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Backup Documents 04/22/2014 Item #16E2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 E 2 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office Vit> 5 I ci 1 4. BCC Office Board of County 'jA\\a Commissioners \�// S' ( 7\v--\_ 5. Minutes and Records Clerk of Court's Office v� cit‘ii.LA PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff � 1 ,'cA R L(_ 0 tj j.,4 !.e Phone Number 7 -7 v 3 Contact/ Department !�� KV I Agenda Date Item was / Agenda Item Number 16, oZ Approved by the BCC /7 Type of Document i ,� Number of Original 1 Attached ' til t ,^ Documents Attached PO number or account �I number if document is / ..... to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? PIAO 2. Does the document need to be sent to another agency for additional signatures? If yes, ) provide the Contact Information(Name;Agency; Address;Phone)on an attached sheet. /i 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,with the exception of most letters,must be reviewed and signed rvts- by the Office of the County Attorney. /' 4. All handwritten strike-through and revisions have been initialed by the County Attorney's /"..k✓ Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. / . 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's �✓ signature and initials are required. I/7. In most cases(some contracts are an exception),the original document and this routing slip �� should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. B awl re of your deadlines! 8. The document was approved by the BCC on'72 e (enter date)and all changes made , during the meeting have been incorporated in the attached document. The County ,"' 1 v`[s Attorney's Office has reviewed the changes,if applicable. W 9. Initials of attorney verifying that the attached document is the version approved by the • ,• BCC,all changes directed by the BCC have been made,and the document is ready for the ,z m! Chairman's signature. � a ' .'s ad- I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16E2 MEMORANDUM Date: May 16, 2014 To: Michael Dowling, Property Management Specialist Facilities Management Department From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Resolution 2014-77 Attached for your records is a copy of the agreement referenced above, (Item #16E2) approved by the Board of County Commissioners on April 22, 2014. If you have any questions, please contact me at 252-8411. Thank you. Attachments 16E2 RESOLUTION NO.2014- 7 7 • A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING THE EXECUTION OF DEED CERTIFICATES FOR THE LAKE TRAFFORD MEMORIAL GARDENS CEMETERY, BY THE CHAIRMAN OF THE BOARD FOR THE 2014 CALENDAR YEAR. WHEREAS, Collier County acquired a twenty(20) acre site by Warranty Deed dated December 15, 1964 from J.C. Turner Lumber Company and recorded in the Public Records of Collier County in O.R. Book 180, Page 773 on December 21, 1964, for use as a public cemetery known as the Lake Trafford Memorial Gardens Cemetery; and WHEREAS, the Board of County Commissioners adopted Resolution No. 82-105 on July 27, 1982, which governs the rights of interment, administration, maintenance and development of the Lake Trafford Memorial Gardens Cemetery, said policy including the disposition of indigent deceased; including subsequent policies, and WHEREAS, the Board adopted Resolution No. 2010-231 on December 14, 2010, which adopted a revised cremation policy and revised the rules and regulations policy which govern the administration and development of the cemetery; and WHEREAS, there is a benefit to the County and to the public if the administrative procedures concerning Deed Certificates for the Lake Trafford Memorial Gardens Cemetery are expedited, while maintaining the safeguards staff and legal counsel review of such documents; and WHEREAS, the Board of County Commissioners recognizes the benefit of reducing time for Board approval on reviewed and approved Deed Certificates for the Lake Trafford Memorial Gardens Cemetery. