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251630 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 370066 .;; ® 'il• ONE CIVIC SQUARE STUART AND LISA LAWRENCE CHECK AMOUNT: $*******450.00* CARMEL, INDIANA 46032 FRANKLIN PROPERTY MATTERS CHECK NUMBER: 251630 +.y_roN 8103 E HIGHWAY 36#194 CHECK DATE: 11/18/15 AVON IN 46123 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 202 4460500 450.00 RIGHTS-OF-WAYS Prescribed by State Board of Accounts City Form No 201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER -2 a 2 —4-+&oso 0 The City of Ccr+r►el 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 Stuart& Lisa Lawrence Purchase Order No. NA 4611 E 116th St Terms Carmel, IN 46033 1 Date Due _.._ Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/27/15 Project: 1297166 Des Number: Parcel Number: 05(00) Self Move voucher $450.00 - - - Signature: Stua awrence.- . Signature.f �A"" °'Y10 _. Lisa L ence Total $450.00 1 Relocation Agent: �4< <.,A`_ �' `"�•��-��---�� Suzan Franklin, ranklin Property Matters, LLC. I hereby certify that the attached invoice(s), or bilis(s), is(are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. 20 _.___ .._� _ . __ ___�-__...`•_...._-__ Clerk-Treasurer ------------------------------------------------------------------------------------------------------------------------------------------- Please mail check to Agent at the address below: Franklin Property Matters 8103 E HWY 36, #194 Avon, IN 46123 CITY OF CARMEL BUSINESSANDLO , PMO OCCUPANCY AND MOVE CERTIFICATION Name (��: �x�C 14 �' l.( t Project ( q7j ) �gt. Address 4611 East 116th St,Carmel, IN 46033 Code LPA Parcel 5(00) Type of Telephone 317-752-3086 Business-Landlord Relocation: Date of Ownership or Tenant Occupancy Initiation of Negotiations Questionnaire Yea / No Occupancy Status: Owner / andlor / Tenant completed: I certify that the information provided above is true and accurate to the best of my knowledge. D Suzan Fra lin,Right of Way Agent `� t Amount C' Date "'1 �Uf` e. Move Type J�-C(.i — -- — — Date Move Type Amount Date Move Type _ _ Amount Date Move Type _ Amount Date Move Type Amount Total Move Cost I certify that the relocation of all personal property in the inventory was completed on by a ❑commercial mover ❑self move ❑ combination,and that all real property remains intact as of this date. The replacement site is located at REPLACEMENT ADDRESS. Tvpes of assistance provided including addresses of replacement referrals: Date Suzan Franklin, Right of Way Agent State Fonn 386'_8 RAAP FORM 425 REVISED 07/2014 (I UU°/o of Low tSIQ, Agent Lsttmate, or based on rrtvty nrocnure) NAME: Lawrence CODE: LPA PARCEL: 5(00) REVLEWER: Wagner. Submit Previously when Attached Submitted available Form # Required Items © NA NA Voucher Original signed claim voucher+1 copy ❑ ® NA W-9 Original+ I copy(if not previously submitted) ® NA NA #25 Top portion completed with agent's signature Middle portion completed ® ❑ NA INV Large or unique items should be noted in the caption. * Photos must clearly identify the personal propem•being inventoried Moving cost may be determined using the following options 1 or 2: ❑ NA NA 1) Self move based on the low professionaUcommercial bid ❑ NA NA Bill/Invoice Professional/commercial mover's bill(if Prof Mover) ❑ ❑ NA Bid Low professionaUcommercial mover's bid ❑ ❑ NA #27 Bid Specifications signed by the agent and bidder ❑ ❑ NA Bid High professional/commercial mover's bid ❑ ❑ NA #27 Bid Specifications signed by the agent and bidder OR ® NA NA 2) Agents Estimate/PPMO Brochure-moves less than$4,000.00 ® ❑ NA ¢29/PPMO Specialist Estimate and/or copy of INDOT's PPMO brochure F1NA ® RW Clear R8 stating Right of Way is clear signed by agent and displacee ® NA NA #8 "PARC"Agent's Report detailing the claim * Delivery Instructions must be noted * R8 does not need to be lengthy,but it must be specific and complete * R8 must be signed by both the agent and displacee COMPLIANCE CERTIFICATION 1, Suzan Franklin, Franklin Property Matters, certify that this submittal is made in good faith; that the supporting data is accurate and complete to the best of my knowledge and that this submittal is in accordance with 49 CFR Part 24, PL 91-646 and IC 32-24 and that all applicable rules and regulations of the Federal HiglnvavLdministration hcnve been compliedwith. 