241638 02/03/15 cggM_
y' CITY OF CARMEL, INDIANA VENDOR: 369076
ONE CIVIC SQUARE AEI ACCREDITED INVESTOR FND 2002(;PIECK AMOUNT: $*"`144,100.00'
CARMEL, INDIANA 46032 30 EAST 7TH ST,SUITE 1300 CHECK NUMBER: 241638
ST PAUL MN 55101 CHECK DATE: 02/03/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 012115 144,100.00 OTHER EXPENSES
` prG,+ Y 2015003350 EASE $36.00
Aed F 01/26/2015 12:32:15PM 13 PGS
� Jennifer Hayden ( f�
Hamilton County Recorder IN g LOP
Cross Reference:Inst.#20040036878 - Recorded as Presented
IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� � �9
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WATER LINE EASEMENT AGREEMENT
THIS WATER,LINE EASEMENT-AGRECMI;NT (the "Agreement") is made this�l s d y of
; 20�by and between AEI Accredited Investor Fund 2002 Limited Partnership, a
Minnesota liniited partnership ("Grantor") and City of Carmel, .Indiana, an .Indiana.municipal
corporation ("Grantee")'
T Recita Is
(a) Grantor.is the owner of certain real property located in Hamilton County, Indiana,
which is more particularly described in Exhibit`=1"(the"Grantor Property")attached hereto and
incorporated herein.
(b) Grantee, in connection with Grantee's improveriment/construction of the Michigan
Road Water Main Installation--Retail Parkway to 106 th Street(the`'Project"), requires a perpetual,
easement over, through, under, upon and across that portion of theGrantor Property more
particularly described and depicted on Exhibits`"A" and ".B" attached hereto and incorporated
herein,(the"Easement Property")to provide for the laying,installing,constructing,maintaining,
operating, inspecting, altering, repairing,:,replacing and "removing water utility lines and
associated valves, pumps, fittings, meters, accessories and equipment on, over and across the
Easement Property. -
(c) Grantor desires to grant and convey to.Graniee, the easement for the upon
-the terms and conditions of this Agreement.
Now,THERi;roRE, in consideration of the foregoing recitals whichare incorporated herein
by reference and the mutual covenants and agreement hereinafter set forth and other-good and
valuable consideration the receipt and sufficiency of. which are hereby`acknowledged,'tile parties
.,agree as follows:
1. . GRANT OF.WATER LINE EASEMENT. Subject to: (a) the terms and coi itions,of
this Agreement; and (b) the rights granted under all prior and existing easements'saffecting the
Easement Property;''including, but not limited to, an electric easement.to Indianapolis Power &
Light 'Company'under m
Inslruent'No. 2003_ -69850; 'a telecommunications easement to SBC
Indiana under instrument No. 2003-59939; and a sanitary sewer easement to.Clay Township
Regional Waste District under.Instrument No. 90-7926, (the "Existing Easements") Grantor
hereby grants and conveys to Grantee a perpetual and non-exclusive easement in, on, over, under
. -=and across the Easement Property'for the ptirpose.of laying, installing, constructing, maintaining,
operating, inspecting, altering, repairing:.replacing and removing a water utility line and all
associated valves, pumps, fittings, meters, accessories and equipment (collectively, the
"Improvements"). Subject to the Existing.Easements and the provisions of Section 3 below,
Grantee wil I have the right:(a)to remove from the Easement Property any fences,structures,trees,
bushes or landscaping that exist at the time of or after the grant of this easement; and (b)to make
such alterations and improvements to the Easement Property as is reasonably necessary for the
exercise of Grantee's rights under this Agreement. The easement is granted only for the
installation and maintenance of a municipal water main easement and as such the easement may
not be assigned to any other utility excepting for• a public, quasi-public or private water utility
company which has this water main within its distribution sys EXEMPT FROM
I SALES DISCLOSURES
Water Line Easement:City orCarmel and AEI Accredited Investor BEG
2. GRANT OF INGRESS AND EGRESS AND TEMPORARY USE OF THE GRANTOR
PROPERTY. Subject to the terms and conditions of this Agreement, Grantor grants and conveys to
Grantee a temporary right of ingress and egress to and from said Easement Property over the
Grantor Property and the right to temporarily use, from time to time, but not exceeding a period of
ten (10) days, an additional portion of the Grantor Property immediately adjacent to the Easement
Property where available and when reasonably necessary for the reasonable exercise of Grantee's
rights under this Agreement.
