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Refund of Cemete1'Y Lot purchase prige
Lot 30, Block IS, Space A
Clearwat~ Cemetery
Misc Reo '1275C
Please send check to City Clerk.
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(!A- II 713.3\3
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$ CODE
1 1000 610
$
135.00
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Total of this Disbursement $ ___________
o. K. ".";/}.' ~ ~.
-_____?t/&~_=L_____
APPROVED:
---------------------------------------------
City Manager
,
CEMETERY DE~
THIS INDENTURE, Made this ____~.1.~.t_______ day of _____J.u.ly_________________ A. D., 19_1_':1:__
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337
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 ___4QA~__:r9_~&.C!9~.2___J._~g_Q.__~~.K~~_K~~_<!.L____________
_____________ __________ ________________________ ______~_~~A~~~~_~!'________ __________ _ ___ _____'_, of the
County of _____PA!1~;1.A~!>___________________, State of _K!?!::~_~~_________, parLY__ 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
$_One. bund...I'~td__t.11-irj:_Y--fi-'{~--g..Q1,.1.~~-~~-~1-~li-L-, to it in hand paid by the said parLY__ of the
second part, the receipt whereof is hereby acknowledged, has, remised, released, and quit-claimed, unto the
said part_y_ of the second part, and______l)?_~____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 __A________ Lot ___J_Q______ Block___;LS_______ Clearwater Cemetery,
as recorded in Plat Book__JiQ___ Page_2.9_~3_Q 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
po, only for cemetery purposes as human burial sites.
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C' ;~ ~:parL_y.____ of the second part_____her_________ heirs and assigns forever.
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TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said
IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, has caused these presents
f10 be executed in its name by its Mayor Commissioner, by its City Manager, and to be attested and its
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~ ~i; ~forporate seal affixed by its City Clerk on this the day and year first above written,
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to; E-i @
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~~ ~d '6 d'igned, Sealed and Delivered
,~~ po, in the presence of us:
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__~dlli__l)J~~cr~L________.
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APproved_~_~~
City Attorney
City Clerk,
State of Florida,
County of Pinellas:
Personally appeared before me, __l!.!.__~y.~~_~.t_.Ll!9.!!g~_:o_'__E.i.9J2.t__fl_~_J:.l.9...Yg__________..___
and "':c=-,_-c:F:..,.-::=-.gL-Wb=~_~..,~b~a.Q..-"----~---_::::_-..,:_---_::--::__-:::=::_==-----to!ll.e well known to be the persons who
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,
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Witness my hand and official seal at Clearwater, Florida, this the_____~E.______________day of
---___'1(~--C-'-~-m ._____
Notary Public State of Florida.
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My Commission expires____________________
N.tary Public, State .f Florfda at let,,_
My C.mmiuion Expir.s Se.... 29, 1977
lIonded by Ame,ican Fire .. Casualty Co.
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