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Sheet 3 of 3 <br />DEDICATION AND ACCEPTANCE OF STREET <br />STATE <br />) SS: <br />COUNTY OF- <br />f <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 v{F 200 S/ <br />Notary Publi f L Cyr <br />Printed Name j -" 0 <br />Residing in 6W.( County <br />State of Indiana <br />My Commission Expires: �—/ 6,61 11 <br />Ref. Doc.: Instrument No. 0431156, Erskine Commons Minor Subdivision <br />Ireland Road (Prof. No. 104-040) approved Design Plans <br />Return 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 />HAV,TDatalFreeman1104-040 Ireland Rd Recon structionUrel and R-W Dedication.CoSB.doc <br />