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AS TO LOT 199 <br />THE MUNICIPAL CITY OF SOUTH BEND, CIVIL CITY <br />OF SOUTH BEND FOR THE USE AND BENEFIT OF ITS <br />BOARD OF PUBLIC WORKS) <br />DATED. By: <br />Its <br />(Please print your name an Mhis line bove) <br />STATE OF <br />� COUNTY OFSS..�. <br />Before me,'q Notary Public in d for saidCounty <br />a Stat, n 20 /9, <br />personally appeared � � .r ld ..� r � ,tthe� ''� G l t , �.OikofT E MUNICIPAL CITY OF <br />SOUTH BEND, CIVIL CITY OF SOUTH BEND FOR THE USE AND BENEFIT OF ITS BOARD OF PUBLIC <br />WORKS and acknowledged execution of the foregoing document for and on behalf of said Grantor, and who, <br />having been duly sworn, stated that the representations therein contained are true. <br />WITNESS my hand and Notarial Seal. <br />(SEAL) Not <br />Notary Public, <br />aunty„ <br />My Commission Expire � .t.1r PuhtI — <br />State of Indiana <br />My Commission Expires Jun 28, 2020 <br />The remainder of this page is intentionally left blank. <br />