Wilburn, Nellie89129696 OR700OPG1561
CEMETERY DEED
THIS INDENTURE, Made this day of A. D., 19 a between the City of
Clearwater, Florida, a municipal corporation created and exist' under the laws of the State of Florida, party of the first
part, and Nellie Wilburn ?
whose mailing address is: _ 1020 6th Street N. -Safety Harbor I
of the County of P ine 1 as , State of _ F 1 a r; cl a , party - of the second part;
W I T N E S S E T H : That the said party of the first part, for and in consideration of the sum of $ 200 - 00
to it in hand paid by the said part yof the second part, the receipt
whereof is hereby acknowledged, has, remised, released, and quit-claimed, unto the said park of the second part,
and her heirs forever, all the right, title and interest, which the said party of the first part has in and to the following
described parcel of land, lying and being in Pinellas County, State of Florida to wit: Space D Lot 16
co dock 15 Clearwater Cemetery, as recorded in Plat Book 60 Page 30 Public Records of Pinellas County,
rorida.
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v co
v
es F- O c~7 This conveyance is subject to the condition that Grantee herein shall not assign or convey said property without the
J M written consent of the Grantor, and to the further condition that said property shall be used only for cemetery purposes as
} L 'human burial sites and is also subject to such other rules and regulations the City of Clearwater may adopt pertaining
FF•- F : « ft use of said described property.
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C)113- CC TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said part V of the second
cpart her heirs and assigns forever. t 7rE rd.
17, f'
IN WITNESS WHEREOF, said City of Clearwater, a municipal corporatift, has ca these preseni<s ?o Abe executed
in its name by its Mayor Commissioner, by its City Manager; and to be attested and its corporate seal affixed by its City
Clerk on this the day and year first above written.
n o `Jigned, Sealed and Delivered ells"?LLAa f?r1G};F u CITY OF CLEARWATER, FLORIDA
ti `'n the presence of us: to;
a . „ 6- ?, "&Y 26
r Q r i s
C ? r --
3Lppro;of d as?toofform d correctnes
? CU
M.Galbrai h, Jr. City Attorney
State Florida,
County of Pinellas:
Personally appeared before me Rita Garv
n H . RabutY,« ' » City Manager.
Rita -N/ v t? ??rl.•1 r,Commigsioner.
Attest.
.'V?? =-
Cyn is 'jGi''' CG >'ltledu,;,.^'; „..? City Clerk.
Ron H. Rabun, M.A. Galbraith, Jr.,
and Cynthia E Goudeau to me well known to be the persons who
executed the foregoing instrument of conveyance in the capacity of Mayor Commissioner, City Manager, City Clerk
respectively, and they severally acknowledged that they executed said instrument in their respective capacity by and
on behalf of and as the free act and deed of the City of Clearwater, Florida, a municipal corporation, for the uses and
purposes therein expressed.
.hCCT ' ? `'•
G-Witness my hand and official seal at Clearwater, Florida, this the da?tof
A. D. 1989-' tl
(Seal)
This-instrument was prepared by: Notaty Pulrp¢ State yfr Id6l4a
, ,•,?
f r 10 M_d Galbraith, Jr.
My Commission expires [ !_j c
- City of Clearwater, P. O. Box 4748 r"
1
Clearwater, Florida 33518 Vim P-111)114, state of f Iorda
Jdy Cornmission Er.p:res Aptil 20, 1453
I -. Bondcd Ihiu 1r,1 L;n : huun:ncu Inc,
June 1, 1989
Ms. Nellie Wilburn
1020 6th Street N.
Safety Harbor, FL 9s
Dear Ms. Wilburn:
Enclosed is the deed which indicates that you own Space D, Lot
16, Block 15 in the Clearwater Cemetery. This deed has been
recorded in Official Records Book 7008, Page 1561.
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 upon us.
Yours very truly,
Susan Stephenson,
Documents & Records Supervisor
SS: em
Enclosure
PURCHASE OF CEMETERY LOT
Owner's Name
Address
CEMETERY CHECK LIST
County (if other than Pinellas)
Block Lot Space -106
Cost of Space
Recording Fee
Total Collected $?? l
Receipt No j j /L? L g
Purchaser signed "Florida Dept. of Revenue Return for Transfers of
Interest in Florida Real Property" form
Give Purchaser copy of Rules & Regulations (in Cemetery file drawer)
Deed Prepared
Deed signed & sent for Recording
Copy of Deed filed in Cemetery drawer
original deed mailed to purchaser with cover letter
Necessary information entered in Cemetery Plat Book (large green book)
INTERMENT
Filled out Cemetery Information Sheet
Verify ownership in Cemetery Plat Book
Received $15 staking fee & issue receipt (include deceased's name and
the block, lot & space on the receipt)
/Issue Burial Permit
Call Bob Maute at 6588 (Faye at Public Service Dispatch) & leave
message for him to return call. When he calls back, give him
name of deceased, block, lot & space, and date & time of service.
t/ Fill in proper line in Plat Book
i
Fill in proper space on Master Map (in Plat Book)
Enter deceased's name in Cemetery Index
DATE
Cemetery Information
Owner
Address:
r
Deceased name
Date of birth:
Date of death
Day/time service:
Funeral home
Director/phon
Legal description:Blk , Lot "7 Space _0
Staking fee: f?
Staking fee required minimum 12 hrs prior to service.
Cemetery attendants hours 7:00 am -- 3:30 pm; fees paid after
these hours will not be called over until next working day.No
caretaker on duty on holidays.