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HomeMy WebLinkAbout232041 04/30/14 *` CITY OF CARMEL, INDIANA VENDOR: 368168 ® a ONE CIVIC SQUARE MOHAWK ASSOCIATES LLC CHECK AMOUNT: $****81,975.00* i_ Q CARMEL, INDIANA 46032 C/O BUCKINGHAM PROPERTY MGT CHECK NUMBER: 232041 'M,i JpN.Eo. 941 N MERIDIAN ST CHECK DATE: 04/30/14 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 920 4470402 81,975.00 126TH KEYSTONE R-O-W Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL , INDIANA An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Mohawk Associates, LLC Purchase Order No. c/o Buckingham Property Management Terms Attn: Angie Atkins Date Due 941 N. Meridian Street, Indianapolis, IN 46204 Invoice Invoice Description Date number I or note attached invoices or bills Amount PROJECT: 07-08: Keystone Parkway PARCEL: 59 COUNTY: Hamilton Compensation for Permanent (Fee Simple) Right-of-Way Total: $81,975.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except By: LSC Signature Title By: Signature Title I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. Clerk-Treasurer 1 CITY"'O -ARNIEL MEMORANDUM - To: City of Carmel c/o Steve Engelking/Mike McBride One Civic Square Carmel, IN 46032 From: Nancy E. Henna►ml, Acquisition Agent RWS South, Inc. 5214 South East Street, Suite D-2 Indianapolis, 1N 46227 Date: 6/28/2013 Re: Project: 07-08; Keystone Parkway Code: N/A Parcel: 59 County Hamilton Owner: Mohawk Associates, LLC Subject: Recommendation for-Administrative Settlement i The City's fair market value detennination of$103,980.00 for 0.346 acres of pennanent (fee simple) right-of-way, land improvements, and costs to cure was offered to the Owner. During the negotiation process, the Owner rejected the offer stating that the proposed right-of-way will encumber a portion of their interior drive. The Owner requested the proposed right-of-way be revised to eliminate any encumbrance on their interior drive. The proposed right of way was revised and reduced by 0.091 acres or 3,964 square feet, resulting in a new right-of-way totaling 0.255 acres. Based on the City's original fair market value determination, the value of the revised proposed right-of-way was calculated to be $81,975.00. We believe it is in the best interest of the City to settle this matter by acquiring the new right-of- way for 581,975.00. We believe a great deal of time and money can be saved by settling this matter as opposed to rescinding the offer and reappraising the property. 0\r (:n is Sot ;rr, (;.�itami.. I\ i(t(1j-' Ch rit:r i I-.� FMAii. i nein rnn !ir;iimrl in Form W-9 Request for Taxpayer Give form to the (Rev.October 2007) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) Mohawk Associates, LLC M Business name,if different from above a C: 0 a o Check appropriate box: ❑ Individual/Sole proprietor El Corporation El Partnership Exempt ✓❑ Limited liability company. Enter the tax classification(D=disregarded entity,C=corporation, P=partnership) ► .---._. payee ❑ p * Q o` 2 ❑ Other(see instructions) c Address(number,street,and apt.or suite no.) Requester's name and address(optional) a v 941 N. Meridian Street City,state,and ZIP code v Indianapolis, IN 46204 Q) List account number(s)here(optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals,this is your social security number(SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number(EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number number to enter. ao ; S3 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or(b) I have not been notified by the Internal Revenue Service(IRS)that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S. citizen or other U.S. person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA),and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN.See the instructions on page 4. Sign Signature of Here U.S.person 0, Date ► General Instructions Definition of a U.S. person. For federal tax purposes, you are considered a U.S.person if you are: Section references are to the Internal Revenue Code unless o An individual who is a U.S. citizen or U.S. resident alien, otherwise noted. • A partnership, corporation, company, or association created or Purpose of Form organized in the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number(TIN) • An estate (other than a foreign estate), or to report, for example, income paid to you, real estate • A domestic trust(as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or Special rules for partnerships. Partnerships that conduct a contributions you made to an IRA. trade or business in the United States are generally required to Use Form W-9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it(the requester)and, when applicable, to: has not been received, a partnership is required to presume that 1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable,you are also certifying that as a income. U.S. person, your allocable share of any partnership income from The person who gives Form W-9 to the partnership for a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income. on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States Is in the request your TIN, you must use the requester's form if it is following cases: substantially similar to this Form W-9. o The U.S. owner of a disregarded entity and not the entity, Cat.No. 10231X Form W-9 (Rev.10-2007) Page 4 PROJECT 07-08: Keystone Parkway PARCEL 59 If you decide to accept the offer of $103.980.00* made by the City of Carmel, sign your name below and mail this form to the address