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IN WITNESS WHEREOF, Grantors has executed this Grant of Temporary Easement on <br />the date shown in the acknowledgment set forth below to be effective as of the Effective Date. <br />GRANTORS: <br />The Nexus Center, LLC <br />Printed: David R. Buggs, Sr. <br />Its: Manager <br />Cultivating Life Clinic Incorporated <br />_____________________________________ <br />Printed: Dr. LaRissa Chism Buggs <br />Its: Director <br />STATE OF _________________ ) <br />) SS: <br />COUNTY OF _________________ ) <br />Before me, the undersigned, a Notary Public in and for said State, personally appeared <br />David Buggs, to me known to be the Manager of The Nexus Center, LLC, and Dr. LaRissa Chism <br />Buggs, to me known to be the Director of Cultivating Life Clinic Incorporated, in the above Grant <br />of Temporary Easement, and acknowledged the execution of the same as the Grantor s’ free and <br />voluntary act and deed. <br />WITNESS my hand and Notarial Seal this __________ day of _______________, 20____. <br />________________________________________________ <br />___________________________________, Notary Public <br />Residing in _________________ County, _____________ <br />My Commission Expires: _______________________ <br />I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless <br />required by law. /s/ Danielle Campbell Weiss <br />This instrument was prepared by Danielle Campbell Weiss, Senior Assistant City Attorney, City of South Bend, Indiana, Department of Law, <br />227 W. Jefferson Boulevard, Suite 1200S, South Bend, IN 46601.