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Dated this day of , 2018. <br />GRANTOR: <br />City of ,South Bend, Indiana, by and through its Board of <br />Public Works <br />By: <br />Pete Buttigieg, Mayor <br />/:1189MI 11A <br />By: <br />Karcemah Fowler, City Clerk <br />STATE OF INDIANA ) <br />) SS: <br />ST. JOSEPH COUNTY ) <br />Before me, the undersigned, a Notary Public for and in said County and State this day of <br />, 2018, personally appeared Pete Buttigieg and Kareemah Fowler, to me known to be the <br />Mayor and City Clerk, respectively, of the City of South Bend, Indiana, the Grantor, and acknowledged <br />execution of the foregoing Quit Claim Deed. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal. <br />, Notary Public <br />Resident of County, <br />Commission expires: <br />I affirm, under the penalties for pet jury, that I have taken reasonable care to redact each Social Security number in this document, <br />unless required by law. Benjamin J. Dougherty. <br />Prepared by Benjamin J. Dougherty, Assistant City Attorney, 1200 S. County -City Building, 227 W. Jefferson Blvd., South Bend, <br />Indiana 46601 <br />2 of 2 <br />