Butler, Rosa
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88306046
. CEMETERY DEED
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THIS INDENTURE, Made this 23 day of -S...e.P. t em b erA. D., 19 -B..8.. 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
Rosa Butler
whose malllngaddre8s Is: 1001 N. Greenwood - Bldq 12 - Apt, 1 Clearwater
of the County of P1nellas County ,Stateof Florida 34615 ,part--L..ofthesecondpart;
WIT N E SSE T H: That the said party of the first part, for and in consideration of the sum of $ 200. 00
, to It In hand paid by the said part ~ of the second part, the receipt
whereof Is horeby acknowledged, has, remised, re~en8ed, and qult-claimed, unto the said part ~ of the second part,
and
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C1":' ~~crlbed pnrcel of land, lying and being In Plnellas County, State of Florida to wit: Space
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. ~:, eibck _ I 5_._ ClearwAter Cemetery, as recorded In Plat Book 60
o y ~ tibrlda,
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~ L"l Sl? ij~. Tltll conv.yanc. II lubl.ct to the condition th.t Grant.. herein shall not assign or convey said property without the
I:u j:: !.t. ~ltten conllnt of the Grantor, and to the furth.r condition that laid property shall be used only for cemetery purposes as
.~ Uc: u:~ ~:..~::~~I ;~:~I:: ~';::ty~.blect 10 luch .the, ruloo oud ,ogalo"... tho CI;,,:~~:~~W~;~~ m:~~~p;trtol.;.~ I."
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II e r heirs forever, aU the right, title and interest, which the said party of the first part has in and to the following
B
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Public Records of Pinellas County,
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TO HA VE AND TO HOLD the same to the only proper use, beneClt, and behoof of the said part
Her
part ___ heirs Rnd ISlllgns fOI'ever.
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of the second
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~ ~~ ~ ~ IN WITNESS WHEm:OF, sold 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
~ (j ~ * Clerk on this the day and year first above written.
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.1::' c..tSlgned, Sealed and Delivered
u in the presence of us:
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II REl'OI(lHN(]l
: CHO I~~O__
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and Cynth1.11 E t Goudeau, to me well known to be the ~ons w1i.o'
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 freo act and deed of the City of Clearwater, Florida, a municipal corporation, for the. uses and
purposes therein expressed. ;
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13th t' 0 ( -,. ". ..~<~ day of
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TOTAL(..OC)' Attest:
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City Manager.
City Attorney
State of Florida,
County of Plnel1as:
I'll,
Personally appeared before me
Rita Garvey, Ron H. Rabun,
Witness my hand and o(f1clal seal at Clearwater, Florida, this the
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(Seal)
This. Instrument was prepared by:
DJ-:t'/ A.!-qnJhrait1b_J.r .
./Pl~ of Clearwater, p,O, nOI 4748
. Clearwater, Florida 331518
A. D. 19--13Qy.1lBCOIlDlNO
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CASE NO.
I
NAME
G-olet vt
-
~ekL. SIC.. AGE 6CJ
,
LAST
HOUR ~ ~&1' 1/ /J1
fiRST
MIDDLE
DA TE OF DEATH 51(. ~. ...s. ~ I' /-.
II; /9 IY
Arr;/ngemenr Appointment Time
o '" funeral Home 0 ", Residence
VITAL STATISTICS
DECEASED'S ADDRESS
I OD \ Nu G.lLe..~ 41~ 1leAt!.
I
CITY
CITY LIMIT COUNTY
e~
e i'le IIQ
CITY LIMIT COUNTY
CITY
11.-1 ~ ~ +.,~ ~ C ( e4l(l4J~-k... ~r P/~~/h f
SEX COLOR MARITAL STATUS CITIZEN
/VI. 4 e- 14 c,1I( ~~'ed ~s:
BIRTHPLACE DATE OF BIRTH
IJII\. CDIt"
fATHER'S NAME HIS BIRTHPLACE MOTHER'S MAIDEN NAME HER BIRTHPLACE
OCCUPA TlON
':Ro
SOCIAL SECURITY NO.
'iQ(,- ';(,- ~I
IF VETERAN, NAME WAR AND BRANCH OF SERVICE
RANI< AND SERVICE NO.
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INFORMANT'S NAME AND ADDRESS
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814'1 12. HII.! I '"J If',.,)
TELEPHONE
CAUSE OF DEATH
OTHFR INFORMATION: