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Brown, Arthur INST # 97-377015 DEC 30, 1997 3:11PM PINELLAS OFF.REC.BK THIS INDENTURE made 'his I " 7/~av of f) ~~ , 1997, between 'he Cltv I of Clea,wa..., Flo,'da, a municipal co,po<o';on as G"""", and ARTtlUR BROWN.. whose mailing address is 13573 Oak Street, LarQo, FL 33778 in the County of Pinellas, State of Florida, as Grantee: CEMETERY DEED r COUNTY FLA. 9948 PG 963 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 the said Grantor has in and to the following described parcel of land, lying and being in Pinellas County, State of Florida, to wit: SPA~ Two (2), LOT Five Hundred Thirtv-six (636). BLOCK FolM'teen. (14), 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 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. Bv,jL-- Michael J. Roberto, City,Manager Attest: ~-'t.- ~k#~--<!nt' Susan Stephenson, Dep City Clerk 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 set forth. WITNESS my hand and official seal this 15 day of ~ ,1997. c ~~ ~ Notary Public ~~v PfJ61 CAROLYN L. BRINK () ?: ~ '.'1 "l '!?>. i!J EXPIRES MAY 22, 1999 ~~, BONDED THRU 't"OF f\.\)' ATlANTIC BONDING co., INC. (SEAl) Documer:tary Tax Pd $ J.)'O STATE OF FLORIDA ) COUNTY OF PINELLAS) :r 3rleen F 1'l~2"'c;'b!e Tax Pd'Print/type name: $ --r_",-, ~ , ..::.'.=-s C:'-L'''":'/ C2p...ti C~(;"f Before me, the undersigned, personally appeared Michael J. Roberto, 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 I ~ day of ~ ,1997. c,~ ~ df. 11 RE~IQIN ' --~ 4CCT 00 _ E rint/type name: REe r=;-.-.=- FEES ~ I.;TF DEED.~ 14i~ :n-o~ RETURN TO: City Clerk Department . ;~TAL --- P. O. Box 4748, Clearwater, FL 33758 ~ Approved as m and legal sufficiency: ~~ Notary Public CAROLYN L. BRINK John Carassas, Assistant City Attorney 9700-0026 Rev, 7/97 CITY OF CLEARWATER Dale: /d/o!1 BLOCK 337 r INTERRED: SPACE COST OF SPACE $ 5Z)O,()O RECORDING FEE $ -~~ /L/co STAKING FEE $ .id{) ,0 () TOTAL $ sz/tI,OJ RECEIPT NO. ;it:;lg' 1/17!(; 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. -0eck Availibility of space LP';J!fP'e a receipt and a copy of the Rules and Regulationfor the purchaser JL.(:olor in green plat (located in binder in overhead cabinet at receptionist's station) NOTE: FOllOWING STEPS WlU BE HANDLED BY EMPLOYEES WHO ARE ROUTINELY RESPONSIBLE FOR CEMETERY RECORD KEEPING. IF THIS IS AN AT-NEED PURCHASE. PLEASE SEE "ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMENT)" ATBOTTOM OF PAGE. .v::;ut ownership infonnation in data base programfor spaces in all Blocks. Additionally, write infonnation in Ownership /' Book (located in vault) for all spaces in Blocks 1 thru 11 only JL.Prepare deed for each space purchased tLirepare routing memo ~l.in Florida Dept. of Revenue fonn ~nter document information re deed in Document Tracking System ~utedeed and revenuefonnfor signature - file check list in vault (28-003) _After deed is returned to Clerk Dept. fully executed, send for recording and enter necessary infonnation in Document Tracking System _ Upon return of deed from recording, pull check list from 28-003, mark completed in Document Tracking System, and enter recording date and OR Book & Page number in Cemetery data base file _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 cemetery files in vault by owner's last name in 28-001 ADDITIONAL STEPS FOR AT-NEED USE OF SPACE (INTERMEN1) Fill out burial pennit (located in overhead cabinet at Receptionist's station) _Fax pennit to cemetery (6487) and Parks field house (6551) _File pennit in back of blue binder located in vault above the 28-000 files _Prepare receipt when stakingfee ($30.00) is receivedfrom Funeral Home (mark in data base file and on paper copy of cemetery penn it)