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INST # 93-179416
JUN 23, 1993 2:37PM
CEMETERY DEED
PINELLAS COUNTY FLA.
OFF.REC.BK 8314 PG 1464
(If
THIS INDENTURE made this / f day of
1993, between the City of Clearwater, Florid
corporation as Grantor and Thelma Brinson, whose ma
1001 N. Greenwood Avenue, Building 11, Apartment 11, Clearwater
34615, of the County of Pinellas, state of Florida, as Grantee:
For the interment of Anthony Brinson
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 4, Lot 77, Block 15,
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
~ 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 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.
CITY OF CLEARWATER, FLORIDA
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By:
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Rita Garvey
Mayor-Commissione
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oocumerrtaN. Tax ?d. '<1_ \n~ ial( rd.
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Susan Stephens' ~"'<,;'~L. t <~' -:~",'-':: .
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Deputy Cl ty C rk--:...;!:.u. '.:'.~' .~~ .
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Approved as to form and correctness:
Jr., City Attorney
RETURN TO:
CITY CLERK
POST OFFICE BOX 4748
:I.EARWATER, FL 34618-4748
KARLEEN F. DEB LAKER , ~~RK
RECORD VERIFIED BY:
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PINELLAS COUNTY FLA
OFF.REC.BK 8314 PG 1465
paq!' # 2 of Cemetery Deed befe;:::.e :he q~ OF CLEARWATER,
FLORIDA and Thelma Brinson, dated ~, 1993 regarding
Block 15, Lot 77, Space 4.
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STATE OF FLORIDA
COUNTY OF PINELLAS
BEFORE ME, the undersigned, personally appeared Rita Garvey,
the Mayor-Commissioner of the City of Clearwater, Florida, 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, and who is personally known to me.
of ~yt.?J 1993.
IN tary Publ ic
Print/type name:
STATE OF FLORIDA
COUNTY OF PINELLAS
BEFORE ME, the undersigned, personally appeared Michael J.
Wright, the City Manager of the City of Clearwater, Florida, who
executed the foregoing instrument and acknowledged the execution
thereof to be his free act and deed for the use and purposes herein
set forth, and who is personally known to me.
o.J\j..J\/'-
Notary Public
Print/type nam
h
Of~ 1993.
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PURCHASE OF CEMETERY SPACE CHECK LIST
.
6-'16-?'3
.
ADDRESS
PHONE NUMBER Lf LJ 7" 5 3 oR
(Jk;, 4-
(Include County, if other thenPinellas)
BLOCK
LOT
SPACE
~/1/A 30,06
COST OF ;p~~~v-C7 $ 50 (J, 0 d
RECORDING FEE $ ) Lf, (J 0
TOTAL $.5 If- '-t I () (5
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RECEIPT NO. :20 51? R J/
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.
_Check Lot Ownership Book
_Color in green plat (located in binder in overhead cabinet at receptionist's station
1Prepare a receipt for the purchaser
;LSf!ave Purchaser sign Florida Dept. of Revenue form
~~,.IIIIIt,.
/ Fill in ownership information in Lot Ownership Book
LPrepare deed for each space purchased
.h-ill in Florida Dept. of Revenue form
LEnter document information re deed in Document Tracking System
/ Prepare routing memo to route deed and revenue form for signature and route
_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
--fr'epare transmittal letter sending deed to owner
File copy of deed in cemetery files in vault
ADDmONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT)
drill out burial permit (located in overhead cabinet at Receptionist's station)
~epare receipt when staking fee ($30.00) is received from Funeral Home
~all Larry Pitts (eff;ctive 2/3/92) 6531 and leave message that there is a burial permit to be picked up
PPI~
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\SUSAN\ CEMCKLST. FRM
JanWlry 15, 1992