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Lugo, Gilberto and Guadalupe ~ INST :0: t;t1.....:I.~;()392 JUN 6, 1991 3:24PM ~ PINELLAS COUNTY FLA. OFF.REC.BK 7589 PO 2190 CEMETERY DEED THIS INDENTURE made this ..3 Jl..d day.of. ' 1991, between the City of Clearwater, Florida, a munlclp corporation as Grantor and Gilberta and Guadalupe Luga,': whose mailing address is 2131 Ridge Road, E-25, Largo, FL 34638, of the County of Pinellas, State of Florida, as Grantee: WITNESSETH: That the said Grantor, for and in consideration of the sum of $200.00, 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: Space A, Lot 109, Block 15, Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Pub 1 i c Records of Pine 11 as 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 :If .. hmf the said Grantee and their heirs and assigns forever. ACCT LX'O 0 ~ ' IN WITNESS WHEREOF, said Grantor has caused these presents to be executed REC 'n its name by its Mayor Commissioner, by its City Manager, and to be attested FEES and its corporate seal affixed by the City Clerk on the day and year first above MTF \ft/ritten. PTG PC n DOC , f~O ~ INT TOTAL ii ~ City Attorney " '\. Approved as to form and correctness: State of Florida, County of Pinellas: Personally appeared before me Rita Garvey, Michael J. Wright, and Cynthia E. Goudeau to me well known to be the persons who executed the foregoing instrument of conveyance in the capacity of Mayor Commission~r~ City Manager, and 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, for the uses and purposes therein expressed. . ~ Witnes~nd and official seal at Clearwater, ~~day of r- . · 199\. .' '"" '~.j ,:~t' "1 Florida thisJ~e, .'i'I;':}:,;'; ; -"...'.'c\ ;\>' ! ,I ) _/, :t;.~,~~,:~/{ > ~'. ' , . ,~t'.(} ~;"':!'"t.'" ..:,.' , " ,', ;;~.' , C I" ~". (.t;.!..':-;~,+-,:: m~",'"',,,"""\";,"':II.,"', _'., .,,:' ~ -. I /'~~":',..,)~}\i~<:';~~ , . ~ I /,'f\'~"_,,, ub li c State of F.lo.i:i d~.i"::~'}}:;}~:J (j~~~>...:,j/ \ ' '.':'} ,(, Notal'Y Public. Stille of r/crida ":'~':" , MV Commission EJ:pires Api' 20, 1993 80nded T/lIlJ T,oy fain. JlIsulance- Inc. This instrument was prepared by: M. A. Galbraith, Jr., City Attorney City of Clearwater, P. O. Box 4748 BE1URN 1@1 ea rwa ter, F lor i da 34618 ~eellmf!"t!lry T8X Ptf. f~ ' Qu .. $___.___"'.. In~nglble Tax Pd. Kufleol'i ; U.v """ r"lllllty , "IGrk I . A I" I I'" I:" ~ I I'" I' I'" 1: l "I '1'''1'' S'l 1"'1" I . '\ n .~ .., ::. ~:, 1'1 ". .! ::. ~.( .. f-I " ::. .~ V '".. ::. ., '\ BECDHD t)[H I F I [D BY: j AFFIDAVIT STATE OF FLORIDA) COUNTY OF PINELLAS) I, Gilberto Lugo, the undersigned, am the owner of cemetery property described as Block 15, Lot 109, Spaces 3 (B) and 4 (A) in the Clearwater Municipal Cemetery. My wife, Guadalupe Lugo, and myself, Gilberto Lugo, will be buried in Space 4 (A). I do hereby grant interment rights to my nephew, William T. Stoll IV, my niece, Linda R. Parmelee, and their mother, Inez M. Stoll as described below: Block 15, Lot 109, Space 3 (B): Linda R. Parmelee and Inez M. Stoll Block 15, Lot 109, Space 4 (A): Gilberto and Guadalupe Lugo Please take this affidavit as your authority to note the right to property described above. Per the City of Clearwater Rules and Restrictions the maximum capacity of a space is two burials provided at least one person is cremated or two cremated remains. I also would like to mention that Block 15, Lot 108, Space 1 has a full burial of Marta Martin, owner of this space. Ms. Martin was the sister of Inez M. Stoll, mother of William and Robert Stoll and Linda Parmelee. One urn burial may also be placed in this space. I do hereby grant interment rights to my nephew, William T. Stoll IV, as described below. Block 15, Lot 108, Space 1 (D): William T. Stoll, IV I, further agree to release, indemnify and hold the City of Clearwater harmless from liability in the event of any claim arising from the use of the above described property for the interment rights requests made. 0 Gilberto Lugo, (Owner) (Address) 33Z ? tness OVA Relationship to Witness 17L 3'f( ? y (Address) I S? S g? h ? ?? • $• Lek KZ k-'11 I SWORN TO and subscribed before me this --7t day of 2011, by Gilberto Lugo who produced identification in the form of F and who did/did not take an oath. SEAL Notary Public v KAREN E MMISSION # DD 9 1 8 y r' F.X?IRE& December 20, 21 01 0 3 J t4 a Underwnlers My commission expires: gondedih,Notary Public