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N WITNESS WHEREOF, the Commission has executed this Agreement to be effective as <br />of the date first set forth herein above. <br />CITY OF SOUTH BEND, DEPARTMENT OF <br />REDEVELOPMENT, acting by and through the SOUTH <br />BEND REDEVELOPMENT COMMISSION <br />By: <br />Name: <br />Title: <br />ATTEST: <br />By: <br />Name: <br />Title: <br />STATE OF INDIANA ) <br />) ss: <br />COUNI Y OF ST. JOSEPH ) <br />On this day of , 20_, before me, the undersigned, <br />personally appeared , personally known to me or proved to me on the <br />basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument <br />and acknowledged to me that s/he executed the same in her/his capacity, and that by her/his signature <br />on the instrument, the individual executed the instrument; as her/his free act and deed, and the free <br />act and deed of said city. <br />In Witness Whereof, I have hereunto set my hand and affixed my official seal the day and <br />year in t its Certificate first above written. <br />[SEAL] <br />My commission expires <br />Notary Public in and for said County and State <br />I affirm, under penalties of perjury, that I have taken reasonable care to redact each Social Security <br />Number in this document, unless required by law, Charles C. Bissinger, Jr.. <br />This instrument prepared by: <br />Charles C. Bissinger, Jr. <br />Vorys, Sater, Seymour and Pease LLP <br />221 East Fourth Street, Suite 2000 <br />Cincinnati, OH 45202 <br />-3- <br />