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA that: 1. The Board of County Commissioners does hereby authorize the Chairman of the Board of County Commissioners to execute Deed Certificates for the Lake Trafford Memorial Gardens Cemetery, pursuant to Resolution No. 2010-231 on December 14, 2010, and the County's administration of that Resolution, whereupon the Deed Certificates have been previously reviewed and approved by Real Property Management and the County Attorney's Office. 2. The authorization of the Chairman to execute the Deed Certificates for the Lake Trafford Memorial Gardens Cemetery hereunder shall extend soeei,• or the 2014 calendar/year. This Resolution adopted this day of ale 0- , 2014, after motion, second, and majority vote. 22—v-vrk ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT F. BROCK, Clerk COLLIER COUNTY, LORIDA Attest as Tom Henning, Chain 't Sinn a;, Item# `(9 Cc; Approved as_to form and legality: Agenda Date f 7 Jennifer A. Belpedio, As istant�ty Attorney Date S t b 1,4 Rec' 31z11\ Deputy Clerk v 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE ROUTING SLIP C) j /ci7//L/ Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the do ment is alread complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Jennifer Belpedio, ACA County Attorney JAB �'$ , t 4 County Attorney Office 2. BCC Office Board of County \b Commissioners WVSY c‘\1-,\‘z 3. Minutes and Records Clerk of Court's Office 9(sl(4- t2 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Michael Dowlingg Phone Number 239-252-8743 Contact/ Department Agenda Date Item was -2/12413 `/ 2-2- - �� Agenda Item Number Z `� Approved by the BCC / g /G L Type of Document Deed Number of Original 19 Attached _Documents Attached PO number or account Account: Fund 001, Cost Center 122370, RECORDING FORM number if document is Object Code 649030 ATTACHED to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? MD 1/ 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be JAB V signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the N/A document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's MD 1/ signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A ///- should /should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC as stated above and all changes made MDV . during the meeting have been incorporated in the attached document. The Countyri Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the ' 053 Chairman's signature. /' -,,1,, I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 MEMORANDUM TO: Minutes & Records Department FROM: Michael Dowlin 1 g,.. 11 Senior Property Management Specialist Real Property Management DATE: September 5, 2014 RE: Lake Trafford Deed Certificates Attached, please find nineteen (19) recorded Originals of Lake Trafford Memorial Gardens Deed Certificates for the BCC Chairman's signature and attestation Kindly forward to Rrecording with the attached memo for the Recording Department. Please contact me if you have any questions or comments at x8743. Thank you. © Michael Attachment(s) as stated DECEASED: ELKIM ANGERVIL CONTRACT NO.: 3223 DEED NO.: 1813 fleeb Certificate lake Trafforb l': tutorial darberio Mbili 3 nbenture made this 21st day of August, 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and BOZNER ANGERVIL whose mailing address is 501 Doak Avenue,Apt. B-1, Immokalee, Florida 34142, party of the second part. Wutneggetlj, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. erounb &pace The North 1/2,Lot 9,Block E-25 LAKE TRAFFORD MEMORIAL GARDENS, as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of Lake Crafted/fRemorial Airifttilf. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy,thieves, vandals,strikers,malicious mischief makers, unavoidable accidents, riots or order of any military authority. 31n Witneso Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: BOARD OF CO NTY COM ISSIONERS Dight E. Brock,Clerk. COLLIER C NTY, FL DA \thi.L. BY: est astochaum..gpvVty Jerk Tom Henning„ Chairman signature only. f Approved as to form and legality: Jennifer Aelpedio, Assist ounty Attorney DECEASED: GORARDO RUIZ CONTRACT NO.: 3217 DEED NO.: 1817 eeb Certificate lake Crafforb Jiemoriat arbeno S*' &JI 3lnbenture made this 21 day of Ott&k-" , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and ISABEL CRUZ whose mailing address is 417 McArthur Blvd, Lehigh Acres, FL 33936,party of the second part. WitlitiZetb, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. 