Allen, Mildred
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JUN 23, 1994 5:47PM
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CEMETERY DEED
PINELLAS COUNTY FLA.
OFF.REC.BK 8707 PG 106
, '7/ j J .,
TillS INDENTURE made this ('0.' day of ,,~ ,1994, between the City of
Clearwater, Florida, a municipal corporation as Grantor and Mil ,ed Allen, whose mailing address is 5951 67th
Avenue North, Pinellas Park 34665, of the County of Pinellas, State of Florida, as Grantee:
For the interment of Harley C. Allen
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 her 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 2, Lot 26,
Block 16, Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of Pinellas County,
Florida,
This conveyance is subject to the condition that Grantee herei'ri 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 her 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,
11:00
Rita Garvey,
Mayor-Commissioner
CITY OF CLEARWATER, FLORIDA
By
, DCpCl";: CI~rk
Attest:
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By:
Documentary Tax Pd. $
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Paul Richard Hull,
Assistant City Attorney
Susan Stephenson,
Deputy City Clerk
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Approved as to form and correctness:
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RETURN TO:
CITY CLERK
POST OfFiCE BOX 4748
('1 !:~Q\;,'r'';"r~::! Fl 34613-4743
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PINELLAS COUNTY FLA.
OFF.REC.BK 8707 PG 107
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Page #2 of Cemetery Deed between the CITY OF CLEARWATER, FLORIDA and Mildred Allen dated
, 1994, regarding Block 16, Lot 26, Space 2.
STATE OF FLORIDA )
COUNTY OF PlNELLAS)
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 thisl1~day Of~, 1994.
Print/type name:
~~
, Notary PublIc
CAROLYN l. BRINK
Notary Public, State of Florida
JYIs CUIIll11 , "....I'~,'-~ MollY 22, 1999
Comm. No, CC 11174t
(SEAL)
STATE OF FLORIDA )
COUNTY OF PlNELLAS)
Before me, the undersigned, personally appeared Elizabeth M. Deptula, the Interim 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 /7 'f"day of ~ ' 1994.
Print/type name:
c~.~
Notary Public
CAROlYN l. BRINK
NotarY Public, State of Florida
:My comm. exprres May 22. HJ95
Comm. No. CC 111741
(SEAL)
CEMETERY CHECK LIST
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PURCHASE OF CEME~ERY LOT
, Block ,I K2 Lot d--- 6
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!!!!!z DATE ~ - J 3-- 9 4-
Owner's Name 1N ~__ I 54-4~L/-;}..A"'1
Address 5 90/ If ~- /1! Pi Pl<, :-34-0~"5
(p~ l'1--4'!
C~ )k'/'f~(~ f) A.-MI~liFL' --
"30 /1 ,!~
$ ...:5 0 () , 0 0 l/LJ.l./l./ 0
/4-,06
$51-4-,00
County (if other than Pinellas)
Space :ll{
.s ,AKIAJ (j'
Cost of Space
Recording Fee
Receipt NO.:J. 76- 6 ??~-::3
Total Collected
___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
30
___Received $~ staking fee & issue receipt (include deceased's name and
the block, lot & space on the receipt)
~Issue Burial Permit
~ ....rri-tJiq.}lte at_~YQ M pu,&li"c .gt::.L.vice-Di~tc~.:y.e
~~~l1Tm to, retu!=~_ ::: ~~II:,::a{1' g~~.
/na.me-o 1.-aBGa, blocK~__ ---- crL------m.. _!':P:r~.
-.lL. F;#-Jx P€/f /-1/ r
_L-Fill in proper line i~ Plat Book
___Fill in proper space on Master Map (in Plat Book)
Enter deceased's name in Cemetery Index
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C I T Y
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POST OFFICE BOX 4748
C LEA R W ATE R, F LOR IDA 3 4 6 1 8 - 4 7 4 8
Department of the
City Clerk
(813) 462~6684
June 27, 1994
Ms. Mildred Allen
5951 67th Avenue N.
Pinellas Park 34665
Dear Ms. Allen:
Enclosed is the Cemetery Deed, which indicates that
you own Space 2, Lot 26, Block 16, in the Clearwater
Cemetery. This ,deed has been recorded in Official
Records Book 8707, Page 106.
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,
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Susan Stephen on, ,
Documents & Records Supervisor
SS:em
Ene.
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"Equal Employment and Affirmative Action Employer"