indicated above. An additional copy of this offer has been provided for your file. ACCEPTANCE OF OFFER I (We), Mohawk Associates, LLC, an Indiana limited liability company owner(s) of the above described property or interest in property, hereby accept the offer of $103,980.00* made by the City of Carmel on this day of 201 * Appraised Value: $103,980.00 Administrative Settlement: -$ 22,005.00 (due to reduction in acquisition area) Total: $ 81,975.00 Mohawk Associates, LLC, an Indiana limited liability company �� PIOhII✓l� /lana e�C[G� By: By: (Signature) (Signature) (Printed Name) U (Printed Name) NOTARY'S CERTIFICATE STATE OF ` �na ) ) SS.. Inn COUNTY OF Y 1 1OAAM ) Subscribed and sworn to before me this day of 201 . My Commission Expires:� � My County of Residence is: YYIOIr I pyo JENNIFER LEIGH SALEMME =� Marion County (Sig ature) SEAL My Commission Expires i" -ZS June 17,2020 -ZSnth �-1 e►�,�ne (Printed) NOTARY PUBLIC 03/08 REV-29 STATEMENT OF THE BASIS FOR JUST COMPENSATION Code n/a 1 -This is a written statement of, and summary of the basis for,the establishment of the amount believed to be,through a valuation process,just compensation for the purchase of this right-of-way for highway purposes. The amount set forth in item 5 below is not less than the approved estimate of value. In accordance with Public Law 91-646 as amended,the"Uniform Act", and as codified in Indiana at IC 8-23-17-1 through 8-23-17-35,this value disregards any decrease or increase in fair market value of the property prior to the date of valuation caused by the public improvement for which the property is acquired other than physical deterioraton within reasonable control of the owner. 2- The legal description of this acquisition is set forth in the instrument of conveyance in the following identified parcel and this acquisition is identified in the Acquiring Agency's records as: Project 07-08 Parcel 59 Road Keystone Parkway County Hamilton/Carmel Owner(s) Mohawk Associates, LLC Indiana Limited Liability Company 3- The area and type of interest being acquired:0.346 acres Fee Simple Right-of-Way. The amount in Item 5 below includes payment for the purchase of all interests in the real property and no separately held interest is being acquired separately in whole or part except as may be explained in Item 8 below. 4- This acquisition is(check one):a. E] A total acquisition of the real property b. I A partial acquisition of the real property. 5- The Agency's Offer: Just compensation has been determined to be and the Acquiring Agency's offer for the purchase of this real property is as follows: a. Total Land, Land Improvements and Buildings (average) $ 97,840.00 b .Severance Damages(i.e.: Setback, Loss in Value to the Residues, etc.) $ - c. Other damages(hemize): Cost-to-Cure estimates: Three cost to cure items will be required. Trees,flowers&compost $ 1,640.00 Replace Flag Poles $ 1,500.00 Repair Electrical Service to Brick Pillars $ 3,000.00 Temporary Right-of-Way $ Total Damages: $ 6,140.00 Total amount believed to be Just Compensation offered for this Acquisition is: $ 103,980.00 6 -The amount in Item 5 above may include payment for the purchase of certain buildings and improvements and their ownership shall pass to the Acquiring Agency. These buildings and improvements are identified as follows: None 7- The amount in Item 5 above may include payment for the purchase of certain Land Improvements, Fixtures, Equipment, Machinery, Signs, Etc., and their ownership shall pass to the Acquiring Agency. These items are identified as follows: Established lawn, asphalt driveway/parking area,concrete sidewalk, bushes and shrubs. 8 - Items owned by others(i.e-: lessee, tenants, etc.) included in Item 5 above are identified as follows: None 9 - Remarks: Acquiring Agency: n Consultant Reviewer: Signature: C ,r,, ►L, Signature: Name Printed: J OU7 7 Name Printed: Title: 1 Yf Company: Date: ( Z�1 / �� Date: Project: Keystone Parkway Parcel: 59 RIGHT OF ENTRY This Right of Entry has been executed this day of Q 1 2008, by Mohawk Associates LLC ("Grantor") and the City of Carmel, Indiana, an Indiana municipal corporation ("Grantee"). RECITALS WHEREAS, Grantor is the owner of certain real estate (the "Grantor Parcel") located in the City of Carmel, Hamilton County, Indiana, which Grantor Parcel is more particularly described on Exhibit A attached hereto and incorporated herein; and WHEREAS, Grantee is involved in a project to construct Keystone Parkway in the City of Carmel, Hamilton County, Indiana (the "Project"); and WHEREAS, the Project affects a portion of the Grantor Parcel and Grantee needs to acquire fee simple title to a portion of the Grantor Parcel which portion (the "Fee Parcel") is more particularly described in Exhibit A attached hereto and incorporated herein by this reference; and WHEREAS, Grantor intends to execute a warranty deed (the "Deed") for the Fee Parcel, but desires to enter into this Grant of Right of Entry to allow Grantee to start on the Project until such time as the Deed is fully executed and recorded; and NOW THEREFORE, in consideration of the sum of Ten Dollars ($10.00), the foregoing Recitals, all of which are incorporated herein and the following mutual covenants and other good and valuable consideration, the receipt and sufficiency of which the parties hereby acknowledge, the parties agree as follows: 1. Grant. Grantee shall temporarily forego the exercise of its right of eminent domain with respect to the Fee Parcel because the parties believe that they will mutually benefit by an extended time period within which to resolve issues and continue negotiations. Grantor hereby grants and provides to Grantee, its agents, contractors, subcontractors and employees the right to use the Fee Parcel for any lawful purpose related to the Project including, but not limited to, surveying, testing, moving dirt or ground, removal of dirt or ground, landscaping, constructing the roadway and any other lawful purpose in connection with the Project as would be permitted if the right-of-way had actually been obtained. 