4rounb *ace The South 1/2,Lot 20,Block J-20 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance, and development of Lilt Crafforb f?lemoriol Ottants. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God,common enemy, thieves, vandals,strikers, malicious mischief makers,unavoidable accidents, riots or order of any military authority. �Jn Witnegw I9bereot, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST: ` BOARD OF CO TY COM ISSIONERS Dwight E. Brock,Clerk COLLIER CO TY, FLOP IA • �,� ' I /1...d/ t BY: ,tt. tastoChaIr mar nuti • Tom Henning, Chairman signature only. Approved as to form and legality: .44 Jennifer A. Belpedio,Assist ounty Attorney DECEASED: Ruby Lee Johnson CONTRACT NO.: 3253 DEED NO.: 1843 Rieeb Certificate lake tErafforb Memorial earbens 3nbenture made this 21st day of August, 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Jessica Lyrick, whose mailing address is 1122 Bayo Street East, Lehigh Acres, Florida 33974, party of the second part. WitneggetJj, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial, the following described property situated in Collier County, Florida. erounb Space The South 1/2,Lot 16,Block F-18 LAKE TRAFFORD MEMORIAL GARDENS, as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of IJ*e L'rofforbfilemoriol(*trbelts'. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God,common enemy, thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 311 MUMS lebereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. • 1 ATTEST::` BOARD OF COUNTY COMMISSIONERS Dwight'E. Brock,Clerk COLLIER COU , FLORIDA L0i1_ &a.m. BY1•,: tit CI: Tom Henning, Chairman ature only. • Approved as to form and legality: Jennifer A. Belpedio,As Ili+t County Attorney DECEASED: JOSEPH DAGUERRE CONTRACT NO.: 3216 DEED NO.: 1816 3113eeb Certificate lake trrafforbentoriat s arbeno 11jt 3nbenture made this 215' day of August, 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and REGINA HALL whose mailing address is 1200 Allegiance Way, Immokalee, Florida 34142, party of the second part. Witne9at that the partyof the first part, for and in consideration of the sum of$1.00 and other good and �� valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the,second part, his/her heirs and assigns, for the sole purpose of burial, the following described property situated in Collier County, Florida. Orounb Space The South 1/2,Lot 14,Block B-24 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of like Crafter l filenrorial Aarbeno In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals,strikers,malicious mischief makers, unavoidable accidents, riots or order of any military authority. 3n Witnetio 1Vbereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight,E.`Brock;Clerl COLLIER COUNT FLORIDA • ,� _ \WL�: 1 BY: A jsio"Ctiut ;'Gle Tom Henning, Chairman sig ature only. ,, ,. Approved as to form and legality: Jennifer A. :elpedio,Assi County Attorney DECEASED: Michael Murray Mungin CONTRACT NO.: 3237 DEED NO.: 1827 ;eeb (Certificate 'fake Xrafforb fifiemorial earbenti S � Xbfg Inbenture made this day of A1MI , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Mikera Mungin, whose mailing address is 1160 Hickock Lane, Immokalee, Florida 34142, party of the second part. Vtttteggetlb, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial, the following described property situated in Collier County, Florida. erounb *Tam The South 1/2,Lot 6,Block F-23 LAKE TRAFFORD MEMORIAL GARDENS, as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of lake CrafforbJ?lemorial(orbens'. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 31tt Wittte95 Wbereot, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST;` BOARD OF COUNTY COMMISSIONERS Dwight E. Brotk,.Cferk COLLIER COUN , FLORID fi' w , �! - BY: est as to Chaim , WIPP Toni Henning,Chairman signature only: I Approved as to form and legality: G.A.9 JenniferA. Belpedio, istant County Attorney DECEASED: Charles Frazier CONTRACT NO.: 3250 DEED NO.: 1840 fleeb Certificate lake Xrafforb Olemoriat earbeito 3Inbenture made this 21st day of August, 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Ashley Frazier, whose mailing address is 1823 Marson Street, Lehigh Acres, Florida 34972, party of the second part. leltnetilietb, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. erounb 'pace The North 1/2,Lot 2 ,Block G-33 LAKE TRAFFORD MEMORIAL GARDENS, as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of Zak Crdfterbfilemorfal Ararat. