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GLORIA AND JACK GAINES I , CLOSING STATEMENT Clearwater, Florida July 2, 1979 SELLER: City of Clearwater, Florida PURCHASER: Gloria S. Gaines PROPER TY DESCRIPTION: Lot 233, Morningside Estates, Unit 2 Credits to Seller: Sales Price $10,010.00 Credits to Purchaser: Earnest Money Deposit Balance to Close $ 500.00 9,510.00 $10,010.00 $10,010.00 Seller's Expenses: Documentary Stamps on Deed: State $30. 30 Sur-tax 11.55 $41.85 Title Insurance - Chelsea Title & Guaranty 80.00 $121.85 ..., . ... 79113456 f 'eITY OF CLEARWATt::R O.R. 4880 Page 1070 DEED OF CONVEYANCE } Lot Z33. MOl'1Uaa8ide E8tate.. Ua1t Z, accol'c.iiq totla. map 01" plat th.....o1 .. l'ecoJ'ded ill Plat Book 60. pale 33. of d&. Pv.bUc aeeOI'D 01 Piae11aa County, norlda. TOGETHER WITH all and singular the tenements, hereditaments and apPurtenances thereunto belonging or appertaining; and every right, title or interest, legal or equitable, of the said party of the first part of, in and to the same. TO HAVE AND TO HOLD the same unto the said parL:y'_____ of the second part, t~~,___ heirs and assigns, to _____~~__ own proper use, benefit and behoof forever. IN WITNESS WHEREOF, the said party of the first part has caused these presents to be executed in its name by its City Manager, City Clerk, countersigned by its Mayor-Commissioner, and approved as to form and correctness by its City Attorney, and its corporate seal to b~ hereunto attached, the day and year first above Written. CITY OF CLEARWATER, FLORIDA Countersigned: By: ----Lfil_AJ!1:h9_:g..)[_.L_LSh.QJ~m~_ls_~J::.______________ City Manager /s/ Charles F. LeCher Attest: / s / Lucille Williams Mayor-Commissioner City Clerk Signed, sealed and delivered in presence of: / S / Frances A. Sunderland /s/ Betty A. Russell Approved as to form and correctness: / s / Thomas A. Bustin City Attorney STATE OF FLORIDA } COUNTY OF PINELLAS I HEREBY CERTIFY, that on this ______?_~~_______ day oL______.J~:r:_________________ A. D. 19_19__, before me personally appeared Mtb-Q~Y.-~~__~~~~I__~~~_~_.__J!~~~f__~!!~.m~__WJ!!~~_~__~__~~~!~~__E~__~~~~r, respectively City Manager, City Attorney, City Clerk and Mayor-Commissioner of the City of Clearwater, a municipal corporation existing under the laws of the State of Florida, to me known to be the individuals and officers described in and who executed the foregoing conveyance to ---------__________9!Ci>>!~_~!__~_~~____C!!!~_.r~~~__Q~_~~_~~'_________________________________________________ ----------------------------------------------- and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the official seal of said municipal corporation is duly affixed thereto, and the said convey. ance is the act and deed of said corporation. WITNESS my signature and official seal at Clearwater in the County of Pinellas and State of Florida, the day and year last above written. /s/ Betty A. Russell .~I .~ f / Notary Public State of Florida at Large My Commission Expires: Aug. 1, 1982 .,1; .( '" ~ (.(.,. ,{ , i '''} t1C.i' .) 'I j, , , ' I/~ () 5 ,. ~ 1 BARN~TT_BANK OF CL,j;;ARWATi::R NA CLH,ijWATER, F'LORIDA ' . , I' ""'," ~'" t, J 1.. -' ..'v ; .~, .'/, ." ~ 1110 j g ? b 0 "I I: 0 b j . III 0 b . 2 I: 00 j O? 5 2,,1 INVOICE DATE I INVOICE NO. I INVOICE AMOUNT 1 P.O. NO. CODE, AMOUNT Documentary Stamps for Deed from City of 142 1 7000 290 41. 85 Clearwater to Gloria S. Gaines for Lot 233, Morningside Estates, Unit 2. State $30.30 Sur-tax 11. 55 ~. LOWER HALF FOR RECORD - DETACH BEFORE DEPOSI 11 NG - CITY 0 F CLEARW A TER