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Line Name: South Bend - New Carlisle <br />Line No.: TLN120:95135 Easement No.: 106 <br />Parcel(s): 71-03-28-100-003.000-009 <br />EASEMENT PAYMENT SCHEDULE <br />THE UNDERSIGNED: <br />GRANTOR: Civil City of South Bend by and through 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 of the Undersigned under an easement dated ................ 2019 from the Undersigned <br />to the Company, to wit: <br />PAYMENT SCHEDULE <br />Easement Acquisition Cost Description: Easement Paid Damages Paid <br />�... .... _. - -._ __...... <br />Easement Consideration Paid - Unit Price of $3,500.00 — S 3,500.00' <br />Pre -Construction Cost Description: <br />.-....� .............................._ _ .............. <br />Sub -Totals li 3,500.00 <br />Total Consideration includes Initial Consideration Paid S 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 on 2019 Signed on 12019 <br />Contract Land Staff, LLC <br />Contract Agent for <br />Indiana Michigan Power Company GRANTOR <br />By: <br />Field <br />For Office Use <br />Civil City of South Bend by and through its Board of Public <br />Works <br />By: _ J <br />Gary A. Gilot, Board President <br />By: <br />Sur,At,Ina Fritzberg Mettibo <br />°I.. «i O'Sullivan, Member <br />By: .., <br />Therese J ° onw, Mem er <br />By <br />1F1i abeth A. Maradik, Member <br />r'tt�°. � <br />tit �„ YC��pC.... ,,. � �`"� ��^�� � ... <br />U1 1a M. Martin, Clerk <br />Attach Required W-9 <br />GL PCBU Pro,lect BP ID Work Order Account Dept CC Act ZIP CODE <br />120 lrRANN42742015-03 9A2 <br />