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals, strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 3n Witneee Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST:• BOARD OF COUNTY COMMISSIONERS Dwight E..'BrOck,.e ei•k COLLIER COUN "Y, FLORID 4 - � .ows c -- BY: • t8S ,y t�iF t � Tom Henning, Chairman signature only.. Approved as to form and legality: Jennifer A. pedio,AssEat County Attorney DECEASED: Ursule Laguerre CONTRACT NO.: 3252 DEED NO.: 1842 Aleeb Certificate 'Labe trrafforb fiftemorial earbeno Mbiti 3nbenture made this 21st day of August, 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Miclose Jean-Louise whose mailing address is 10046 Boynton Place Circle, Boynton Beach, Florida 33437, party of the second part. Witneggetj, that the party of the first part, for and in consideration of the sung of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. erounb space The North 1/2, Lot 4, Block E-13 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of lake irafforb f?lemorfal Oarbens: In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God,common enemy, thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 3 n Wttneog Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Brock,.Clerk COLLIER COUNT , FLORID, ola .tt). AL M. .� BY: ••► estasto Chalr[ U' Tom Henning, Chairman signature,only,...' Approved as to form and legality: • Jennifer A. Belpedio,Alt ant County Attorney DECEASED: Miguel Anzualda,Jr. CONTRACT NO.: 3249 DEED NO.: 1839 flab Certificate lake Crafforb jilemoriat earbeng 1jt 3nbenture made this 2-1 day of A U' .4 • , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3355 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Maria Anzualda, whose mailing address is1216 North 18th Street, Immokalee, Florida 34142, party of the second part. Witnegfietij, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. erounb pate The South 1/2,Lot 5, Block G-8 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of lake Crafforb f11emWrfdl&arberto: In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy,thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. iln Vitneet Wijereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Brock;Clerk COLLIER COU , Y, FLORIDA iii . , ,-' tr-d Y,� " Tom Henning,Chairman` Q tit 15 to Chairta signature only. Approved as to form and legality: Jennifer A. Belpedio,Assistan ounty Attorney DECEASED: Estefania Tercero Bernabe CONTRACT NO.: 3248 DEED NO.: 1838 eeb Certificate lake Crafforb emoriat arbeno 'Ijto 3nbenture made this 2, day of 404 • , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Eulalia Bernabe Tomas, whose mailing address is 525 111th Avenue North, Naples, Florida 34103, party of the second part. Witne9ltetJ, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. erounb *pate Lot 92 of the Infant Section Block J-38 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration,maintenance,and development of like Crafter&'Remori'sl(garbing'. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God,common enemy,thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. �Jn Witneoo Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST.,.: BOARD OF COUNTY COMMISSIONERS Dwight E.SrOCk,Clerk COLLIER CO 'TY, FLO' DA y j • _ , r. -,.. � ��� BY: If 11 ,777 •rep ��`er Tom Henning,Chairman Approved as to form and legality: Jennifer A. Belpedio,Assista ounty Attorney DECEASED: Santos Gonzalez Moran CONTRACT NO.: 3246 DEED NO.: 1836 fleeb Certificate lake Xrafforb /Memorial earbeno 'big 31ttbettture made this 11 S day of 1`U(0' , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Maria Catalina Gil-Lopez, whose mailing address is1009 Warden Lane, Immokalee, Florida 34142, party of the second part. Wittteg%ettj, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. 