F
3. RESTORATION OF EASEMENT PROPERTY. Grantee agrees that upon its exercise of
the rights granted under this Agreement, it will restore any portion of the Easement Property, the
Grantor Property, any improvements on Grantor Property and/or any adjacent real estate disturbed
by its work to as near the condition that existed at the time the portion was disturbed, as is
reasonably practicable,specifically including the repair or replacement of the existing ground sign,
and in strict compliance with the site and landscape plans approved by the Carmel Plan t
Commission under Docket Number 185-02 DP Amend/ADLS . To the extent that any plant :.
material dies within one (1) year following completion of the Project, Grantee will promptly
replace the plant material with the same type and species or with a type and species approved by
the Urban Forester of the City of Carmel using standard landscaping and tree planting industry
standards and practices. Grantee agrees that upon receipt of written notice from Grantor of any
settling of the soil, erosion or other disturbance in the Easement Property that may result from and r'
occur within the first year following the completion of any maintenance or repair activities, it will
re-enter the Easement Property to determine if such settling of the soil,erosion or other disturbance
of the Easement Property is the result of Grantee's actions under this Agreement. In the event
Grantee determines it caused such conditions, Grantee shall take commercially reasonable efforts,
based on prevailing industry standards, to correct such condition. ..
4. NON-DISTURBANCE. Grantee agrees that in exercising its rights under this
ZD
Agreement, that:
(a) it will take all commercially reasonable efforts to minimize any interference
with the operations, use and quiet enjoyment of the Grantor Parcel;
including, but not limited to the restaurant building and related
improvements and parking area by Grantor's lessee and its employees,
customers, vendors, guests, invitees and licensees;
(b) no excavating, boring, use of heavy machinery and related construction
activity will be performed between the hours of 10:45 A.M. to 1 :30 P.M.
and 4:30 P.M. to 7:00 P.M.;
(c) except for emergencies involving the public health, safety or welfare, either
Retail Parkway, (the access drive to the south of the Grantor Property from
US Highway 421) or Walnut Creek Drive (the access drive to the north of
the Grantor Property from US Highway 421) shall remain open to provide
access to the Grantor Property. In the event that any construction work
which is the subject of this Agreement requires a temporary blockage of
access to the Grantor Property via Retail Parkway, (the access drive to the
south of the Grantor- Parcel from US H ighway 42 1) or Walnut Creek Drive
Water Line Easement:Cit} of'Carmel and AEI Accredited Investor Find 2002 Limited Partnership
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(the access drive to the north of the Grantor Parcel from US Highway 421),
Grantee, or its specified contractor, shall notify Grantor at least ten (10)
days prior to commencement of the anticipated work. In addition, any such
work shall be undertaken in a manner to minimize the limitation on ingress
and egress to the Grantor Property. During any temporary blockage, one-
half of the affected drive shall remain open at all times. During instances
of temporary blockage, Grantee shall place temporary signage reasonably
acceptable to Grantor in order to redirect invitees of Grantor to another
entrance and, except for emergencies, blockage of the entire driveway shall
not continue for more than four (4) consecutive hours between 8:00 a.m. —
6:00 p.m.; and
1 '
(d) Grantee shall take all reasonable steps to avoid interruption of water service
to the restaurant on the Grantor Property; will notify Grantor of any
necessary interruption at least five (5) days prior to such interruption and
shall schedule such interruption between the hours of 12:00 a.m. and 4:00
a.m. Grantee will coordinate any water service interruption with Grantor's
Lessee (Contact: Tracy Bush at(317) 374-1970) and, except in the event of',
any emergency,will schedule such interruption so as to minimize the impact
on the restaurant located on the Grantor Property.
5. ADDITIONAL OBLIGATIONS OF GRANTEE. To the extent practical and within best
construction practices, Grantee will utilize directional boring, rather than open trench excavation
and construction, for the repair, maintenance, replacement, reconstruction or relocation of the
Improvements. Open cutting or ditches will be utilized to repair, maintain, replace, reconstruct or
relocate service lines, taps, hydrants, valves or similar items; as needed as part of the directional
boring process; where two water lines intersect or connect; or if the directional boring process
fails. It is understood and agreed that with the exception of any manholes or fire hydrants shown
on Exhibit C, the Improvements will be underground. Grantee will maintain, repair, replace and
service the Improvements in accordance with all applicable laws, regulations, standards, rules or
other requirements of any federal, state or local governmental unit or agency having jurisdiction
over the Improvements.