4 � (Signature) Suzan Franklin Franklin Property Matters Phone: 317-490-8013 Email: frank)inpropertymatters@outlook.com Reviewer Comments: Page 19 IN199T Indiana Business Self Move ns au Cha w'T s REVISED 07/2014 � .1 � - { � �, .x ,.. ,, f` ���^1rY„s. ..11 �;�ta`u!�'Y;ry a t'n '� : a�'„.r�' ,,� �`�.s� ♦: r +,i' r. ��>��,° " ,-,. ir; + 1 J �#�''� ,�°� ri 1 �Y i e� �{N` +••�>�`t� {'&4�f SA'S1 't -y„ s, a�: TIN�A,`K•. • �;1C aj a�" �'� � '� � i .S`"' 1� ��''"� CiA� '� J € � da✓� ',x E k4 �'4������� k w �+�.�M�k fit! f� :+est n�ttz • �� .• ' Refrigerator, Stove, White Cabinet ,fix" a s"��„•/ i��'S i `�x„s� ��' xv: ,' ,y S�v s C�, � E ��„ � C° „h k it " i. � xa�t" � � 4r` � "" '� s 5�. p�f.J` d' :,� •� d.. � "ra `�" •., „� ,^ ' •',�gS "�"�'h„ .,c �.r, dry V x ate r&' 3 �{ �,�°•�� � � rw�;stw�a'�P..", Ij r •„��»M �P g r" "e''�"J;" 'aP.," ?��: .ak q '� "rw`, ` a �', }1 dV�` ° ' •w �"Nr�a t.. 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",mV� ' t, "k #{ rc� "• '� �' xk`,a '+sv"��VY �, ,�Y„� M •,y t'"�'t "';'�,� 4•�'": , S v C C ti kr v�v x s r ¢ Parcel: 5(00) Lawrence Code: LPA i i Coat Rack, Cabinet, Area Rug <"� t d" Sr,w,�"S• h y""a`r.. „��, k.N ,��nCaS '� Room Count: Parcel: 5(00) Lawrence Code: LPA Kt 'Anp i 1 Move Cost Schedules as follows: Your Right of Appeal ' Personal property moved from a commercial You may file an appeal if you believe that the Code Parcel storage facility shall be based on the following agency has failed to properly determine your 1 schedule: eligibility for the amount of your payment authorized by the Uniform Act. Size of Storaee Unit Move Cost Personal 5' by 5' $175.00 Your appeal must be .in writing and must be 5' by 10' $250.00 submitted within 60 days of the date of Propenb� _�� determination. If you request, a Relocation Agent 10' by i 0' (0 00 will assist you. The letter must clearly state what 10' by 15' $600.00 1 10' by 20' 5800.00 you are claiming. Move 10' by 30' $1,000.00 ' Mail the appeal letter and supporting documents to: Only Move costs for vehicles, trailers, etc., shall be Real Estate Division -Relocation Supervisor based on the following schedule: Indiana Department of Transportation 100 N. Senate Ave., Room N642 �e�OCa�I®� • Boats w/trailers, utility trailers, car trailers, Indianapolis, IN 46204 travel trailers and fifth-wheel trailers: $100.00 each. 1NDOT will provide you a written determination Assistance • Non-operating vehicles and smaller motor resulting from the appeal with an explanation of the homes that require towing: $125.00 each. basis for the decision. If you are still dissatisfied • Non-operating trucks and larger motor with the relief granted, you may then seek judicial Program homes that require towing: $200.00 each. review. PLEASE DO NOT MOVE UNTIL YOU HAVE Indiana / .. ov�for appliances shall be based on a SPOKEN TO A RIGHT OF WAY AGENT fixed rate of $75.00 per appliance, which includes ABOUT YOUR MOVE. I I Department ®f 4he cost to disconnect and reconnect. You can jeopardize your right to receive relocation �.Transportation assistance entitlements unless you advise INDOT in advance of moving. .Real Estate Division July 2014 Indian t, � 4 i i giiqi 11,1111 Nil I IWO Introduction Examples of PPMO Relocations Code Parcel The Relocation Assistance Program is designed to • 'Personal property is stored on property where establish a uniform policy to help minimize any there is no residence or business. Commercial Move Option j hardships you may experience as a result of your 0 Personal property is located on a portion of As a displaced person, you can request that the move. The Code of Federal Regulations (CFR) property that is being acquired but where the Indiana Department