4routtb space The South 1/2,Lot 1,Block B-8 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance, and development of Lake Cr: ittlb,leiit011al Oflbena In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God,common enemy, thieves, vandals, strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 31fl Wtttteoo Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST4 ' BOARD OF COUNTY COMMISSIONERS Dwigttf"E. Brock`Clerk . COLLIER COUN , FLORID ►� . / BY: _ f% �i.� . la A t as to Chai 41) 14V 1V Tom Henning,Chairman signature only, Approved as to form and legality: Jennifer A. BelpRio,Assista kounty Attorney DECEASED: Lawrence Bowers CONTRACT NO.: 3245 DEED NO.: 1835 fleeb Certificate lake 1/5rafforb filemorial Oarbeng TICbig �Jnbenture made this 1,1 day of At/1/(e • , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Kenneth Bowers, whose mailing address is 20 Castle Road, Norfolk, Massachusetts 02056, party of the second part. WitnemsettJ, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial, the following described property situated in Collier County, Florida. Orounb 'pate The South 1/2, Lot 1 , Block B-28 LAKE TRAFFORD MEMORIAL GARDENS, as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance, and development of Like akaflorb,?temorfa1 arberr.: In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals, strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. �1n Witne9S Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Brock, Clerk COLLIER COUNT , FLORID *- A - BY: A.e.t as to Chairmatipu y tts k Tom Henning, Chairman si• ature only. Approved as to form and legality: Jennifer A. Belpedio, Ass nt County Attorney DECEASED: Isnady Dorcent - CONTRACT NO.: 3244 DEED NO.: 1834 fleeb QCertifitate lake Crafforb Actuarial arbens$ jit 3lnbenture made this Z` ' I day of AUL ', 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Marie Anna Dorcent, whose mailing address is 337 Rose Avenue, Immokalee, Florida 34142, party of the second part. Witlitaittb, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. Qrounb Ovate The South 1/2,Lot 20, Block E-12 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of lake CrafterbfilemorlaIO'a'rbeu% In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." I The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 3n Witne99 WIjereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST: : BOARD OF COUNTY COMMISSIONERS Dwight E. Broth,tteik COLLIER COUNT , FLORID lb !4 tis to Chairmi, Tom Henning,Chairman s�.nature only. ..... Approved as to form and legality: Jennifei`'A. Belpedi istant County Attorney DECEASED: Marie Fadael CONTRACT NO.: 3243 DEED NO.: 1832 Aleeb (Certificate 'take Crafforb fientoriat arbeno IfjtIS 3lnbenture made this Zi 5 day of NIAL ' , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples,-Florida 34112-5746, party of the first part, and Crisiana Fadael, whose mailing address is 3541 Evans Avenue, Building F,Apartment 202, Fort Myers, Florida 33901, party of the second part. Witueg9eth, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial,the following described property situated in Collier County, Florida. erounb 'pate The North 1/2, Lot 10, Block E-13 LAKE TRAFFORD MEMORIAL GARDENS,as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration,maintenance,and development of Lag grrafforb*modal farberr%. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals,strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 3!n Mitnetig Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk,the day and year first above written. ATTEST: - BOARD OF COUNTY COMMISSIONERS Dwight E. Brock;Clerk COLLIER COUNT , FLORIDA 1 Kai , i . BY: 1rL -- L tat 4 , r ty',�, i' Tom Henn ng, Chai an signature only. Approved as to form and legality: Jennifer A. Belpedio, istant County Attorney DECEASED: Yvon Jean-Baptiste CONTRACT NO.: 3242 DEED NO.: 1832 Jl- eeb Certificate lake Trafforb illentoriat earbetto Inbenture made this 2 ( � day of A U- • , 2014, is made between the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3299 Tamiami Trail East, Naples, Florida 34112-5746, party of the first part, and Catherine G.Jean-Baptiste, whose mailing address is 5462 Texas Avenue, Naples, Florida 34113, party of the second part. Witneooetih, that the party of the first part, for and in consideration of the