2. Termination By Conveyance. Except as provided in Section 3 below, this Right of Entry shall be irrevocable until such time as the Deed is recorded in i Project: 07-08' Keystone Parkway Parcel: 59 LIMITED WARRANTY DEED THIS INDENTURE WITNESSETH THAT Mohawk Associates, LLC, an Indiana limited liability company(the "Grantor"), hereby conveys and transfers to the City of Carmel, Indiana (the "Grantee"), for the sum of Eigh -One Thousand Nine Hundred Seventv-Five and NO/00 Dollars($81,975.00) and other valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the following described real estate in Hamilton County, State of Indiana: See attached Exhibit A and B,which are attached hereto and incorporated herein Subject to any and all easements, agreements, restrictions and other matters of record. Except for the preceding matters, the Grantor covenants with the Grantee to warrant and defend title to the subject real estate against the lawful claims of all I persons claiming by,through or under the Grantor, but against none other. It is understood between the parties hereto, and their successors in title,and made a covenant herein which shall run with the land, that all real estate herein described (excepting any parcels or portions thereof that are specifically and expressly designated as easements or temporary rigl�is of way) are conveyed in fee simple and not merely for right of way purposes, and that no reversionary rights whatsoever aJ'e intended to remain in the Grantor. The undersigned represents and certifies that he is a Manager of Mohawk Manager, LLC, the Manager of the Grantor; that the Grantor is a limited liability company validly existing in the State of Indiana; that the Grantor has full at instrument aoatthecity to covey Grant r'sle real behalf, andtth t allsnece sarycolmpanytlaction for hehas lmaking of thty to is conveyancexecute eliver has beeis n duly taken. [SIGNATURE PAGE FOLLOWS] i I j SALES DISCLOSURE FORM SDF ID LU'- 5tetcForm46021tR11112III Cuunty YearPrescribed by Drp.,nmeN ofIntel Guvrrnmcm Financr SDF Date: t$ 1'unuant to IC 6-1.1.5.5 PRIVACYNaTICF.:Thrtdephnnennmbersand5nria15erurLynumbersollheparticsnnthicltxmarecnn[tdrnttnl 1792156 Pagel actor alae to IC 6-1.1-S.S.3rnt. SDF 10D SDO ID INDLANA SALES DISCLOSURE FORM PART 1-To be completed by BUYER/GRANTEE and SELL /GRANTOR 6 Complete Tax a111ftrgAddress(Ijd(fferentfrom A.PROPERTYTRANSFERRED-MUST BE CONVEYED ON A SINGLE CONVEYANCE P VE AAdNCwEaDO DOCUMENT property lingA addresdress(s) check box 1/appllcabte to s. ' 1.Property Number parcel One Civic Squre z split 0 E.126th Street Cannel,IN 46032 1 ® Carmel,IN 46032 3.Land 29-10-31-000-002.002-018 0 4 impravernent 7,Legal Description of parcel A part of the Northeast Quarter of Section 31,Township 18 Nora',Range 4 East,Hampton County,Indiana. El 1.Split EJ 3.Land C] 4.fmprovement 7.Legal Descrlptiot+ojParcel C.SALES DATA-DISCLOSE VALUE OF ITEMS LiSTED 1N TABLE B.CONDITIONS-IDENTIFY ALL THAT APPLY ITEMS 1-15 1t condition 1 applies,filer is subject to disclosure and a disclosure ming tee. 1.Conveyance date tal il-1rvrll: YES NO CONDITION 2.Total number of parcels: 0 n 1.A transfer of real property interest for valuable consideration. 3.Describe any unusual or special circumstances related to this sale,including the specification of any less-than-complete © 2.Buyer is an adjacent property owner. ownership interest and terms of seller financing. 3.Vacant land. Permanent right-of-way acquired in conjunction with the Keystone E © 4.Exchange for other real property("Trade"). parkway improvement prolect © 5.Seller paid points.(-vidr dmvo+-T"ble ehrm 12.) Q Q 6.Change planned in the primary use of the pro perch?(Dercribe in spct+ol t+rcumstonces In Table L Item 31 © 7.Existence of family or business relationship between buyer and seller.(eomplrm roblechro,4.1 8.Land contract. Contract term try): and contract date wmli7plyl'1'1n: E] © 9.Personal property included in transfer.tprovlde the r"hit YES a CONDITION.Family or business relationship existing between Te t.!r Clr,ui S.l ❑ © buyer and seller? og 10.Physical changes to property between March Amount of discount: $ and date of sale.[Va",bein +sf"ntn in Toblr Cfu'm 3.) dasunt: ana agreement,or other consideration. © Disclose actual value in money,property, g 11.Partial interest.tarvnbr+n srrrlbl„rcu,,,,rnnruinTablcCltem3l © 12.Easements or right-of-way grants. I0.00 If conditions 13-]5 apply,(Iters are subject to disclosure,but no disclosure filing fee. 5.Estimated value of personal propert $ 81 975.00 6.Sales rice: YES No CONDITION [] YES 13.Document for compulsory transactions as a KO CONDITION result of foreclosure or express threat of E © 7.is the seller financing sale? if yes,answer resulto f forre,divorce,caul t order,judgment, questions(8-13). forecicondemnation,or probate. F © 8•Is buyer/bol-rower personally liable for loan? © 14.Documents involving the partition of land 9,is this a mortgage loan? between tenants in common,joint tenants,or $ 000 tenants by the entirety. 