6. E\ISTINC UTILITY SERVICE LINES AND ExISTING EASEMENTS. To the extent
applicable, Grantee will comply with the Existing Easements, and, to the extent required by
applicable law, will be responsible for any necessary relocation, repair and/or replacement of
existing utility service lines, equipment and/or other facilities located in the Existing Easements in
connection with Grantee's exercise of its rights under this Agreement. Grantee shall indemnify
and hold Grantor safe and harmless from and against any and all claims, actions, causes of action,
damages, costs, injuries or other liabilities incurred by or asserted against Grantor as a result of or
in connection with Grantee's exercise of its rights or breach of its obligations under this
Agreement. Grantor shall indemnify and hold Grantee safe and harmless from and against any and
all claims, actions, causes of action, damages, costs, injuries or other liabilities incurred by or
asserted against Grantee as a result of or in connection with Grantor's breach of this Agreement.
7. MONUiVIEN'r/GROUND SIGN. Grantee acknowledges and agrees that the existing
monument/ground sign encroaches and may continue to encroach into the Easement Property and
Water Line Easement: City of Cannel and AEI Accredited Investor Fund 2002 Limited Partnership
that Grantor may maintain, repair and replace the existing or any replacement monument/ground
sign in accordance with applicable laws, rules, ordinances or approvals.
8. MECHANIC'S LIENS. Grantee agrees to promptly discharge (or cause to be
discharged) any mechanic's or materialmen's liens asserted against the real estate constituting the
Easement Property or any of Grantor's other property that arise out of or in connection with
Grantee's maintenance, repair or replacement of the water utility line, any equipment or facilities,
use of the Easement Property or the exercise of Grantee's rights under this Agreement.
9. USE OF EASEMENT PROPERTY. With the exception of those improvements in
existence on the date of this Agreement, Grantor covenants that it will not erect or maintain any
buildings or other structures or obstructions or otherwise use the Easement Property in such a way
that will interfere with or defeat the purpose of the easements granted except by express written
permission of Grantee. Grantor will not perform any act which would impair or interfere with
Grantee's use and enjoyment of the Easement Property or the easement herein granted. The
immediately preceding sentence prohibits(among the other prohibitions affected by it)the erecting
or maintaining in the Easement Property of any earthen mound or series or system of earthen
mounds. Grantee's use of the Easement Property and the exercise of the rights granted herein will
be conducted in such a manner that the Grantor's use of the Easement Property, consistent with
this Agreement, will not be unreasonably impaired. Excepting for the Improvements, Grantor will
have the primary duty to maintain the Easement Property at its own expense. Grantee will cause
any work done under this Agreement to be done in a good and workmanlike manner, in accordance
with all applicable laws. Grantee shall require all contractors working on the Easement Property
to carry commercially reasonable insurance.
10. ENVIRONMENTAL MATTERS. Grantor covenants and represents that to the best of
its knowledge, but without the obligation to obtain or the benefit of a current environmental
assessment, neither the Grantor Property nor the Easement Property is presently the subject of,nor
is there the threat of any federal, state or states, or local environmentally related lien, proceeding,
claim, liability or action. Grantor agrees that between Grantor and Grantee, the acceptance of this
Agreement by Grantee will not increase the liability of Grantee for environmentally related claims
arising from or related to (i) conditions on the Grantor Property or the Easement Property prior to
the acceptance of this Agreement; (ii) acts of Grantor or any other third party not within Grantee's
control; or (iii) conditions on the Grantor Property or the Easement Property not created by
Grantee.
11. COVENANT OF TITLE.Grantor hereby covenants that: it is the owner in fee simple
of said Easement Property; it is lawfully seized thereof; it has a good right to grant and convey the
foregoing easement; the Easement Property is free of any liens or encumbrances, except the lien
of current taxes and any other lien or encumbrance that, as of the date of execution hereof,appears
of public record; it guarantees the quiet possession of the Easement Property in the Grantee; and
that, subject to the foregoing, Grantor will warrant and defend Grantee's rights to the Easement
Property granted hereby against all claims thereon.
