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Shephard, Jerry L I PINELLAS COUNTY FLA. ~. CEMETERY DEED OFF. REC. BK 10029 PG 953 THIS INDENTURE made th;s ~deY 01jl) ~ ,1998, between the c;,y I of Clearwater, Florida, a municipal corporation as Grantor and JERRY L. SHEPHARD. whose mailing address is 1160 N. 6th Street, Safety Harbor. FL. in the County of Pinellas, State of Florida, as Grantee: . 083178 INST # ~~8 4:07PM MAE- 19, 1 ... or 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 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 One (1 ). LOT Five Thirty-six (536). BLOCK Fourteen. ~ 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 their 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, an to be attested and its corporate seal affixed by the City Clerk on the day and year first above written. Attest: Susan Stephenson, Deputy STATE OF FLORIDA ) COUNTY OF PINELLAS) Before me, the undersigned, personally appeared Rita Garvey, the Mayor-Commissioner of the City of Clearwater, Florida, to me well known to be the person 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. ~ WITNESS my hand and official seal this ~ day of ~ ,199B. C! r:/, ~ ~ Notary Public $'( PfJ6' CAROLYN L. BRINK Print/type name: <;) ... COMMISSION It C 4 ~ ~ ~ EXPIRES M.,AY 22,1999 '1'.* ~~ bON[)';;) THRU '(COF f\.()'<' ATlANTIC BONiJlNG CO.. INC. (SEAL) STATE OF FLORIDA ) COUNTY OF PINELLAS) Before me. the undersigned. personally appeared Michael J. Roberto, the City Manager of the City of Clearwater, Florida, to me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be his free act and deed for the use and purposes herein s~orth. Vo\.... I WITNESS my hand and official seal this ~ day of , ~ , 1998. John Carassas, Assistant City Attorney 1; RECORDING 0 ~ ct. ~~ ACCT ~ $'( PfJ. CA LYN L BRINK Notary Public CODE ~. <;) \ COMMISSION II CC 463040 REC _ Print/type nam~ & . [XPIR!S M.Aty 22,1999 S '\ rt BONDED THflU o R219 "?7 OF ~ ATlANTIC BONDING CO., INO. DS INT PIC CERT ~ seSo Jocumentary Tax Pd. $ Intan\iible Tax Pd. . Karleen F. D8B~t~ Pi~8~:ty~: q 5 7IO ,{B' 9700-0026 Rev. 7/97 Approved as to form and legal sufficiency: ~ DEED. DOC RETURN TO: City Clerk Department P. O. Box 4748, Clearwater, FT OH7'iR TOTAL FEES MTF