10.Amount of loan: O 0.00% 15.Transfer to a charity,not-for-profit organization, 11.Interest rate: or government. $ 0.00 i-l.Amount in oints: 13.Amortization period: 0,00 ` SALES DISCLOSURE FORM ` Stew Formb Dq,,m021 11/12111 SDF 1D sj`ler; •�it Nr u.intt by Dr1.1-5.5 ntlnrnl Gucrrnment hnanrr County Year Unique ID F'unuanl to IC 6-1.7-5.5 'r SDF Date: PnIVACY N07 fT:The telephone numher<and Social Securltynumhersnl the panirsnn lhlc form a re rnnndenital arrordhae to 1C 6.1.1-S.S-3fdl. INDIANA SALES DISCLOSURE FORM SDF ED SDO ID 1792156 Page 1 PART 1-To be completed by BUYER/GRANTEE and SELLER/GRANTOR A.PROPERTY TRANSFERRED-MUST BE CONVEYED ON A SINGLE CONVEYANCE DOCUMENT 1.Property Number Check box ffopplicableio S.Complete Address offropeny 6.CompleteTax Billing Address(ifole ferentfrvm parcel property address) ® 2.Split 0 E.126th Street One Civic Squire 29-10-31-000-002.002-018 ® 3-Land Carmel,IN 46032 Cannel,IN 46032 ❑ 4.Improvement 7-Legal Description ofPorcel A Part of the Northeast Quarter of Section 31,Township 18 North,Range 4 East,Hamilton County,Indiana. ❑ S.split ❑ 3.Land ❑ 4.Improvement Z Legal Description ofPorcel B.CONDITIONS-IDENT)FYALL THAT APPLY C.SALES DATA-DISCLOSE VALUE OF ITEMS LISTED IN TABLE B, ITEMS 1-15 If condition 1 applies,filer is subject to disclosure and a disclosure filing fee. 1.Conveyance date(anynn/rn')J: 03106120114YES NO CONDITION ❑x ❑ 1.A transfer of real property interest for valuable 2.Total number of parcels: 1 consideration. 3.Describe any unusual or special circumstances related to this ❑ © 2.Buyer is an adjacent property owner. sale,including the specification of any less-than-complete ❑X ❑ 3.Vacant land. ownership interest and terms of seller financing. ❑ © 4.Exchange for other real property("Trade"). Permanent right-of-way acquired in conjunction with the Keystone El El S.Seller paid points.(A-4k tl1TohleCnrm 12.) Parkway improvement project. ❑X ❑ 6.Change planned in the primary use of the property?(Dercrbr in spafol nrmmstonces In Toble C Item 3.) ❑ © 7.Existence of family or business relationship \ behveen buyer and Seller.(Campine Toble Cl(rrn4.) ❑ ❑ 8.Land contract. Contract term(y»: and contract date(Nw/DD/nTYI: ❑ © 9.Personal property included in transfer.(P urldethe roh,r YES No CONDITION Ta61r r.lirn.S.) ❑ © 10-Physical changes to property between March 1 ❑ Q 4.Family of-business relationship existing between and date of Sale.(Uorribrinayc+mlrinunutnxninT°61rChvrnA) buyer and seller? ❑ © 11.Partial interest. C Amountofdiscount: $ 0.00 (Dr>,nbe r„=,.met urcumatnnr�iu Tnblr ln•m 3.1 ❑ 12.Easements or right-of-way grants. Disclose actual value in money-property,a service,an agreement,or other consideration.© 11condillons 13-15 apply.filers are subject to disclosure,but no disclosure filing fee. 5.Estimated value of personal property: $ 0.00 YES NO CONDITION 6.Sales price: $ 81,975.00 ❑X ❑ 13.Document for compulsory transactions as a YES NO CONDITION result of foreclosure or express threat of ❑ © 7,Is the seller financing sale? If yes,answer foreclosure,divorce,court order,judgment, questions(8-13). condemnation,or probate. ❑ © 14.Documents involving the partition of land El © 8.Is buyer/borrower personally liable for loan? between tenants in common,joint tenants,or ❑ © 9.Is this a mortgage loan? tenants by the entirety. 10.Amount of loan: $ 0.00 ❑X ❑ 1S.Transfer to a charity,not-far-profit organization, 11.Interest rate: 0.00% or government. 12.Amount inpoints: $ 0,00 13.Amortization period: 0.00 ` INDIANA SALES DISCLOSURE FORM SDF-1_D: Page 2 1). PREPARER Nanov E. Hermann Land Aoeni P,epatt,of the Sales Disclosure Form Til[ 5214 S. East Street.Suite D-2 RWS South. Inc Address(Number and Strectl Company —'— Indianapolis. IN 46227 317.781.9723 nancvrcDrwssouth.coin cay.Stetc,andZip(.(,or Tclepho,;c Nornbe, -- E-mail E.SELLERS GRANTOR Mohawk As-,;oniales I I C Seller I-Nome as appears or,rrmvcvonrc document seller Norne us appears on-convevonce document 941 N Meridian Street Address(Number and Street) Adore-"(Number and S:roei) Indianapolis IN 46204 1 CID,,Stole,and ZIP Code City,Stoic,and ZIP Code 317.554.6725 Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". SignatureqrSellcr Sionorwe of Seller -94AI, If (4,;M61 of 111196f. 31XI141 Printeld Nome orSeller D —Printed Nome of Seller Sign Date(A11.f1DD1n-),yj F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY The City of Carmel Pu,ver J-Nome as appears on conveyance document Bover 2-Nome as appears on conveyance document One Civic Souare Address(Number and Sit eel) Address(Number and Street) Carmel.IN 46032 City,State,and ZIP Code Cin,,Store,and ZIP Codc 317.571.2400 Telephone Number F.