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N' <br />Sheet 3 of 3 <br />DEDICATION AND ACCEPTANCE OF STREET <br />STATE OF <br />SS: <br />COUNTY OF - , -- <br />Before me, the undersigned Notary Public in and for said County and State, personally appeared Gary <br />Gilot, Carl Littrell and Donald Inks known to me to be the Board of Public Works for the City of South Bend, <br />Indiana, who, for and on behalf of said municipal corporation, being duly authorized so to do, acknowledged <br />the execution of the foregoing document. <br />Dated this 6 day of llcz ry '-1 200 <br />Notary Publi <br />Printed Name <br />Residing in <br />State of Indiana <br />My Commission Expires: T/ C6 f ; i <br />Ref. Doc.: Instrument No. 0431156, Erskine Commons Minor Subdivision <br />Ireland Road (Prof. No. 104-040) approved Design Plans <br />cet_urn to Department of Public Works <br />1316 County -City Building <br />South Bend, Indiana 46601. <br />Prepared by: jaf <br />Job No. 104-040 <br />Date: December 13 2005 <br />e a� fip <br />- - C. EBY <br />� <br />S T. J93EM Co. wf sm <br />H:1WPData\FreemanU04-040Ireland Rd ReconstructionUreland R-W Dedication.CoSB.doe <br />