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Presented by me to the Mayor of the City of South Bend, Indiana, on the <br /> day of , 2017, at o'clock_. m. <br /> Deputy City Clerk <br /> Approved and signed by me on the day of , 2017, at <br /> o'clock m. <br /> Mayor, City of South Bend, Indiana <br /> r.vTv r;L_ <br />