-mod Telephone Number E-mail THE SALES DISCLOSURE FORM MAN'BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. I DENTIFYA ALL OFTHOSE THAT APPLY. VES NO CONDITION I YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary 3.Homestead residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System residence,including county: 5.Wind Power Device F� [;�j Once Civil-.1;Quare Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Carmel, IN 46032 Hamilton City,State ZIP Code counn, El 07.Geothermal Energy Heating/Cooling Device Fj nV 2.Does the buyer have a homestead in Indiana to be F❑I z 8.Is[his properry a residential rental property? vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions fa'more information. Not ovoiloble in all counties.) Address(Number and.Street) ChY.Stoic 71P Code Corms, I Pi imory property otejrer contact norne F-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepare(] in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) Srpn Date r S!Ioo Pule P—r'.s s_�: 1)i_a,ils ol S o c- —last 5 Lost-5 ul�qts vfrir�yrr I im, cr s Stott 1. S Di y itu o f Socia. e c i j i i n' INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1792156 Page 3 PART 2-COUNTY ASSESSOR The county assessor must verify and complete item I through 14 and stamp the sales disclosure form hefore sending to the auditor: 1.Property 2.AV Lard 3.AV Improvement 4.Value of Personat S.A1'Totat 6.Property 7.Neighborhood B.Tax District 9.Acreage Pru ert y CtassCode Code A.) B.) 10.1den tif p y h steal changes property es to between March 1 and YES NO CONDITION Assessor Stamp date ofsale, ❑ ❑ 11.Is fornh completed? ❑ ❑ 12.State sales fee required? 13.Date of sale(uuIDDliTyrl: 14.Date form received(etv/DD/yttirl: Items 15 through 18 are to be completed by the assessor when validating this sale: 15.If applicable,identify any additional special circumstances relating to validation of sale. YES I NO I CONDITION ❑ ❑ 16.Sale valid for trending? ❑ ❑ 17.Validation of sale complete? 18.Validated by: PART 3-COUNTY AUDITOR Auditor Stamp 1.Disclosure fee amount collected:5 YES NO CONDITION 2.Other Local Fee: $ ❑ ❑ 6.Is form completed? 3.Total Fee Collected:S ❑ ❑ 7.Is state fee coileaed? 4.Auditor receipt book number: ❑ ❑ 8.Attachments complete? 5.Date of transfer(Met/Dn1prpv): ------------------------------------------ -------------------- PART 4-RECEIPT FOR STATEMENT OF DEDUCTION OF ASSESSED VALUATION SDF 1D SDF Date(MM/DD/Y i-n gayer l-Notne as appears an conveyance document Parcel Number Address of Property fNumber and Street) Check all that apply: Lity,Stoic.and ZIP Code of Property ❑ Homestead ❑Solar Energy F-1 wind Power ❑ Hydroelectric E]Geothermal ❑ Rental Property Auditor Signature Date(.aM/DD/rrrp Electronic Statement(e-mail) A person who knowingly and intentionally falsifies value of transferred real property,or omits or falsifies any information required to be provided in the sales disclosure form cutumits a Class C felon . INDIANA SALES DISCLOSURE FORM SDFID SDOID 1792156 Pagel Parcel Addendum Sheet 1.Property Number Check box ifapplicable to 5.Complete Addresso/property 6.Complete Tax Billing Address(ifdiJperentfrom parcel property address) 1) ® 1.split 0 E.126th Street One Civic Squre Z 9-1031-000-002.002-01 B ® 3.Land Cannel,IN 46032 Carmel,IN 46032 ❑ 4.Improvement 7.SuMbislo.N&.ra d Lor Number &ped.cdons ❑Homestead Solar Enemy ❑Wnd Powe, ❑Hydroelectric Geothermal 9.Re.tol Properly la PareelAcreage 0.35 10.LegalDescrfpdon A part of the Northeast Quarter of Section 31,Township 18 North,Range 4 Fast,Hamilton County,Indiana. Signature Date INDIANA SALES DISCLOSURE FORM SDF ED SDO ID 1792156 Page 2 Seller Addendum Sheet MohawkAssociales,LLC Setter-Name as appears an rom-c)nnre document 941 N.Meridian Streel Address(Number and Street) Indianapolis,IN 462D4- cily,Stole,and ZIP Code 317-554.6725 Telephone Number F-amil IN Last 5 digits of Seller Driver's State Last 5 Digitr ofSDcial Security Number License/ID/0t her Number Signature Date INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1792156 Page 3 Buyer Addendum Sheet City of Carmel Buyer•Name as oppeurs on conveyance document One Civic Square Address(Nnmherand Street) Carmel,IN 46032- Cio,,State,and 21P code 317.571-2400 Teteahore Numher E-mail IN Last 5 digits of Buyer Driver's State Last 5 Digits of Social Security Number License/1D/0ther Number Signature Date Project: 07-08:Keystone Parkway Parcel: 59 LIMITED WARRANTY DEED THIS INDENTURE WITNESSETH THAT Mohawk Associates, LLC, an Indiana limited liability company(the "Grantor"), hereby conveys and transfers to the City of Carmel, Indiana (the "Grantee"), for the sum of Eighty-One Thousand Nine Hundred Seventy-Five and N0100 Dollars($81,975.00) and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the following described real estate in Hamilton County, State of Indiana: See attached Exhibit A and B,which are attached hereto and incorporated herein Subject to any and all easements, agreements, restrictions and other matters of record. Except for the preceding matters, the Grantor covenants with the Grantee to warrant and defend title to the subject real estate against the lawful claims of all persons claiming by,through or under the Grantor, but against none other. It is understood between the parties hereto, and their successors in title,and made a covenant herein which shall run with the land, that all real estate herein described (excepting any parcels or portions thereof that are specifically and expressly designated as easements or temporary rights of way) are conveyed in fee simple and not merely for right of way purposes, and that no reversionary rights whatsoever we intended to remain in the Grantor. The undersigned represents and certifies that he is a Manager of Mohawk Manager, LLC, the Manager of the Grantor; that the Grantor is a limited liability company validly existing in the State of Indiana; that the Grantor has full company capacity to covey the real estate interest described herein; that he has full authority to execute and deliver this instrument on tthe Grantor's behalf; and that all necessary company action for the making of this conveyance has been duly taken. [SIGNATURE PAGE FOLLOWS] IN WITNESS WHEREOF, Grantor has caused this Limited Warranty Deed to be executed lhls� day of GRANTOR: Mohawk