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Young's Funeral Home (5)THIS INDENTURE made this 02 day of 1995, between the City of Clearwater, Florida, a municipal corporation as Grantor and Mr. YOUNG, whose mailing address is Young's Funeral Home, 1005 Howard Street, Clearwater, FL 34616, of the County of Pinellas, State of Florida, as Grantee: FOR INTERMENT OF: JOHN H. TAYLOR 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 (1) Lot Ninety-one (91), Block Fifteen (15), Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. PINELLAS COUNTY FLA. OFF.REC.BK 9204 PG 25 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 day and year first above written. Cou n d: CITY OF CLEARWATER, FLORIDA Rita Garvey, Mayor-Commiss• er STATE OF FLORIDA ) COUNTY OF PINELLAS) By: Eliza be Dep , C' y 4Man52W- Attest: Susan Stephenson, Deperk 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 , 1995. (SEAL) ? `?`'' `•"'"'? r Y CAROLYN L. 9RINkotary Pu h Documentary Tax Pd. >? ? 7 Print/type name: 13" ??? MMIS510N M CC 46304 8 Intangible Tax Pd. *80 EXPIRES" MAY 22,1999 STATE OF FLORIDA ) Karleen F. DeBlaker, Clerk, Pinellas County ATLANTICC BON BONDOING THRU COUNTY OF PINELLAS) CO., INC, By _77 - Depluty Clark_ Before me, the undersigned, persona y appeared Elizabeth M. DVptula, 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 r 8? day of CY'L? , 1995. (SEAL) ?PQY P?? `at1OL.1 L. BRINK?`otary Public Approved as to form and legal sufficiency-0 [ri[t/[P[ n C.;r6- :.:ION # CC 46,3040 IN ZS MN? 22,1999 TMU Sohn ? Ar&tant City Attorney ATIANTICBONDINO CO, INC V. W UJ CITY CLERK POST OFFICE BOX 4748 , v o w CC U) I- O car w ?? <0ir0c?CL U W? ARWATER, FL W1 R-474R ? 'SFAL???M?c = ell J, ?A TER ?c???`` 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 December 18, 1995 Mr. Young C/o Young'S Funeral Home 1005 Howard Street Clearwater, FL 34616 Dear Mr. Young, Enclosed is the Cemetery Deed, which indicates that you own Space One (1), Lot Ninety-one (91), Block Fifteen (15), in the Clearwater Cemetery which has been used for the interment of JOHN H. TAYLOR. This deed has been recorded in Official Records Book 9204, Page 25. 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" OWNER'S NAM. ADDRESS BLOCK LOT SPACE / i _ INTERRED: AL ?.J RECEIPT NO. 124? PHONE NUMBER COST OF SPACE RECORDING FEE STAKING FEE TOTAL $ r $ $_-? r" ne Purchaser will first visit the cemetery and obtain the legal description of the space selected front the caretaker at the centeter The following steps shall then be followed in their listed order. heck Availability of space n Plrf'pare receipt for purchaser y Color in green plat (located in binder in overhead cabinet at receptionist's station VOTE. FOLrOT ING STIrPS WILL, BE'HANDLED BI'.EMPLO)?,EES`WHO AkE ROI1?7NEL}'RESPONSIBLE FOR CE,LfETER RECORD KEEPING.: IF THIS IS AN AT-NEED PURCHASE, PLEASE SEE ADDITIONAL STEPS FOR AT-NEED USE OF SPAC. giVTE EN AT BOTTOM OF PAGE. 'ill *itt ownership information in Lot Ownership Book -?Ireparc deed for each space purchased Fill in Florida Dept. of Revenue form V/ Prepare routing memo to route deed and revenue form for signatures and route Enter document information re deed in Document Tracking System. -,,I-After deed is returned to Clerk Dept. fully executed, send for recording and enter necessary iliforniation in Document Tracking System L! ,,When deed conies back front recording, mark co npleted in ocunient Tracking System L/ Prepare transmittal letter sending deed to owner, enter in Document Track-it /-"? "?7 " S ter t File copy of decd in cemeteryfiles in vault ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT) f. Fill out burial permit (located in overhead cabinet at Receptionist's station) Far permit to cerneteny and parks Prepm•e receipt when staking fee ($30.00) is received from Funeral Home lY -8,dMCEMCKL ..F7EM June 2 T, 1994 PURCHASE OF CEMETERY SPACE CHECK LIST