deed is returned to Clerk Dept. fully executec4 sendfor recording and enter necessary information in Document
Tracking System
pon return of deed from recording, pull check list from 28-003, mark completed in Document Tracking System, and enter
recording date and OR Book & Page number in Cemetery data base file
Prepare transmittal letter and enclose the original deed and a copy of the Rules and Regulations and send to owner
- ile copy of deed, check list, and transmittal letter (attached in that order) in cemeteryfiles in vault by owner's last name in
28-001
ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT
Fill out burial permit (located in overhead cabinet at Receptionist's station)
-Call Parks (4800) andrequest the Supervisor pick up a copy of the burial permit
-File permit in back of blue binder located in vault above the 28-000 files
-Prepare receipt when staking fee ($30.00) is received from Funeral Home
(mark in data base file and on paper copy of cemeterypermit)
CITY OF CLEAR WATER Date:
cmotley\notes\Cemcklst 12103199