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Page 4 <br />Project: STP -5050 (007) Parcel 147 <br />The undersigned persons executing this deed represent and certify on behalf of the Grantor, that he /she is a duly elected officer of The City of <br />South Bend, Indiana, the Grantor, and has been fully empowered by proper resolution, or the by -laws of the Grantor, to execute and deliver this <br />deed; that the Grantor is a corporation in good standing in the State of its origin and, where required, in the State where the subject real estate is <br />situate; that the Grantor has full corporate capacity to convey the real estate described; and that all necessary corporate action for the making of <br />this conveyance has been duly taken. <br />. If you decide to accept the offer of $ 1,900.00 made by the Indiana Department of <br />Transportation, sign your name below and mail this form to the address indicated above. An additional <br />copy of this offer has been provided for your file. <br />ACCEPTANCE OF OFFER <br />I (We), Ci of South Bend, Indiana <br />owner(s) of the above described property or interest in property, hereby accept the offer of <br />S 1,900.00 made by the Indiana Department of Transportation on this day of <br />,20 11 <br />City of South Bend lidla>r� <br />By: Stephen J. Luecke - Mayor - <br />NOTARY'S CERTIFICATE <br />STATE OF Indiana <br />SS: <br />COUNTY OF St. Joseph <br />Subscribed and sworn to before me this <br />My commission expires: <br />My county of residence is: <br />day of ,20 11 <br />(Signature) <br />(Printed) Notary Public <br />