Adams, David Lee
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CEMETERY DEED
THIS INDENTURE, Made this lath day of March A. D., 19 ~ between the City of
Clearwater, Florida, a municipal corporation created and existing under the laws of the State of Florida, party of the first
part, and
David Lee Adams
whose mailing address is:
1128 Eugenia Street,
Clearwater
of the County of
Pinellas
, State of Florida
, part L- of the second part;
WIT N E SSE T H: That the said party of the first part, for and in consideration of the sum of $20 . 0 0
Twenty dollars
, to it in hand paid by the said part L- of the second part, the receipt
whereof is hereby acknowledged, has, remised, released, and quit-claimed, unto the said part ~ of the second part,
and his 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 Infant
Lot 4 71
Block 14 Clearwater Cemetery, as recorded in Plat Book 60
Florida.
Page 29 - 3 (Public Records of Pinellas County,
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 also subject to such other rules and regulations the City of Clearwater may adopt pertaining
to use of said described property.
TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said part Y
of the second
part
his
heirs and assigns forever.
IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, 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 its City
Clerk on this the day and year first above written.
Signed, Sealed and Delivered
in the presence of us:
By
CITY OF CLEARWATER, FLORIDA
/s/ Anthony L. Shoemaker
City Manage'r.
/s/ Sue Lamkin
Countersigned:
/s/ Gabriel Cazares
/s/ Leslie L. Jeffrey
Approved as to form and correctness:
Mayor Commissioner.
Attest:
/s/ Thomas A. Bustin
City Attorney
/s/ R. G. Whitehead
City Clerk.
State of Florida,
County of Pinellas:
Personally appeared before me
Gabriel Cazares, Anthony L. Shoemaker
and R. G. Whitehead 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.
Witness my hand and official seal at Clearwater, Florida, this the
22nd
day of
March A. D. 192!...
(Seal)
This instrument was prepared by:
Thomas A. Bustin, City Attorney
City of Clearwater, P. O. Box 4748
Clearwater, Florida 33518
/s/ Kathryn C. Green
Notary Public State of Florida.
My Commission expires
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Harch 22, 1978
~r. David Lee Adams
1128 EUGenia St.
Clearwater, Fla. 33516
Dear Mr. Adams:
We are enclosing the deed for one infant space in Clearwatep
Cemetery.
vlliile it is not legally required, it is advisable to record this
deed in the records of Pinella.s County throup,h the office of the
County Clerk at the Court House in case the original is lost or
destroyed.
Very truly yours,
Lucille Williams
Deputv Citv Clerk
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Date March 6~ 1978
The undersigned hereby assumes full financial responsibility
for payment of the following grave space, to-wit:
Infant: Space Lot: /4. 71
R10C'k 1/4. r.1 erl'Y'w;:!t-P'Y' r.pmp+p'Y'Y
for David Jack Adams
in the amount of $30.00
dollars payable in
cash to the City of Clearwater within six months from date hereof.
Moss Funeral Home, Inc.
By:
Witnesses:
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