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Young's Funeral Home (7)FEB 27, 1997 5:40PM THIS INDENTURE made this day of , 1997, between the City of Clearwater, Florida, a municipal corporation as Grantor and YOUNG'S FUNERAL HOME whose mailing address is 1005 Howard St.. Clearwater. FL 34616 in the County of Pinellas, State of Florida, as 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 is, hereby acknowledged, has remised released and quit-claimed unto the said Grantee, and their heirs forever, all the right, title and interest, which thel said Grantor has in and to the following described parcel of land, lying and being in Pinellas County, State of Florida, to wit: SPACE Three 13). LOT Thirty-One (31). BLOCK Sixteen. (16). Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. By: Elizabeth a ula City Manager Attest: Susan Stephenson, Deputy City Clerk 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. Co i ned: CITY OF CLEARWATER, FLORIDA Rit Garvey, Mayor-Commiss' er 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 Jet forth. WITNESS my hand and official seal this day of 1997. Documentary Tax Pd. _ 'qr LBRMary Public (SEAL) Intangible Tax Pd. P, CAROLYN Karlean F. DeBlakar, Clerk, Pinellas County Print/type name: -- JL 4.- wwISSION N 483040 STATE OF FLORIDA ) ?? EXPIREs S MA 2 22,1 COUNTY OF PINELLAS) By Barmy ?3 BONDEDTWU 13 '?'pF 41 41 ATLANTIC SONOM CO. WC. 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 a day of (T-1 (SEAL) Approved asand legal sufficiency: John Carassas, Assistant City Attorney OFF, ", COUNTY REC. "BK 9622-`PG FLA. 1298 11 RECORDING ACCT / ro Z 0 CODE REC DR219 I NT --- '/C - _ -` :ERT - EES ITF --? V AL D? 1997. Print/type name RETURN T0: CITY CLERK s.LL_ Notary Public o"0y POB< CAROLYN L. BRINK Iecir)N it CC •62040 EXPIRES MAY 22,1999 BONDEO THAU WeOFVVATLANTIC BONDING CO., INC. DEED.DOC POST OFFICE BOX 4748 9700-0026 Rev. 5/96 CLEARWATER, FL 34618-4748 "-Ib NSF ?? ?. c: 01" 99?ATE4l???? OWNER'S ADDRESS CITY OF CLEARWATER Date: c? `1 q q J) P CHASE OF-CEMETERY SPACE E LI T NAME 7t:um7t? /Q 3 BLOCK LOTSPACE - INTERRED: COST OF SPACE $_ RECORDING FEE $ STAKING FEE $ RECEIPT NO. 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. i Check Availibility of space LPrepare a receipt and a copy of the Rules and Regulation for the purchaser !,olor in green plat (located in binder in overhead cabinet at receptionist's station) NOTE: F(?LLOW7A"(; STEPS WILL BE IIAI V .-)I.ED BY 1~ 4IPLOYEES TY'HO 4R1' ROlI1NB1-Y RESPO ,"SIBLE FOR CE,,IETERY RI(t)flt?.hf f::l'IIC,........_Il-_'1_'ICIS IS_.4ti AI ,\_I::l.:l.l'l,iZ(11.1_f I' EASE SEE "1131 I7IQ4f S:If:P.S 1_012 r11 ?IID II,SI; OI .SPACE (INTFR•?IENT 1 "AT B07TOA1 OF PAGI v_`' Input ownership information in data base program for spaces in all Blocks. Additionally, write information in Ownership Book . (located in vault) for all spaces in Blocks I thru 11 only -Prepare deed for each space purchased Fill in Florida Dept. of Revenue form Enter document information re deed in Document Tracking System V-Prepare routing memo and route deed and revenue form for signature -file check list in vault (28-003) After deed is returned to Clerk Dept. fully executed, send for recording and enter necessary information in Document Tracking System When deed comes back from recording, mark completed in Document Tracking System, enter recording date and OR Book & Page ?number in Cemetery data base file, and pull check list from 28-003 -Prepare transmittal letter and enclose the original deed and a copy of the Rules and Regulations and send to owner -File copy of deed, check list, and transmittal letter (attached in that order) in cemeteryfles in vault by owner's last name in 28-001 ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT) Fill out burial permit (located in overhead cabinet at Receptionist's station) Fax permit to cemetery (6487) and Parks field house (6551) -File permit in back of blue binder located in vault above the 28-000 files -Prepare receipt when staking fee ($30.00) is received from Funeral Home (mark in data base file and on paper copy of cemetery permit) \SUSAN\CEMCKLST.FRM January 21, 1997