Associates; LLC, an Indiana limited habilit; company By: Mohawk Manager, LLC, an Indiana limited liability company, its Manager Bradley B. Chambers, Manager NOTARY CERTIFICATION STATE OF A ) �� � ,,,-�� SS: COUNTY OF 1 `' Before me the undersigned,a Notary Public in and for said County and State, personally appeared Bradley B. Chambers, a Manager of Mohawk Manager,LLC, the Manager of Mohawk Associates. LLC, who acknowledged the execution of the foregoing Limited)LO_ Deed for and on behalf of the Grantor. WITNESS my hand and Notarial Seal this LO_ ►'` day of Q �� c •., JENNIFER LEIGH SALEMME My Commission Expires: :':q,:a,:: Marion County My Commission Expires County of Residence:_ une 17,2020 1 men n - (.Un m� _ Notary Printed Name This instrument was prepared by Douglas C. Haney, Carmel City Attorney, City Hall,One Civic Square, Carmel, Indiana 46032 Send tax bills to:One Civic Square, Carmel, IN 46032 After recording,return deed to: Douglas C. Haney,Carmel City Attorney, City Hall, One.Civic Square, Carmel, Indiana 46032 I affirm, under the penalties for perjury, that I have taken reasonable care to redact each and every Social Security number From this document, unless it is required by law. EXMBIT "A" Project:07-08 Sheet 1 of 1 Parcel 59 Fee Simple A part of the Northeast Quarter of Section 31, Township 18 North,Range 4 East,Hamilton County, Indiana,and being that part of the grantor's land lying within the right-of-way lines depicted on the attached Right-of-Way Parcel Plat marked Exhibit ']3", described as follows: Commencing at the North Quarter Comer of said Section 31;thence on and along the North line of said Northeast Quarter,East 90 degrees 00 minutes 00 seconds 1011.17 feet to the West Right-of-Way of State Road 431; thence along said West Might-of-Way, South 00 degrees 03 minutes 55 seconds West 16.14 feet; thence, South 67 degrees 03 minutes 20 seconds East 54.27 feet; thence, South 89 degrees 56 minutes 05 seconds East 200.00 feet; thence, South 38 degrees 59 minutes 10 seconds East 16.08 feet (the foregoing portion of this description beginning with the words"Commencing at the" is taken from Instrument Number 200600032874 in the Office of the Recorder of Hamilton County)to the point of beginning of this description: thence South 38 degrees 50 minutes 15 seconds East 82.50 feet along the southwest boundary of the intersection of 126h Street (also known as Mohawk Road) and Keystone Avenue(also known as S.R. 431)to the west boundary of said Keystone Avenue;thence southerly 154.55 feet along an arc to the right having a radius of 19,001.59 feet and subtended by a long chord having a bearing of South 1 degree 07 minutes 05 seconds West and a length of 154.55 feet to Point"489"designated on said plat; thence North 14 degrees 50 minutes 55 seconds West 46.04 feet to Point "488" designated on said plat; thence North 00 degrees 13 minutes 24 seconds West 21.02 feet to Point"487"designated on said plat;thence northwesterly 99.55 feet along an arc to the left having a radius of 101.00 feet and subtended by a long chord having a bearing of North 28 degrees 27 minutes 37 seconds West and a length of 95.57 feet to Point"486" designated on said plat; thence North 56 degrees 41 minutes 49 seconds West 89.94 feet to Point "366"designated on said plat;thence westerly 62.78 feet along am are to the left having a radius of 101.00 feet and subtended by a long chord having a bearing of North 74 degrees 30 minutes 10 seconds West and a length of 61.77 feet to Point "367" designated on said plat; thence South 87 degrees 41 minutes 30 seconds West 29.31 feet to Point "368" designated on said plat; thence North 89 degrees 51 minutes 05 seconds West 365.57 to a northern line of said grantor's land; thence North 82 degrees 42 minutes 40 seconds East 38.45 feet along said northern line;thence South 89 degrees 51 minutes 05 seconds East 500.10 feet along a north line of said grantor's land to the point of begirming and containing 0.255 acres,more or less. All bearings in this description which are not quoted from previous instruments we4:�rr are based on the bearing system for City of Carmel Project 07-08. > " L. � !} This description was prepared for the City of Carmel, Indiana by Tracy L. .� ST McGill, Indiana Registered Land Surveyor, License Number LS20500009, on :( r05100009 o. ,* the 29`s day of January, 2008. !1 1 OF �I��' ReNised 3!05/2013 SU U� ,y-n • 'r,�,•narnc�"' r f ' EXHIBIT "B" SHEET 1 OF 3 RIGHT-OF-WAY PARCEL PLAT Prepared For The City of Carmel 0 200' 400' by: AMERICAN STRUCTUREPOINT SCALE: J"=400' 57 Mohawk Rd / 126th St 30 3053 42+IO G 45+0016 4'5427'49+00 1011.17' line's 7-E' 2 .W 54 1 .0 82.50 147.35 S 19222' 370 Oo 114'88 See Detail°A" fD JSB3, Sheet 2 of 3 25.56' 116.92' L_ 3 N 134.36' 97.24' 545+00 ' C �. o O M 0O 93.38' a o 4J L� N z W r w w a 540+00 co :2:2CV c OC 17 Q M (nU N J J W k p WOCC Z Z OU h WATER LINE EASEMENT IN FAVOR OF a o a 5z THE TOWN OF CARMEL ~p Ln `" Uj U-1 DEED RECORD 232, PAGE 218 3 F WW _; 535+00 547.78' Ln S' N C14 230. 48' o Residue "A" n 49 �ssss ,��p3 N 530-1-00 o tD ro 67.15' ra r°j 122.33' 85.04' 150.55' n ,1V 525+o() 20D.42' 43.25' 158.12' 97.88' 157.45' 1795.31' 35.32' 43 HATCHED AREA IS THE APPROXIMATE TAKING OWNER: Mohawk Associates, LLC DRAWN BY: 3EM PARCEL: 59 CHECKED BY: TLM PR03ECi: 07-08 ROAD: Keystone Parkway INSTRUMENT NUMBER 200600032874, DATED JUNE 7, 2006 COUNTY: Hamilton SECRON: 31 TOWNSHIP: 18 NORTH RANGE: 4 EAST THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY. EXHIBIT "B" SHEET 2 OF 3 RIGHT-OF-WAY PARCEL PLAT Prepared For The City of Carmel 0 so, 100' by: AM ERICAN SCALE: i"=i00' STRUCTUREPOINT INC. 53 Mohawk Rd / 126th St Line"S-7-E" 353.27' 45+00 48+00 370 Sq�� 1b.14' 200.00' 16.06' 369 1106 500.10' ?