12. NOTICE.Any and all notices,demands, requests; submissions, approvals, consents,
or other communications or documents required to be given, delivered or served or which may be
given, delivered or served under or by the terms and provisions of this Agreement or pursuant to
law or other,,vise, will be in writing. All notices will be either(a) sent by overnight delivery using
4
Water Line Easement:City of Carmel and AEI Accredited Investor Ilmd 2002 Limited Partnership
a nationally recognized overnight courier, in which case notice will be deemed delivered' one
business day after deposit with such courier, (b) sent by certified or regular U.S. mail, postage
prepaid, in which case notice will be deemed delivered two business days after deposit in such
mails, or(c) sent by personal delivery, in which case notice will be deemed delivered upon receipt
or refusal of delivery. All notices will be addressed to the respective parties as follows:
If to Grantee: City of Carmel
One Civic Square
Carmel, Indiana 46032
Attn: Cannel City Attorney
With a Copy to: City of Carmel
One Civic Square t
Carmel, Indiana 46032 ;
Attn: Director of Utilities
t
{
If to Grantor: AEI Accredited Investor Fund 2002 Limited Partnership
c/o AEI Fund Management, Inc.
1300 Wells Fargo Place, 30 East Seventh Street
St. Paul, Minnesota 55101
Attn: Robert P. Johnson
With a Copy to Paul G. Reis, Esq.
Krieg DeVault LLP
12800 North Meridian Street, Suite 300
Carmel, IN 46032
Apple Indiana I, LLC
6200 Oak Tree Boulevard, Suite 250
Independence, Ohio 44131
Attn: Garrett Huth
Any such notice will be effective three days after the notice has been deposited in the United States
mail, as provided above, or if earlier upon receipt.
13. AUTHORITY. The person executing this Agreement on behalf of a party hereto
represents that he/she has the authority to bind that party to the terms and conditions set forth herein
and that all necessary action therefore has been taken.
14. COVENANTS TO RUN WITH THE LAND /ENFORCEMENT/ATTORNEY FEES. The
grants, rights, obligations, benefits and burdens created by this Agreement will run with the
Grantor Property and will apply to and be binding upon and inure to the benefit of Grantee and its
grantees, successors and assigns and will bind Grantor and its grantees, successors and assigns.
All covenants and agreements hereunder may be enforced by an action for specific performance,
and in the event that a party breaches any such covenant or agreement,the other party may exercise
any remedy available hereunder, at law or in equity, and recover from the breaching party all
5
Water Line Easement: Ciry of Carmel and AEI Accredited Investor Fund 2002 Limited Partnership
amounts expended in connection with exercising any such remedy (including without limitation,
court costs and attorneys' fees). Waiver by either party of any one default hereunder will not be e
deemed to be a waiver of any other default under this Agreement. Any remedy or election under
this Agreement will not be deemed exclusive, but instead, whenever legally permissible, will be
cumulative with all other remedies at law or in equity. In the event of any action or proceeding
brought by either party against the other under this Agreement,the prevai ling party will be entitled
to recover all costs and expenses, including reasonable attorneys' fees.
15. SEVERABILITY. The illegality, invalidity or unenforceability under law of any
covenant, restriction, condition or other provision of this Agreement will not impair or affect in
any manner the validity,enforceability or effect of the remaining provisions of this Agreement and f`
the remaining terms, covenants, conditions and provisions of this Agreement will continue to be
valid, binding and enforceable to the fullest extent permitted by law..
16. APPLICABLE LAW. This Agreement will, in all respects, be governed, construed,
applied and enforced in accordance with the laws of the State of Indiana. Grantor and Grantee
agree that any litigation associated with or arising from this Agreement will be filed with a court
of competent jurisdiction within the State of Indiana.
17. MODIFICATION. This Agreement may not be modified or amended, except
pursuant to a written agreement in recordable form executed by each of the parties hereto.
18. ENTIRE AGREEMENT. This Agreement constitutes the entire understanding and
agreement between the parties and supersedes all prior agreements (whether written or oral),
representations and understandings of the parties relating to the subject matter of this Agreement.
