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International Mortuary Services 1 PINELLAS COUNTY FLA. I NST :1: ('?0'-25(J'ln5 *** OFFICIAL RECORDS *** BOOK 7386 PAGE 1425 CEMETERY DEED ,- THIS INDENTURE made this r::25' day of ~tev. 1990._ ~ between the City of Clearwater, Florida, a municipal rporation as Grantor and 00 !;j: International Mortuary Services, whose mailing address is 4617 73rd Avenue North, ~ ~ Pinellas Park, of the County of Pinellas, State of Florida, as Grantee for the ~- ~ interment of Ju 1 i a A 1 vers: .. ~ x~' oa:aCi) ~ ~ co -J, WITNESSETH: That the said Grantor, for and in cons iderat ion of the sum ~ (.) t~ LL of $125.00, to it in hand paid by the said Grantee, the receipt whereof is hereby ~ ~ ~L a: acknowledged, has remised released and quit-claimed unto the said Grantee, and a: C3 0 ~ their heirs forever, all the right, title and interest, which the said Grantor t; ~ has in and to the following described parcel of land, lying and being in Pinellas ~ 0: County, State of Florida, to wit: Space A, Lot 52, Block 16, Clearwater Cemetery, ~ as recorded in Plat Book 60, Page 30, Public Records of Pinellas County, Florida. -J (.) This conveyance is subject to the condition that Grantee herein shall not assignor 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. Rita Gar.v~~...~~Jo,r,:, Com' ...i}s \~ner ;,-:.,J:,J :"-:~f~~I\,~,\. ',(, "_'~ -~..~ Attest:', .;-.~. h.] "J ,j l,<:'/"".t:\.~, ,/. r- : ~:~,J'i,_- "".,'" ;"," ~~,:~,: .;,- '" Ct. I ' r .' J', " ";'.~'" " ,C'/\~i.f" ..,'~.. ," '~'~;t ' ..:,~ hU' '.('" :,. . . " ." ';' Q ~, Cyn.t ii(!. L1de, City Clerk l\ ;'~~, 1/ '~.... ':'" .,,' "'~~~"': 'I v l .........' .,~t!II' I \ I ,t, ~{'l1 ~ ~ , '\\\',' . '0" \,\ \,. ' ' . ' ' , "", Persona lly appeared before me R ita Garvey, Ron H ~~Rabun, an~; Cyntti'ia'E'. Goudeau to me we 11 known to be the persons who executed th~Joregoing instrument of conveyance in the capacity of Mayor Commissioner, City Manager, and 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, for the uses and purposes therein expressed.!';, ~ '-,t,-I! ".'-, . '.;,.,;;'1' "" ," 1:::,':' :~,et~Jjf}fIN€1.. ---It Witness T}Y hand and offici a 1 seal at Clearwater, Florida th i s,J,h,',..~';S\,l:~~ifjj;i?,~",;:,. we' ~ day of .:(}.J4d~ , 1990. '\ .i'.<< ...~... ~,V'~ '4- I)?\ . ,. ~. ,,;~. ;:::-,;Y~i~~;t.\j>':"~1'_<F:,.i~~ REC -(o~!o.(d- P'//A/.'~~~, ,q";"j,,{I)./f,'" ~~~_ :'" ;,I"ro...,,<,;.. /)';"0' fME_I~: --~---- Stat.,e, .:i9.,...f,:,i~"Fii~,~,~. ai;,h:;,~,'.~,~<'t ." I -----~- KAhL E'E'N F' ItE'v:cL ""KE f' ('L EF'K i<':~""I~.!!' ,.",..,:.,,,, . t.c"'!1" " "..:: ':: '. : ':: 1": . n .' .;: " , ,I...: ~ . ': ,I'!"" ," " 'IJ'!l -', .,,1"'/ SF'T 25, 1990 5: 10PM .... tlotary Public, Stat~::+'fJl~~~0'\;ii::-' (, A "120 f""'" My Commiuion Expires l1r1 ':'}~ri:" , , , l};-,i"\ded Ihru 1(oy f,)in - In:;L.(ujl~U In;~',ri.r~/', . '7i1!h;" ,.,'./..H." Approved correctness: ~ , City Attorney State of Florida, County of Pinellas: CITY OF CLEARWATER, FLORIDA By ~ )I-~. Ron H. Rabun, City Manager ~ PTG _~_.u___ PI c______ D(~C t ./Q'''fh i s instrument was prepared by: ~'~'AL ~~---M: A. Galbraith, Jr., City Attorney 17 City of Clearwater, P. O. Box 4748 ;to Clearwater, Florida 34618 / ,~l A ~ocuml!lntary Tax Pd, $__..lju ..I ( vi .. Inu:noible Tax Pd. nIl Karleen F. De8Ia\;,il', Clark, t'ili~!I)!; County t' ~, : : : ',' ("' I '-;, " ,( ~/;~J, .,'; ',.J-. ( : \ PU'RCHASE OF CEMETERY LOT \" -, ~~/\/ (!O/Y1;OET/.E'LLO DATE S;:?r, /~ /9'90 Owner's Name /~N~/2NA-7/0rJ /Jlo,er-v,q-e y ~/C'VICc::5 _ Q.(l/::~,;:. ):),1, '. '-')' Address ~~/7 73 rc/ Av~ ~. A~E'-C.~S /h~~)U;((St/t/-tf~~~ ,Y0 n '39'~t.5 County (if other than Pinellas) ^ CEMETERY CHECK LIST \. / , \ /, I',! '!, r J ---(.- 1...._' { Block !(p Lot .5 ~ Space f)- Cost of Space Recording Fee Total Collected 75,(){) $ / r.2 <--1) , () 6 7 I / (j $/Lf71/D ~- (f Receipt No. ~purchaser signed "Fl~rida Dept. of Revenue Return for Transfers of Interest in Florida Real Property" form --<;ive Purchaser copy of Rules & Regulations (in Cemetery file drawer) t/l;eed Prepared Deed signed & sent for Recording ___Copy of Deed filed in Cemetery drawer ~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 ~Received $15 staking fee & issue receipt (include deceased's name and the block, lot & space on the receipt) ~Issue Burial Permit ~Call Bob Maute at 6588 (Faye at Public Service Dispatch) & leave message for him to return call. When he calls back, give him name of deceased, block, lot & space, and date & time of service. v' Fill in proper line in Plat Book ..JL....Fill in proper space on Master Map (in Plat Book) t~ Enter deceased's name in Cemetery Index