�o 367 �O 366 Residue "A" 486 487 WATER LINE EASEMENT IN FAVOR OF THE TOWN OF CARMEL DEED RECORD 232, PAGE 220 468 489 1 Detail "A" ® HATCHED AREA IS THE APPROXIMATE TAKING OWNER: Mohawk Associates, LLC DRAWN BY: 3EM PARCEL: 59 CHECKED BY: TLM PRO3ECT: 07-08 ROAD: Keystone Parkway COUNTY: Hamilton SECTION: 31 TOWNSHIP: 18 NORTH RANGE: 4 EAST THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND 1407 CHECKED BY FIEID SURVEY, EXHIBIT "B" SHEET 3 OF 3 RIGHT-OF-WAY PARCEL PLAT Prepared For The City of Carmel by: AN ERICAN STRUCTUREPOINT INC POINT REFERENCE CHART (Feet) Point North East Station OfFset 43 49 53 See Location Control Route Survey Plat 54 57 366 25867,3397 13932.4918 47+76.60 70.10'Rt. S-7-E 367 25962.41444 13906.1688 47+17.04 53.75'Rt. S-7-E 368 26081.4793 13753.3334 46+87.75 55' Rt. S-7-E 369 26082.7320 13270.6604 +PL(42+47.32) 55' Rt. S-7-E 370 26137.7335 13270.5578 +PL(42+47,08) 0' S-7-E 486 25867.3397 13932.4918 48+51.90 119.28'Rt. S-7-E 487 25962.4444 13906.1688 546+55.53 100.13 Lt. E 488 26081.4793 13753.3334 546+34,40 99.51' Lt. E 469 26082.7320 13270.6604 +PL(545+89.95) R/W(86.75')Lt. E SURVEYOR'S STATEMENT „:.,. G� To the best of my knowledge and belief, this plat, together with the Location Control L., Arc G'• ' Route Survey” recorded as Inst, No. 200200088040 In the Office of the Recorder of S J Hamilton County, Indiana, incorporated and made a part hereof by reference, NI�i comprise a Route Survey executed In accordance with Indiana Administrative Code ivy' 865 IAC 1-12("Rule 12"), _� 05000Q9 Devised 3/5/2013 . STATEOF Tracy L. McGill �Q Reg, Land Surveyor No. LS20500009 '� .,.. �%✓ State of Indiana NOTE: STATIONS AND OFFSETS ARE TO CONTROL OVER NORTH AND EAST COORDINATES. OWNER: Mohawk Associates, LLC DRAWN BY: JEM PARCEL: 59 CHECKED BY: TLM PROJECT: 07-08 ROAD: Keystone Parkway COUNTY: Hamilton SECTION: 31 TOWNSHIP: 18 NORTH RANGE: 4 EAST AM`-RICAN 5TRUCn1REP0IWT,INC PROJECT NO.1N2D030661 THIS PLAT WAS PREPARED FROM PUBLIC DOCUM:NTS AND NOT CHECY.ED BY A FIELD SURVEY, Project: Keystone Parkway Parcel: 59 RIGHT OF ENTRY This Right of Entry has been executed this day of Q 1 (� 2008, by Mohawk Associates, LLC ("Grantor") and the City of Carmel, Indiana, an Indiana municipal corporation ("Grantee"). RECITALS WHEREAS, Grantor is the owner of certain real estate (the "Grantor Parcel") located in the City of Carmel, Hamilton County, Indiana, which Grantor Parcel is more particularly described on Exhibit A attached hereto and incorporated herein; and WHEREAS, Grantee is involved in a project to construct Keystone Parkway in the City of Carmel, Hamilton County, Indiana (the "Project"); and WHEREAS, the Project affects a portion of the Grantor Parcel and Grantee needs to acquire fee simple title to a portion of the Grantor Parcel which portion (the "Fee Parcel") is more particularly described in Exhibit A attached hereto and incorporated herein by this reference; and WHEREAS, Grantor intends to execute a warranty deed (the "Deed") for the Fee Parcel, but desires to enter into this Grant of Right of Entry to allow Grantee to start on the Project until such time as the Deed is fully executed and recorded; and NOW THEREFORE, in consideration of the sum of Ten Dollars ($10.00), the foregoing Recitals, all of which are incorporated herein and the following mutual covenants and other good and valuable consideration, the receipt and sufficiency of which the parties hereby acknowledge, the parties agree as follows: 1. Grant. Grantee shall temporarily forego the exercise of its right of eminent domain with respect to the Fee Parcel because the parties believe that they will mutually benefit by an extended time period within which to resolve issues and continue negotiations. Grantor hereby grants and provides to Grantee, its agents, contractors, subcontractors and employees the right to use the Fee Parcel for any lawful purpose related to the Project including, but not limited to, surveying, testing, moving dirt or ground, removal of dirt or ground, landscaping, constructing the roadway and any other lawful purpose in connection with the Project as would be permitted if the right-of-way had actually been obtained. 2. Termination By Conveyance. Except as provided in Section 3 below, this Right of Entry shall be irrevocable until such time as the Deed is recorded in the Office of Recorder of Hamilton County, Indiana at which time this Right of Entry shall terminate. 3. Termination by Order. Neither party hereto waives any of their rights with respect to the Fee Parcel in the event negotiations fail and it becomes necessary for Grantee to institute eminent domain proceedings via the filing of a condemnation complaint. In such event, however, this Right of entry shall nevertheless be irrevocable until such time as an Order of Appropriation is issued by the applicable Court having jurisdiction regarding eminent domain matters and such Order is recorded in the Office of Recorder of Hamilton County, Indiana. 