sum of$1.00 and other good and valuable considerations paid by the party of the second part, receipt of which is hereby acknowledged, hereby grants, bargains, sells, conveys, and confirms unto the party of the second part, his/her heirs and assigns, for the sole purpose of burial, the following described property situated in Collier County, Florida. Orounb Opate The North 1/2,Lot 17, Block E-11 LAKE TRAFFORD MEMORIAL GARDENS, as recorded in Plat Book 8, Pages 32 through 40 and Page 88 of the Public Records of Collier County, Florida. To have and to hold said property, subject to conditions and limitations set forth in the Rules and Regulations, now in existence, or which may hereafter be adopted by the Board of County Commissioners of Collier County, for the administration, maintenance,and development of LW Crafforb}fiemorre garben%. In accordance with Section Seven of the Rules and Regulations, "No resale or transfer of interment rights other than by involuntary operation of law shall be permitted, except that the County shall repurchase by quit claim deed any unused right upon request from the owner thereof for the original price, less recording or other fees, and any other actual determinable expenses." The party of the first part shall not be liable for loss or damage caused by an act of God, common enemy, thieves, vandals, strikers, malicious mischief makers, unavoidable accidents, riots or order of any military authority. 3 n Witneoo Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Brock, Clerk COLLIER CO2,T, FLORID' BY: 'Att stastoChaifl1'• Cl•r Tom Henning, Chairman signature only. Approved as to form aiid legality: Jennifer A. Belpedio, A tant County Attorney eeb Certificate 1L.abe Trafforb Allemoriat arbeno Vre-Vurcba5e PURCHASER: Soyla L. Gutierrez ADDRESS: 315 South 8th Street, Immokalee, Florida 34142 DATE: April 4, 2014 Abe abode uailleb Vurt1a5er does hereby, for the sum of $400.60, receipt of which is hereby acknowledged, request to purchase from the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, the perpetual exclusive Right of Interment in the South 1/2 of Lot 7 in Block G-8, of Lake Trafford Memorial Gardens as recorded in Plat Book 8, Pages 32 through 34, inclusive, of the Public Records of Collier County, Florida. The Purchaser understands and agrees that he/she does not have the rights to transfer his/her rights hereunder, or in the Deed Certificate. Purchaser further agrees to abide by the Lake Trafford Memorial Gardens Cemetery Rules and Regulations. RECORD OF INTERMENT NAME OF DECEASED: PRENEED PLOT RACE: SEX: DATE OF BIRTH: DATE OF DEATH: NEXT OF KIN: ADDRESS: CITY: STATE: ZIP: FUNERAL HOME: BURIAL PERMIT # DEED NUMBER / 3 -7 CONTRACT NUMBER 3 V —7 In Witness Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwig t‘E..:jaiodci Clerk COLLIER COUNTY, FLORIDA BY, , -A ►�� BY: .� Attest as to Ghaiputy 'lerk Tom Henning, Chairman signature'Only. Approved as to form and legality: Jennifer A. Belpedio, sistant County Attorney $eeb Certificate lake Zrafforb Armorial 'b arben5 I)re-Vurc[Jaoe PURCHASER: Miguel Avellaneda ADDRESS: 3555 Carson Road, Immokalee, Florida 34142 DATE: April 28, 2014 XIJe abaUe llama' VUrcIJager does hereby, for the sum of $400.60, receipt of which is hereby acknowledged, request to purchase from the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, the perpetual exclusive Right of Interment in the North 1/2 of Lot 2 in Block B-41, of Lake Trafford Memorial Gardens as recorded in Plat Book 8, Pages 32 through 34, inclusive, of the Public Records of Collier County, Florida. The Purchaser understands and agrees that he/she does not have the rights to transfer his/her rights hereunder, or in the Deed Certificate. Purchaser further agrees to abide by the Lake Trafford Memorial Gardens Cemetery Rules and Regulations. RECORD OF INTERMENT NAME OF DECEASED: PRENEED PLOT RACE: SEX: DATE OF BIRTH: DATE OF DEATH: NEXT OF KIN: ADDRESS: CITY: STATE: ZIP: FUNERAL HOME: BURIAL PERMIT# DEED NUMBER / CONTRACT NUMBER 3 2 3 In Witness Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: ; • u.> BOARD OF COUNTY COMMISSIONERS Dwight.,', Brock, CJe k COLLIER CO Y, FLORIDA BY: . / 3.A/ .