No representations have been made to induce the other party to enter into this Agreement except
as expressly set forth herein.
The remainder of this page intentionally left blank.
6
\Vater Line Easement:City of Carmel and AE1 Accredited Investor Fund 2002 Limited Partnership
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this day"and
year first above written.
GRANTOR: GRANTEE:
AEI Accredited Investor Fund City of Carmel, Indiana
2002 Limited Partnership; an Indiana municipal corporation
a Minnesota limited partnership
By: AEI Fund Management XVIII, Inc. By and through its Board of Public
Its Corporate General Partner Works and Safety
By:
By- James Brainard, Mayor
R rt o nson � -
Presidentn -
By: LL:��
Mary Ann urke, Member
By:
Lori Watso` Member
ATTEST:
Sandra M 7ohnso
Deputy Clerk F&iana L. CoUray, IAMC; Clerk-
Treasurer
I
7
Water Line Easement:Citv of Carmel and AEI Accredited Investor Fund 2002 Limited Partnership
3 -
STATE OF INDIANA
SS:
COUNTY OF HAMILTON )
.r
Before me, a Notary Public in and for said county and state, personally appeared 3acaz
Bir ,,Mary Ann Burke and Lori Watson, who being first duly sworn upon their oath, affirmed
that they are the elected and appointed members of the City of Carmel Board of Public Works and
Safety, they are duly authorized to execute the foregoing Water Line Easement Agreement on its
behalf, and acknowledged execution of the foregoing Water Line Easement Agreement for and on
behalf of the Grantee.
Witness my hand and Notarial Seal this 0� day of
NOTARY PUBLIC
SANDRA M.JOHNSON
NOTARY PUBLIC—INDIANA
® Comm.Expires Aug.30,2018
Printed:
OMEN
My Commission Expires: My County of Residence:
8
Nater Line Easement:Cite of Carmel and AEl Accredited Investor Fund 2002 Limited Partnership
STATE OF MINNESOTA )
SS:
COUNTY OF )
This Water �ne Easement was acknowledged before me on, Pc, /72 2014 by
Robert P. Johnson, as the President of AD Fund Management XVIII, Inc., the Corporate General
Partner of Grantor, for and on behalf of the Grantor.
NOTARY PUBLIC
} Sam LJaspers
i Notary Public-Minnesota
My Commission b#Ms 01/31/2011 ,
Printed: J a
My Commission Expires: My County of Residence:
itia/Yl •
This instrument was prepared by Paul G. Reis, Attorney-at-Law, Krieg DeVault LLP, 12800 N:.
Meridian Street, Suite 2800, Carmel, Indiana 46032.
I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social
Security number in this document, unless required by law. Paul G. Reis
KD 6037953 ].DOCx
9
Water Line Easement:City of Carmel and AGI Accredited Investor Fund 2002 Limited Partnership
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EXHIBIT"1"
4
Legal Description of Grantor Property
LOT NO. 3 1NAMENDED BLOCK D OF WEST CARMEL CENTER, AN ADDITION IN
HAMILTON COUNTY, INDIANA.,AS PER PLAT THEREOF RECORDED AS INSTRUMENT NO,
2002-89230 IN TIDE OFFICE OF THE RECORDER OF HAMILTON COUNTY, INDIANA.
TOGETHER WITH NUN-EXCLUSIVE EASEMENTS GRANTED BY THAT CERTAIN
OPERATION AND EASEMENT AGREEMENT BETWEEN TARGET CORPORATION AND
GLENDALE PARTNERS OF WEST CARMEL, LLC DATED OCTOBER 5,20H AND RECORDED
OCTOBER 9,2000 AS INSTRUMENT NO.2000-50552 AND RE-RECORDED FEBRUARY 19,2002
AS LNSTRUMENT NO.2002,13437.
