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Windham, Grace1NJ1 ff 7v .LWW_ , JUN 17, 1996 5:22PM THIS INDENTURE made this 14 day of G 1996 between the City of Clearwater, Florida, a mu ci al corporation as Granto and GRACE WINDHAM, whose mailing addre is 1281 Magnolia Avenue Clearwater, FL 34616 of the County of Pinellas, State of Florida, a: Grantee: 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 isl 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 Two (2). L07 Thirteen (13). 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 9376 PG 1003 1 RECORDING CCyo-n-a r7 O OD E C TOW- EC r- 0-0 R21 S 4T -RT EES TF 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 name 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. CM d: ITY OF CLEARWATER, FLORIDA By: Rita Garvey, Mayor-Commi ner Eliz eth t \ ity M n er Attest: - Susan Stephen " n, putt' Lity'6 k _ STATE OF FLORIDA COUNTY OF PINELLAS) 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 s t forth. WITNESS my hand and official seal this day of 1996. (SEAL) g S? Notary Public Documentary Tax !! 1PPy CAF OLYN L. BRINK $ Intangible Tax Pd. Print/type name: ° f CO&UAISSI Jerk, Pinellas County EXPIP.ES MAY 22, 1999 STATE OF FLORIDA ) Karleen F D BIa r, ATLANTIC BONG NG COUNTY OF PINELLAS) oy Oeputy. Clem CO,, INC. Before me, the undersigned, perso9611y 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 thin 3 day of 1996. 0 /? n n ?z (SEAL) Approved as to f and legal sufficiency: John 6arassas, Assistant City Attorney DEED.DOC Notary Public CAR-311-YN L. BRINK Print/type name: RETURN TO: CITY CLERK POST OFFICE BOX 4748 lEAF'.14' TFR. FL 34518-4743 ExPiAEs b1AY 22,1999 BONDED THRU A11AN11C BONDING CO„ INC. 9700-0026 Rev. 5/96 ,f OF T* + C I T Y OF C L E A R W A T E R 4 41 POST OFFICE BOX 4748 r O CLEARWATER, FLORIDA 34618-4748 TEW Department of the City Clerk (813) 462-6684 June 21, 1996 Mrs. Grace Windham 1281 Magnolia Avenue Clearwater, FL 34616 Dear Mrs. Windham: Enclosed is the Cemetery Deed, which indicates that you own Space Two (2), Lot Thirteen (13), Block Sixteen (16), in the Clearwater Cemetery. his deed has been recorded in Official Records Book 9376, Page 1003. 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, Susan Stephenson, Documents & Records Supervisor SS: CM Enc. "Equal Employment and Affirmative Action Employer" "'1 ant ?rAC'?' CHECK LIST DA TE. OWNER'S NAME -PHONE NUMBER ADDRESS BLOCK LOT _ SPACE_ ('"Cl"lr G)unty iii` whrrshan Pinrttay INTERRED. COST OF SPACE RECORDING FEE $ STAKING FEE RECEIPT NO. TOTAL $ 77)e Purchaser will first visit the cemetery and obtain the legal description of the space selected fi•otn the caretaker at the cemetery. The following steps shall then be followed in their listed order. C eck Availability of space Prepare receipt for purchaser 4-- C-U ?olot- in green plat (located in binder in overhead cabinet at receptionist's station Fill in Florida Dept. of Revenue form LIPrepare routing memo to route deed and revenue form for signatures and route "L Ewer document information re deed in Document Tracking System After deed is returned to Clerk Dept. fully executed, send jor recording and enter necessary it formation in Document Tracking System When deed comes back front recording, mark colnpleted in ocutnettt Tracking System Prepare transmittal letter sending deed to ownecrr,--e?rter in Document Tra ng S lei Fil e copy of deed in cemetery 'files in vault ADDITIONAL STEPS FOR ATWEED USE OF SPACE (INTERMENT) 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 ISUMMCEMCICLS7; FRM June 27, 1994 L/ Fill 'in ownership it formation in Lot Ownership Book Prepare decd jor each space purclmsed