White Jr, Frank AINST # 9b-U19y--)4
JAN 24, 1996 3:25PM CEMETERY DEED
THIS INDENTURE made this W day of 1996,
between the City of Clearwater, Florida, a mun' pal corporati as Grantor
and Mr. FRANK A. WHITE, JR. whose mailing ad ss is 1203
Pennsylvania Avenue, Clearwater, FL 34615, of the County of Pinellas,
State of Florida, as Grantee:
FOR INTERMENT OF: FRANK A. WHITE, SR.
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 One 11) Lot One Hundred
Nine (109), Block Fifteen (15), Clearwater Cemetery, as recorded in Plat
Book 60, Page 30, Public Records of Pinellas County, Florida.
RETURN TO:
CITY CLERIC
POST OFFICE BOX 4748
CLEAR"LATER, FL 34618-4748
PINELLAS COUNTY FLA.
OFF.REC.BK 9227 PG 1965
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 dayand,year, tirsitabove written.
Cou r 'fined: CITY OF CLEARWATER, FLORIDA
'Z 5"
Rita Garvey, Mayor-Com loner
STATE OF FLORIDA )
COUNTY OF PINELLAS)
By:
Elizabe D ule, ity M a er =
Attest: ?7i
_
Susan Stephenson;,Depilty Ci Clerk,
Before me, the undersigned, personally appeared Rita Garvey, the Mayor-Commissioner 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 her free
act and deed for the use and purposes herein set forth.
rt-_
WITNESS my hand and official seal this Elio day of 194
(SEAL) P J'?± t;fj??tl) I„ P4. 'N otary Public
L- Ti, # UC dE20I0
Print/type name: 12,1409
ROND?^ THRU
STATE OF FLORIDA )oF F??? ATLANTIC BONDING CO., INC.
COUNTY OF PINELLAS)
Before me, the undersigned, personally appeared Elizabeth M. Deptula, 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 her
free act and deed for the use and purposes herein set fo
14
WITNESS my hand and official seal this day of , 1996a
(SEAL) hp1,,INk4otary Public
Approved as to formal sufficiency: Print/type na e: 46 , Ct" t ?0 463040
`? GJ?: E 7 iRU
?Z P,
n Carassas, Assistant City Attorney '•pF F?°Q LAt? IC e? • ??o ca INr3? ?- J
Y Y ?? ?•
M C.) Documents Tex Pd. S
OU ?? f Intangible Tax Pd.
W F- W rn
U U CV U) Karleen F. a Is Clerk, Pinellas County W LL
U O Lu CL (1) F- U W W O Deputy. Clerk
?QUCE0O-(I u_? F- By
PURCHASE OF CEMETERY SPACE CHECK LIST ?j
•. DATE:
OWNER'S NAME
/21qAM(-" PHONE NUMBER
ADDRESS Z2 3 /&f'1 1.???/Gcf?-t cam. A4-Ve . " eL?/ 31??` S
BLOCK ? LOT A0 ? SPACE
? /
'' II// ?11 r
INTERRED: COST OF SPACE
RECORDING FEE
RECEIPT NO. R
STAKING FEE
TOTAL
(trtctude County, ij other than Pinetfnc)
$ 500 0 0
Z?Z, 0
$ 30, 0 o
$ 00-
The Purchaser will first visit the cemetery and obtain the legal description of the space selected fi•onr the caretaker at the cemeter
The following steps shall then be followed in their listed order.
? heck Availability of space
repare receipt for purchaser 4-- c1c)
Color in green plat (located in binder in overhead cabinet at receptionist's station
NOTE. F LOTWNG 1 PS WILL; BE HANDLED `B.I'`EMPLOI?ES WHO ARE ROU77NE'LY': PONSIRL FOR CEU=,
RECORD KEEPING. IF THIS IS ANA T-NEED PURCHASE PLEASE SEE ADDITIONAL STEPS FOR AT NEED USE OF SPAC
........
PTERtYIEN " AT'BOTTOM OF'PAGE,'
Fill'in ownership it formation in 4YOwrrership Book
/ Prepare decd for each space purchased
Fill in Florida Dept. of Revenue form
Prepare routing memo to route decd and revenue form for signatures and route
_.?_LEnter document information re deed in Document Tracking System
After deed is returned to Clerk Dept. fully executed, send for recording and enter necessary it formation ill Document
Tracking System
When deed comes back from recording, mark colnpleted in ocument Tracking System
Prepare transmittal letter sending deed to owner,, enter in Document Tracking S •tcr r
File copy of deed in cemeteryf les in vault
ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMEN7)
V Fill out burial permit (located in overhead cabinet at Receptionist's station)
Fax permit to cemetery and parks
-Prepare receipt when staking fee ($30.00) is received front Funeral Home
WSAAn CEMCV=..FRM
June 2T, 1994
C I T Y OF C L E A R W A T E R
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618-4748
Department of the
Clty Clerk
(813) 462-6684
January 29, 1996
Mr. Frank A. White, Jr.
1203 Pennsylvania Avenue
Clearwater, FL 34615
Dear Mr. White,
Enclosed is the Cemetery Deed, which indicates
that you own Space One (1), Lot One Hundred Nine (109),
Block Fifteen (15), in the Clearwater Cemetery which
has been used for the interment of FRANK A. WHITE, SR..
This deed has been recorded in Official Records Book
9227, Page 1965.
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.
call.
If we may be of service in the future, please
Yours very truly,
Susan Stephenson,
Documents & Records Supervisor
SS: cm
Enc.
-Equal Employment and Affirmative Action Employer"