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Line Name: Gravel Pit Extension East <br />Line No.: TLN385:95088 Easement No.: 29 <br />Parcel(s): 71-08-16-300-004.000-025 <br />EASEMENT PAYMENT SCHEDULE <br />THE UNDERSIGNED: <br />GRANTOR: Civil City of South Bend <br />ADDRESS: 227 West Jefferson Boulevard, Suite 1200, South Bend, Indiana 46601 <br />HEREBY OFFER to accept amount as determined in accordance with the schedule below in full payment of the <br />Easement and Right of Way for an electric transmission, distribution and communication lines, being, in, on, over, under, <br />through and across the land of the Undersigned under an easement dated , 2017 from the Undersigned <br />to the Company, to wit: <br />PAYMENT SCHEDULE <br />Easement Acquisition Cost Description: <br />Easement Paid <br />Damages Paid <br />Easement Consideration Paid 0.114 acres +/- @ Minimum Payment = <br />2,500.00 <br />State of Indiana, St. Joseph County, Portage Township, Section No. 16, Township <br />o. 37 North, Range No. 2 East <br />Pre -Construction Cost Description: <br />Sub -Totals <br />2,500.00 <br />Total Consideration includes Initial Consideration Paid <br />S 2.500.00 <br />The amounts so determined are full payment for the Easement and Right of Way. Any construction damages will be paid <br />separately unless noted above. <br />Accepted on 12017 Signed on 12017 <br />Contract Land Staff, LLC <br />Contract Agent for <br />AEP Indiana Michigan Transmission Company, <br />Inc. GRANTOR <br />Field Agent: Jeffry Goodheart <br />M <br />Its: <br />Civil City of South Bend <br />Attach Required W-9 <br />