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CEMETERY DEED
THIS INDENTURE, Made this ____l.9_th.______ day of ___Aug.uat________________ A. D., 19[Y-___
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 __Q~~~~~~__!f_.__!~~~_<<!!'________________________________
~26 Wildwood Way, Clearwater
---- ---______ ___ ___ _____________________________ __ ________________ ___ ______________ _ _________._, of the
County of __________~!.~!!_~!.~______________, State of ___f_~9~~~~_______, partY___ 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
$_9A~__tl~~~~~_~__~tt!~~__~~.Y~__~.9_.~!.~l!t~~~~_~__, 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______bis.____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 __~~_~______ Block___.l,~_______ Clearwater Cemetery,
as recorded in Plat Book__~!L__ Page__~~_~~_O Public Records of Pinellas County, Florida.
This conveyance is subject to the condition that Grantee herein shall not assign or convey said property
the further condition that said property shall be used
TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said
parLy_____ of the second part_____b1.IL________ heirs and assigns forever.
IN WITNESS WHEREOF, said City of Clearwater, a municipal corporation, 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 its City Clerk on this the day and year first above written.
Signed, Sealed and Delivered
in the presence of us:
CITY OF CLEARWATER, FLORIDA
___lJiL__KSlttl~y-n--C~--G~~~-n------------
By _jJSL__Pjlc~t__B~__f_~9j[g--------_____
City Manager.
/s/ Dorothy M. Johannsen
Countersigned:
/s/ H. Everett Hougen
Approved as to form and correctness:
Mayor Commissioner.
Attest:
/s/ R. G. Whitehead
___jJSj__EUarl1e~t_J1~__B~Q~n____________
City Attorney
City Clerk.
State of Florida,
County of Pinellas:
Personally appeared before me,
H. Everett Hougn, Picot B. Floyd
and ---R...-.G...--Whit.ehaad.__________________________________to me 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.
Witness my hand and official seal at Clearwater, Florida, this the_________~_~~~____________day of
August 74
--------____________A. D. 19______.
(Seal)
___LsL_Kq:tJ1I'j[D--C.!--\?R~~:n___., ________ _______
Notary Public State of Florida.
My Commission expires_________h________