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Sams, Terry ,/' INST # 93-112504 AP~ 21, 1993 5:33PM CEMETERY DEED PINE~LAS COUNTY FLA OFF.REC.BK 8245 PG 18i7 THIS INDENTURE made this /~day of , 1993, between the City of Clearwater, Florida, a municipal corporation as Grantor and Terry Sams, whose mailin address is 411 Nimbus Avenue Apt. 10, Clearwater 34615, of the County of Pinellas, State of Florida, as Grantee: For the interment of Leroy Sams WITNESSETH: That the said Grantor, for and in consideration of the sum of $500.00, to it in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has remised released and quit-claimed unto the said Grantee, and his heirs forever, all the right, title and interest, which the said Grantor has in and to the following described parcel of land, lying and being in pinellas County, State of Florida, to wit: Space 2, Lot 65, Block 15, Clearwater Cemetery, as recorded in Plat Book 60, Page 30, Public Records of pinellas County, Florida. This conveyance is subject to the condition that Grantee herein shall not assign or convey said property without the written consent of the Grantor, and to the further condition that said property shall be used only for cemetery purposes as human burial sites and is subject to such other rules and regulations the City of Clearwater may adopt pertaining to use of said property. TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said Grantee and his heirs and assigns forever. IN WITNESS WHEREOF, said Grantor has caused these presents to be executed in its name by its Mayor Commissioner, by its City Manager, and to be attested and its corporate seal affixed by the City Clerk on the day and year first above written. FLORIDA ;:,.;n",--:'-' , '-_$.50 ~ ;.>:: :: :3 .- '- ~ - .,~..".,' ',:,;y.,c":.'.::o,,,,-:. V'.}~ C:';I_:::~ '~:C:..T;~/ AttesL/W~ Susan Stephens Deputy City CI rk ".------- '. ".-::'~;::; 'c.\ ,::_ ~/-:::-::;~J ~'.' c.;_~ ~'.~ --.-- .--Approved as to form and correctness: ~.':' . i~;,~, , IL-a jJ .T..V-. --Or Jr., City Attorney RETURN TO: CITY CLERK POST OFFICE BOX 4748 KARLEEN F. DEBLAKER,JfLERK RECORD VERIFIED BY:~ PINELLAS COUNTY FLA. OFF.REC.BK 8245 PG 1818 Page # 2 of Cemetery DeLpd twe n ,'!;"he CITY OF CLEARWATER,- F. LORIDA and Terry Sams, dated ~, 1993, regarding Block 15, Lot 65, Space 2. STAT~ OF FLORIDA ) COUNTY OF PINELLAS ) BEFORE ME, the undersigned, personally appeared Rita Garvey, the Mayor-commissioner of the City of Clearwater, Florida, 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, and who is personally known to me. seal this/Qday Of~1993. Notary Public Print/type name': iJ STATE OF FLORIDA COUNTY OF PINELLAS ~1>~y;..~:'f~~;:;:~ . DENISE A. WILSON ~.(Q'\.~ MY COMMISSION /I CC 201408 EXPIRES ~;~':9'l June 18. 1996 "'''''.9f.:&'f,,'' BONDED THRU TROY FAIN INSURAHCf. INC. BEFORE ME, the undersigned, personally appeared Michael J. wright, the city Manager of the City'of Clearwater, Florida, who executed the foregoing instrument and acknowledged the execution thereof to be his free act and deed for the use and purposes herein set forth, and who is personally known to me. wrJrESS my h~~d and official seal this ;9day Of~993. /;}fjjJj~;Y ) (J lJ txm ) Notary PublJ.c '" . 1\ / 1'1 Print/type name :jJeAJ 150 f7. UJI 50.u l'k~.,Y:'?it,~ DENISE A. WILSON t(p,"'d MY COMMISSION /I cc 201408 EXPIRES ~'~',!>'; June 18, 1996 #;!;;,iif.;i;;'f:'..... BOtIlED TlRJ !ROY FAIN INSURANCE. INC.