Delack, Rober E
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V3.18
CEMETERY DEED
THIS INDENTURE, Made this ____J._~~1!______ day of __l{QY~~~______________ A. D., 19__'Et_
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 ____~~~~!'!_~_~_A~_~~~~_'____~Ql__~~!!._~!~_~_~~.!!~_'___
______A~~g~___________ _______________________ __________________ _________ __________________._, of the
County of ----P-ine.1uS---------___________, State of --Fl.orida________, parL~_ of the second part;
WIT N E SSE T H: That the said party of the first part, for and in consideration of the sum of
$-~I!.!_!t_l.!!l..<!!'~~__~~~~_l!!'~__~~!QP_~~_C!t_____________, to it in hand paid by the said parL~_ of the
second part, the receipt whereof is hereby acknowledged, has, remised, released, and quit-claimed, unto the
said parLX_ of the second part, and___!1_~~_______heirs forever, all the right, title and interest, which the
said party of the first part has in and to the following described parcel of land, lying and being in Pinellas
County, State of Florida to wit: Space __~________ Lot __~JJ________ Block___~~_______ Clearwater Cemetery,
as recorded in Plat BooL_~_Q___ Page_~~_-:~_C! 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
.. g;. 00 only for cemetery purposes as human burial sites.
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1l:!;i ~ co TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said
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~ f.' ~ ~art_~____ of the second part______1!~~_______ heirs and assigns forever.
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-::; ~ ~ ...to be executed in its name by its Mayor Commissioner, by its City Manager, and to be attested and its
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S ~; ~ ~orporate seal affixed by its City Clerk on this the day and year first above written.
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.s tJ 'Q O;;igned, Sealed and Delivered
.~:3 >. m the presence of us:
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IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, has caused these presents
CITY OF CLEARWATER, FLORIDA
___L9_L__~~_~__~9!Q6j_U____________________.
By -L~L-~JWcCLt-Jl+--f~~-------------
City Manager.
Countersigned:
/s/ Kathryn C. Green
----j_~j__~_~__~y_~~~!~_?_~~~~Jl________.
Mayor Commissioner.
Approved as to form and correctness:
___L9_L_Jl~~Q~~~__tt~__ar~wll___________.
City Attorney
Attest:
/s/ R. G. Whitehead
City Clerk.
State of Florida,
County of Pinellas:
Personally appeared before me, __.!!~__~~~~_~~_~_!!?~~.!~_'__~!~~~__~_~__~~~~~_________ ____
R. G. Whitehead
-----------,--------'------------------------------------____to me well known to be the persons who
and
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 free act and deed of the City of Clearwater, Florida, a municipal cor-
poration, for the uses and purposes therein expressed.
Witness my hand and official seal at Clearwater, Florida, this the______~~!.0________________day of
November 74
--------____________A. D. 19______.
(Seal)
LsL-Kath~yn.-c.....--Gr.een.------_-------- _______
Notary Public State of Florida.
My Commission expires___________________