Christy, KimberlyOFFICIAL RECORDS AND
LEGISIA'I'IVE SERVICES
December 18, 2008
Kimberly Christy
1452 Satsuma Si.
Clearwater, FL 33756
CITY OF CLEARWATER
POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748
CITY HALL, 112 SOUTH OSCEO1A AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4090 FAX (727) 562-4086
Re: City of Clearwater Municipal Cemetery
Block 8, Lot 63, Spaces 2, 3 and 4
Dear Ms. Christy:
Enclosed please find the original affidavit granting interment rights in the
above City of Clearwater cemetery spaces.
Please have this document signed and notarized by the appropriate individuals
and return to my attention at your earliest convenience. We will then, update
our records to reflect this information.
If you have any questions, please give me a call at 727-562-4093.
Sincerely,
idith LaCosse
Staff Assistant
Enclosure
FRANK HIBBARD, MAYOR
GEORGE N. CRETEKOS, COI NCIIMEMHER
PAUL F. GIBSON, COIINCIIMEMBER
JOI IN LORAN, COUNCILMEMBER
CARLFN A. PETERSEN, COUNCILMEMBER
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER
AFFIDAVIT
We, Helen Louise Fitch and Mildred Mangham, the undersigned, do hereby
attest that we are the descendants, sole survivors and heirs of Joyce Lewis, our sister,
who is buried in Block 8, Lot 63, Space 1. Joyce Lewis was the owner of Block 8, Lot
63, Spaces 1, 2, 3 and 4 in the Clearwater Municipal Cemetery. We are the executors
of the Estate of Joyce Lewis when she passed away. Spaces 2, 3 and 4 remain empty.
We authorize the granting of interment rights as follows:
Block 8, Lot 63, Space 2: Helen Louise Fitch, sister of Joyce Lewis.
Block 8, Lot 63, Space 3: Kimberly Christy, daughter of Helen Louise Fitch.
Block 8, Lot 63, Space 4: Michael Fitch, son of Helen L. Fitch
Mildred Mangham, other sister of Joyce Lewis, is not interested in these spaces as she
already has other arrangements.
Please take this affidavit as your authority to assign interments rights in spaces
2, 3 and 4 of Block 8, Lot 63.
We 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 as
stated above.
SIGNATURE/ ADDRESS/PHONE
Helen Louise Fitch
Mildred Manghm
l
I- lc -A y mac
1 .5337 X2.15 a
SWORN TO and subscribed before me this 3 day of + L
200 by Helen Louise Fitch who produced identification in the form of
llrit€. and who did/dd not take an oath.
J. LETICIA COSTANZQ
▪ Notary Public - State of Florida
My Commission Expires Jul 26, 2011
▪ Commission # DD 699436
E ond.'d Through National Notary Assn.
Notary Public/
Jr //
My t ommission expires:
SWORN TO and subscribed before me this 01 day of rJiGrta« ,
200 y Mildred Mangham who produced identification in the for of
,61-11,.9,-,r k.“.... and who di. • id not take an oath.
DEBOBAVA E. BEAN
FebruaryCommission DO 744663
kt: Expires , 2012
"Ahar„„ Boded MN Ito,/ sin wawa moles -Vs
No ary Public
-7-3-¢2,
My commission expires:
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MOSS—FEASTER DUNEDI__13137341519
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;Merrwe owe herein, the !•rn party" *hall itelwie the heirs, At•6onal earreeekhzlime,
at!• &cce.uare Pad /Or Ra,i.dn, a( the reeled ire puttee hereto; the WO p/ Me Ringutd, nwrthrr
u i (, Mf plata! and (he pZrrr*t Me f(eiguMe; the tree ninety {ender ,hold unlade
fe1, and, i% awl, the keit 'note" lhwrdl rpch,drt atl the hake hfrcirc Offeei6,Q u nrfrr,
MGR oaf.
.Made this
/ 3 ' day of December,
Between WALTER H. FREEZE, A Widower, 4. D. L9 74
, w' ,,WpS ehltti /. f
U. 13.4242 PACE/901
Pinellas,
and JOYCE LEWIS,
and State of Florida , of the County of
party of the first part,
500 N. Missouri Avenue, Clearwater,
R. URN TO; 33u -r JJ
the County of
Pi r lias, and State of Florida
W
itnesseth,that the said party of the est o Party of the second part,
the sum of other valuable considerations and Teri forandin consideration a of
in hand paid by the said parte/ of the second part, the receipt whereof is herebyacknowl-
edged,
ck
edged, has remised, released and quitclaimed, and by these resentDollars,
release and quitclaim, unto the said party of the second part all the right, title ter st
presents does re»,isP,
claim and demand which the said party o f the first part has in and to thefollowing
described Lot , interest
piece or parcel of land, situate lying and being in the ounty o
Pinellas, State of .Florida, to wit;
Lot Sixty-three (63), Block Eight (8), the
southernmost space, Clearwater Cemetery.
1 ,� .r•. a .r.
• ;i)OCUMENTARY. ('••
;�._ �'•..'}'.,f.f�s %)1 .;,•.;' i.• TATE' aFLDRIhS•:h, .s • •DJCUME1 :` j..Nw• ;a
`,•rti•
uerr,..l7F•R£1(ENUE
=40534 i;
a To Have and to Hold the same, together with all and singular t
he
appurtenances thereunto belonging or in anywise appertaining, and all the estate,
f.14'71t, title, interest and claim whatsoever of the said party of the first part, either in
law or equity, to the only proper use, benefit and behoof of the said party of the second
part.
In Witnessexeof
Whereof,
fl the st awrtid ttten the forst part has hereunto set his
hand and seal the day and year
Signed, Sealed and Delivered in Our Presence:
7
State of Florida,
County of PINELLAS,
1 HEREBY CERTIFY, That on this day personally appeared before me, an ofJ'ioer
duly authorized to administer oaths and take acknowledgments,. Walter He
'
Freeze, a widower.
Walter H. Free'/
to me well known to be the person described in.,and .who executed the foregoing
instrument and he
executed the same freely and voluntarily a
be or r h�# ing
WITNESS myhandJ for the put f .'°r. s t
and o»Lcial seal at .`• 'e rw eine P)' sed, .
County o/ Pinellas city of , 1'arw
tL` of December, 4. D. 19 74 ,. and State of Flindq, t�'�ca,.
.elle► . — r q e.i ,
ltrument was prepared by
Freeze, Attorney -at -Law
'chey, Florida
.hrotary
.My Coin
4,r'i"lP,10
ele!
1978