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513 River Avenue_AA 2024-0717A
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513 River Avenue_AA 2024-0717A
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Last modified
7/18/2024 10:22:11 AM
Creation date
7/18/2024 10:23:22 AM
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South Bend HPC
HPC Street Address
513 River Avenue
HPC Document Type
Certification
HPC Local Historic District
ii. Edgewater Drive
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IN WITNESS WHEREOF, the parties hereunto set their hands and seal as of the date <br />first writfen above. . <br />CONTRACTOR: Industrial Insulation Solutions <br /> <br /> <br />Tomas Amaya Owner ;' ;,,,::,,,,,,':,.',,.,,.,-,,-.-._-;," ,-'" ,-.-,'-'; ., ,,'.:., <br />Printed Name and Title <br />STATE OF INDIANA ) <br />) SS~ <br />COUNTY OF ST. JOSEPH ) <br />Before me, the undersigned Notary Public, in and for said County and State, personally appeared <br />this k day of _July_, . 2024,:;rQW1c{~ ... k m 9ta.'lfi t~ <br />.. •..··.·<p·Wn&K;-···..•·...•.•............•...•...•........ oflag,4$t&t/f).~lll~·J,,"""...... ~l(/h~J.?-:L, <br />wlio-acKn()wledgootlie execution or the foregoing'on behalf oftlle Contractor as its authorized <br /> <br />representative. <br />WITNESS, my hand and Notarial Seal. <br /> <br />My Commission Expires: <br /> <br />Notary Public <br />Prepared by Sandra L. Kennedy, Assistant City Attorney. City of South Bend, Indiana, 227 W. Jefferson Boulevard, Suite 1200S, <br />South Bend, Indiana 4660 I. <br />I affinn, under the penalties of perjury, that I have taken reasonable care to redact each Social Security Number in the document, <br />unless required by law. Sandra L. Kennedy . <br />ANG <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 11 of14
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