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Wilburn, EddieINST # 96-196812 JLY 18, 1996 4:44PM _t N THIS INDENTURE made this day of 1996, between the City of Clearwater, Florida, a mun' *,State oration as Grantor and EDDIE WILBURN, whose mailing address is Avenue. Clearwater. FL 33619, of the County of Pinof Florida, as Grantee: for the interment of NELLIE M. WILBURN 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 One (1). LOT Twenty-Six (26). BLOCK Sixteen (16). Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. PINELLAS COUNTY FLA. OFF.REC.BK 9407 PG 1314 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. + IN WITNESS WHEREOF, said Grantor has caused these presents to be executed in its narrte'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. d: ITY OF CLEARWATER, FLORIDA 71! By: Rita Garvey, Mayor-Commissi er Elizab®th 06tula, City&ri?geh STATE OF FLORIDA ) COUNTY OF PINELLAS) Attest: Susan Stephenson, Deputy/City,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. WITNESS my hand and official seal this //??day of 1996. (J L/ (SEAL) oocunwritary Tax Pd. $ ' a In"m-,4Io Tax Pd Ksrleen F Do Clack, Fir0= County, STATE OF FLORIDA Deputy Clerk COUNTY OF PINELLk 9,V plj AROL.YN L.NBftWlVublic Print/type name: o ' CO1AMIS5:C% CC sE3C40 a SONDED THHU ATLANTIC BONDING Co.. INC. 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 forth. WITNESS my hand and official seal this/? day of 11 RE ORDIN ACCT 0 (SEAL) Approv as t9-lomg and legal sufficiency: REC FEES MTF ohn Carassas, Assistant City Attorney PTG DEED.DOC 1996. -= Print/type name: ?L C D OC INT TOTAL Cl ?50 Notary Public o~?Y pG? CAROLYN L. BRINK A CC 415304P EXPIRES MAy 22,1999 NDEO Of ATLANTICBO ND NG u QO•. INC. 9700-0026 Rev. 5/96 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 City Clerk (813) 462-6684 July 31, 1996 Mr. Eddie Wilburn 1216 Melonwood Avenue Clearwater, FL 34619 Dear Mr. Wilburn: Enclosed is the Cemetery Deed, which indicates that you own Space One (1), Lot Twenty-six (26), Block Sixteen (16), in the Clearwater Cemetery. his deed has been recorded in Official Records Book 9407, Page 1314. 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, Camille Motley, Central Records Specialist cm Enc. "Equal Employment and Affirmative Action Employer" OWNER'S ADDRESS BLOCK rLl Gill ?rAC.'1;CHECK LIST 11 DATE: INTERRED: RECEIPT NO. COST OF SPACE RECORDING FEE STAKING FEE TOTAL The Purchaser will first visit the cemetery and obtain the legal description of the space selected from the caretaker at the cemetery. The following steps shall then be followed in their listed order. L' Check Availability of space .Prepare receipt for purchaser 4-- Go o' V Color in green plat (located in binder in overhead cabinet at receptionist's station NOTE; :FOt r;Ow ... . . tNG ;STEPS w . .. 1LL BE HANDLED iY ENfPLODES WHO ARE "R RECORD ILEEPING IF 'J IIIS tS AN ?I T NEED PURCHASE; PLEASE SEE' ADD171 nNTt:RMENT?" AT BOITOM OF PACE'. v' jb /Fill in ownership it fornntion in Lot Ownership Book 4 y Prepare deed for each space purchased ?ll in Florida Dept. of Revenue form L,_ repare routing memo to route deed and revenue form for signatures and route yEnter document information re deed in Document Tracking System After deed is returned to Clerk Dept. fully executed, send for recording and enter necessary in fonnation in Document jTracking System y ' en deed comes back from recording, mark co npleted in ocument Tracking System Prepare transmittal letter sending deed to owner, enter in Document Trdcking S ven l yFile copy of deed in cemetery files in vault ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT) Fill ut burial permit (located ill overhead cabinet at Receptionist's station) U Fax permit to cemetcty and parks Prepare receipt when staking fee ($30.00) is received from Funeral Home ISUMMCEMCKLST. FRAf June 27, J994 -? LOT `?. J _(,?i SPACE l / (Include Grunt', jf "'hcr'han 1'inclfru)