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Line Name: South Bend — New Carlisle <br />Line No.: TLN120:95135 Easement No.: 227 <br />Parcel(s): 71-04-32-258-009,000-003 <br />EASEMENT PAYMENT SCHEDULE <br />THE UNDERSIGNED: <br />GRANTOR: Civil City of South Bend, for the Use and Benefit of its Board of Public Works <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 ofthe Undersigned under an easement dated3,tLl �111, 2018 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 — Unit Price of $3,500.00= <br />$ 3,500.00 <br />Pre-Construetion Cost Description: <br />Sub -Totals <br />s 3,500.00 <br />Total Consideration includes Initial Consideration Paid <br />Is 3,500.00 <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 an <br />Contract Land Staff, LLC <br />Contract A.-ent for <br />Indiana Michigan Power Company <br />By: <br />Field Agent <br />For Office Use only: <br />12018 Signed on <br />GRANTOR <br />12018 <br />Civil City of South Bend, for the Use and Benefit of <br />Its Board of Public Works <br />By: APPZQVXD <br />ham ftf N VW L- <br />Its: 1A im n wim, <br />Attach Required W-9 <br />GL PCBU Project BPID Work Order Account Dept CC Ad I ZIP CODE <br />A17804002 42742015-03 <br />