10
Nater Line Easement: Cite of Carmel and AEI Accredited Investor Fund 2002 Limited Partnership
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EXHIBIT "A"
LEGAL DESCRIPTION OF EASEMENT PROPERTY
PART OF LOT 3 IN WEST CARMEL CENTER AMENDED SECONDARY PLAT BLOCK D,
RECORDED AS INSTRUMENT NUMBER 200200089230 IN P.C. 3, SLIDE 98 IN THE
OFFICE OF THE RECORDER OF 14AMILTON COUNTY, INDIANA, MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING at the Northwest corner of said Lot 3; thence North 53 degrees 53 minutes 18
seconds East, along the North line of said Lot 3, a distance of 15.54 feet; thence South 20 degrees
57 minutes 18 seconds East, a distance of 263.92 feet; to the South line of said Lot 3;thence South '
53 degrees 53 minutes 18 seconds West, along the South line of said Lot 3, a distance of 15.54
feet;thence North 20 degrees 57 minutes 18 seconds West, a distance of 259.90 feet to the PLACE
OF BEGINNING, CONTAINING 0.1928 ACRES (8,397 SQ. FT.) MORE OR LESS. ;
I
11
Nater Line Easement:City of Carmel and AEI Accredited Investor fund 2002 Limited Partnership
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Water Line Easement: Citi'orCarmel and AEI Accredited Investor Fund 2002 Limited Partnership
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0)
M
°- Check appropriate box for federal tax classification: Exemptions(see instructions):
c
0 ❑
ur Individual/sole proprietor ElC Corporation
❑ S Corporation ✓ Partnership ❑Trust/estate
e o Exempt payee code(if any)
L u ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exemption from FATCA reporting
0 3
cN code(if any)
a E ❑ Other(see instructions)►
Address(number,street,and apt.or suite no.) Requester's name and address(optional)
u
a 30 EAST 7TH ST SUITE 1300
U)
City,state,and ZIP code
0
U) ST PAUL MN 55101
List account number(s)here(optional)
HIM Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line Social security number
to avoid backup withholding. For individuals,this is your social security number However,for a
resident alien,sole proprietor,or disregarded entity,see the Part I instructions onn 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.
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.
7 3 - 1 1 6 1 4 1 0 1 9 2 1 5
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 I 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),and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
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 3.
Sign Signature of
Here U.S.person► ` G�✓d"ut^�"` Date► 1-7 I
General Instructions withholding tax on foreign partners'share of effectively connected income,and
4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
Section references are to the Internal Revenue Code unless otherwise noted. exempt from the FATCA reporting,is correct.
Future developments.The IRS has created a page on IRS.gov for information Note.If you are a U.S.person and a requester gives you a form other than Form
about Form W-9,at wwwJrs.gov/w9.Information about any future developments W-g to request your TIN,you must use the requester's form if it is substantially
affecting Form W-9(such as legislation enacted after we release it)will be posted similar to this Form W-9.
on that page.
Definition of a U.S.person.For federal tax purposes,you are considered a U.S.
Purpose of Form person if you are:
A person who is required to file an information return with the IRS must obtain your •An individual who is a U.S.citizen or U.S.resident alien,
correct taxpayer identification number(TIN)to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the
you,payments made to you in settlement of payment card and third party network United States or under the laws of the United States,
transactions,real estate transactions,mortgage interest you paid,acquisition or •An estate(other than a foreign estate),or
abandonment of secured property,cancellation of debt,or contributions you made
to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7).
Use Form W-9 only if you are a U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in
provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section
applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from
such business.Further,in certain cases where a Form W-9 has not been received,
1.Certify that the TIN you are giving is correct(or you are waiting for a number the rules under section 1446 require a partnership to presume that a partner is a
to be issued), foreign person,and pay the section 1446 withholding tax.Therefore,if you are a
2.Certify that you are not subject to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the
3.Claim exemption from backup withholding if you are a U.S.exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status
applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income.
any partnership income from a U.S.trade or business is not subject to the
Cat.No.10231X Form W-9(Rev.8-2013)
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1999
AEI Accredited Investor Fund 2002 Limited Partni Purchase Order No.
1300 Wells Fargo Place Terms
30 E Seventh St Due Date 1/30/2015
St. Paul, MN 55101
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/2015 012115 $144,100.00
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
Date v Micer
VOUCHER # 142903 WARRANT# ALLOWED
T1999 IN SUM OF $
AEI Accredited Investor Fund 2002 Limits
1300 Wells Fargo Place -
30 E Seventh St
St. Paul, MN 55101
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
012115 06-1052-06 $144,100.00
Availability
Voucher Total $144,100.00
Cost distribution ledger classification if
claim paid under vehicle highway fund