4, Warranty. Grantor, by executing below, hereby warrants that Grantor is the lawful owner of the Grantor Parcel and that there is no encumbrance or other restriction upon Grantor providing this "Right of Entry" to Grantee. S. Indemnification. Grantee shall indemnify, defend and save Grantor harmless from any and all liability, loss, damage, cost, obligation and expense which arises out of or results from any negligent act, whether of commission or omission, of Grantee, its agents, employees, contractors, subcontractors, licensees or others claiming by, through or under Grantee, occurring in or about the Fee Parcel whether in the exercise of Grantee's rights hereunder or in breach or excess thereof. IN WITNESS WHEREOF, Grantor and Grantee herein have executed this Grant of Right of Entry as of the day first above written. GRANTOR: GRANTEE: Mohawk Associates, LLC The City of Carmel, Indiana B By: Si iature Signature STATE OF INDIANA ) SS: COUNTY OF Y')(MV ) Before me, a Notary Public in and for said County and State; personally appeared Mohawk Associates, LLC. By: �3le�_�. ��nGlx,r�2�'S , who acknowledged the execution of the foregoing Grant of Right of Entry and who having been duly sworn acknowledged that any representations set forth therein are true and correct. Witness my hand and Notary Seal this lth day of MWL1 , 2008. My Commission Expires: ` Ja� No ry Public County of Residence: I , hiao nnYL �,w��� i e-M ryle Printed STATE OF INDIANA ) } SS: COUNTY OF HAMILTON) Before me, a Notary Public in and for said County and State; personally appeared, the —,C7h G �/C,'i, 4 . :Z�1�of the City of Carmel, who acknowledged the execution of the foregoing kight of Entry and who having been duly sworn acknowledged that any representations set forth therein are true and correct. Witness my hand and Notary Seal this day of ' 2008. My Commission Expires: Notcry Pu lic County of esidence: ve �n� y�r Printed 4 ) l[ This instrument was prepared by , Attorney at I affirm, under the penalties for perjury, that I have taken reasonable care to redact each and every Social Security number from this document, unless it is required by law. After recording, return to: 59.R0R.wpd/RAH Project: 07-08 Shcet 1 of 1 Parcel 59 Fee Simple A part nl the Nortlleast Quarter of Sec['o;I _ I fo\vnsl;ip 1 S North Indiana. and beim that part of the grantor's land lying within the right-of-wav lines depicted on the attached Ri4Pub-of-Way Parcel Plat marked Exhibit "B". described as follows: Comnlenc*ng at the North Quarter Corner of said Section 31 ; thence on and along the North line of said Northeast Quarter, East 90 degrees 00 minutes 00 seconds 1011.17 feet to the West RiUl-it-of-Way of State Road 431; thence along said West Right-of-Way, South 00 degrees 03 minutes 55 seconds West 16.14 feet. thence. South 67 degrees 03 minutes 20 seconds East 54.27 feet: thence. South 89 degrees 56 minutes 05 seconds East 200.00 feet; thence. South 38 degrees 59 minutes 10 seconds East 16.08 feet (the foregoing portion of this description beginning with the words `Commencing at the" is taken from Instrument Number 200600032874 in the Office of the Recorder of Hamilton County) to the point of beginning of this description: thence South 38 degrees 50 minutes 15 seconds East 82.50 feet along the southwest boundary of the intersection of 126"' Street (also known as Mohawk Road) and Keystone Avenue (also known as S.R. 43)1) to the west boundary of said Keystone Avenue: thence southerly 154.55 feet along an arc to the right having a radius of 19,001.59 feet and subtended by a long chord having a bearing of South 1 degree 07 minutes 05 seconds West and a length of 154.55 feet to Point "366'' designated on said plat; thence North 15 decrees 28 minutes 15 seconds West 98.68 feet to Point "367" designated on said plat; thence North 52 degrees 05 minutes 13 seconds West 193.72 feet to Point `368'' designated on said plat: thence North 89 degrees 51 minutes 05 seconds West 407.81 to a northern line of said grantor's land_ thence North 82 degrees 42 minutes 40 seconds East 38.45 feet along said northern line; thence South 89 degrees 51 minutes 05 seconds East 500.10 feet along a north line of said grantor's land to the point of beginning and containing 0.346 acres, more or less. All bearings in this description which arc not quoted from previous instruments are based on the bearing .vstem for Cite of Carmel Project 07-08. This description was pr:;pared for the City of Carmel_ Indiana by Trac\ 1:. McGill. Indiana Repisterec! Land Surveyor. License Numher LS20500009, on the 29"' day oI .lanuarV. 2008. TE, ?'70' STAT E OF "4�•. 1..1 V'� . Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Mohawk Associates, LLC Purchase Order No. NA c/o Buckingham Property ManagementAttn:Angie Atkins Terms 941 N.Meridian Street,Indianapolis,IN 46204 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) NA NA 07-08 Keystone Parkway 126th Street Land Cost Parcel 59 $103,980.00 Administrative Settlement ($22,005.00) Total $81,975.00 1 hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. 20 Clerk-Treasurer ------------------------------------------------------------------------------------------------------------------------------------------- VOUCHER NO. WARRANT NO. Mohawk Associates, LLC ALLOWED 20 c/o Buckingham Property ManagementAttn:Angie Atkins IN THE SUM OF $ 941 N. Meridian Street, Indianapolis, IN 46204 $ 81,975.00 ON ACCOUNT OF APPROPRIATION FOR Mohawk Associates, LLC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members DEPT.# 4470402 $81,975.00 KA NA I hereby certify that the attched invoice(s), or bills is are true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 1/5 20 14 $81,975.00 7Sig5n ture E!f 77 Cost distribution ledger classification if City Engineer claim paid motor vehicle highway fund Title