`i■s►_� .Y: , De ' • Jerk Tom Henning, Chairman Attest asyfo•Ch�tm�''• signature only. Approved as to form and legality: Jennifer A. Belpedio, Assistant County Attorney �1=eeb Certificate lake 1rafforbernorta[ arben5 Pre-Purcba5e PURCHASER: Miguel Avellaneda ADDRESS: 3555 Carson Road, Immokalee, Florida 34142 DATE: April 28, 2014 ZrIje ailoUe Itapteb PUrrIaoer does hereby, for the sum of $400.60, receipt of which is hereby acknowledged, request to purchase from the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, the perpetual exclusive Right of Interment in the South 1/2 of Lot 2 in Block B-41, of Lake Trafford Memorial Gardens as recorded in Plat Book 8, Pages 32 through 34, inclusive, of the Public Records of Collier County, Florida. The Purchaser understands and agrees that he/she does not have the rights to transfer his/her rights hereunder, or in the Deed Certificate. Purchaser further agrees to abide by the Lake Trafford Memorial Gardens Cemetery Rules and Regulations. RECORD OF INTERMENT NAME OF DECEASED: PRENEED PLOT RACE: SEX: DATE OF BIRTH: DATE OF DEATH: NEXT OF KIN: ADDRESS: CITY: STATE: ZIP: FUNERAL HOME: BURIAL PERMIT# DEED NUMBER j V v CONTRACT NUMBER 5/ In Witness Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight_k":'Brock,Clerk COLLIER COUNTY, FLORIDA • ;. 14)tth4 kik BY: � ICY: Attest asto0 i 9' D'p ty - k Tom Henning, Chairman signature only. Approved as to form and legality: Jennifer A. Belpedio, Assistant County Attorney ala eeb Certificate lake 1Crafforb Bimodal i arbeno Vre-Vurcrjage PURCHASER: Miguel Avellaneda ADDRESS: 3555 Carson Road, Immokalee, Florida 34142 DATE: April 28, 2014 '1je adobe naIneb VUrcba$er does hereby, for the sum of $400.60, receipt of which is hereby acknowledged, request to purchase from the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, the perpetual exclusive Right of Interment in the North 1/2 of Lot 3 in Block B-41, of Lake Trafford Memorial Gardens as recorded in Plat Book 8, Pages 32 through 34, inclusive, of the Public Records of Collier County, Florida. The Purchaser understands and agrees that he/she does not have the rights to transfer his/her rights hereunder, or in the Deed Certificate. Purchaser further agrees to abide by the Lake Trafford Memorial Gardens Cemetery Rules and Regulations. RECORD OF INTERMENT NAME OF DECEASED: PRENEED PLOT RACE: SEX: DATE OF BIRTH: DATE OF DEATH: NEXT OF KIN: ADDRESS: CITY: STATE: ZIP: FUNERAL HOME: BURIAL PERMIT# DEED NUMBER / J � CONTRACT NUMBER 3 .2 .1 9 In Witness Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: - BOARD OF COUNTY COMMISSIONERS Dwight ,,$Tock leek COLLIER COUN Y, FLOR DA BY 1111`, ;® BY: y ,tD puty ' lerk Tom Henning, Chairman Attest asb Cb '4 • S signature only. Approved as to form and legality: Jennifer A. Belpedio, Assist t County Attorney �h eeb Certificate lake !rafforb filentorial ibarben5 Aare-Purckaoe PURCHASER: Jose Santiago ADDRESS: P.O. Box 3123, Clewiston, Florida 33440 DATE: April 23, 2014 TO above Uameb taUtCkager does hereby, for the sum of $400.60, receipt of which is hereby acknowledged, request to purchase from the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, the perpetual exclusive Right of Interment in the North 1/2 of Lot 1 in Block F-31, of Lake Trafford Memorial Gardens as recorded in Plat Book 8, Pages 32 through 34, inclusive, of the Public Records of Collier County, Florida. The Purchaser understands and agrees that he/she does not have the rights to transfer his/her rights hereunder, or in the Deed Certificate. Purchaser further agrees to abide by the Lake Trafford Memorial Gardens Cemetery Rules and Regulations. RECORD OF INTERMENT NAME OF DECEASED: PRENEED PLOT RACE: SEX: DATE OF BIRTH: DATE OF DEATH: NEXT OF KIN: ADDRESS: CITY: STATE: ZIP: FUNERAL HOME: BURIAL PERMIT# DEED NUMBER � CONTRACT NUMBER 3 y/ In Witness Whereof, the Board of County Commissioners of Collier County, Florida, has caused these presents to be signed by its Chairman and Clerk, the day and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight E. Br 'l Cie#14 y ' COLLIER COUNT , FLORI A • WNW ,IJ Iut, Tom Henning, Chairman Attut;ak to, a irmati s AitnAttit bnly,' Approved as to form and legality: Jennifer A. Belpedio, Assistant County Attorney