of Transportation (1NDOT) provides for certain Relocation payments and residence located on the property will not be provide funds for you to pay a professional moving advisory assistance for displaced persons. affected. company. Your Right of Way Agent will need access Personal property is located on a portion of to your property prepare a photo inventory of the This brochure is designed to answer some of your property that is being acquired but where the items to be moved. Your Right of Way Agent will t questions about your Relocation entitlements. business located on the property can stili prepare a Laid Specification Form and obtain one or Specific information about Relocation assistance is operate after the acquisition of the needed more bids from qualified movers. Payment will be rcontained in the law. While every effort has been property and where the business will not limited to the lowest acceptable commercial bid, made to assure the accuracy of this brochure, it does incur re-establishment expenses. Self-Move Option not have the force and effect of the law. Should any • Personal property is located in a unit (or you also have the option of selecting a self-move and difference or error occur, the law will take units) in a storage facility that will be 1 taking full responsibility for your move. Your Right precedence. The regulations are contained in.49 CFR acquired in whole or in part. Part 24, Subpart D. of Way Agent will need access to your property p Vehicles, trucks, recreational vehicles, boats, prepare a photo inventory of the items to be moved. and other miscellaneous trailers, either Subject to iNDOT approval, the self-nwve option Your concerns are important to us. We will da operational or not, that are located on may be based on 1) bids by qualified commercial everything we can to minimize any disruptions and property that will be acquired. other impacts of the project. We appreciate your movers, _) an agent's estimate, or 3 j a predetermined understanding and cooperation. Property cost schedule. If commercial bids are required, Personal I roperty Only Relocation Entitlements you will be offered an amount not to exceed the The basic entitlement for the relocation of personal lowest acceptable bid as outlined above. Definition property only shall be a payment for the expense of A personal Property Move Only (PPMO) Relocation moving your personal property to a reasonable Actual Cost Move Option is defined as a move of personal property from replacement location of your choosing. This payment Actual and reasonable costs to move your personal property acquired for right of way or project purposes will cover moves of up to 50 miles—mileage expense property are based on acceptable documentation of where there is not a need for a full relocation of a beyond that distance will be the responsibility of the actual costs. Acceptable documentation includes residence, non-residential operation (vacant land), property owner. receipts for payments, paid invoices, copies of business operation, farm operation, or nonprofit payment documents, time sheets of people hired to organization(NPO)from the acquired property. As the owner of personal property that must be perform the move, etc. moved, you have the option of selecting a commercial If a question arises about the "reasonableness" of Payment of Personal Property Only Entitlements move, a self-move, an aclnal cost move as further submitted costs, INDOT may obtain one or more bids Payment for move expenses will be paid upon explained in the next section, or a combination or estimates from qualified movers to use as a documentation and verification that all personal thereof. standard to determine if costs are reasonable. Prior to property to be moved has been moved to an the start of the move, a photo inventory of the appropriate replacement location that is outside of the personal property items to he moved must be } area of acquisition. completed. Ill NOVI Indian CITY OF CARMEL RIGHT OF WAY AGENT REPORT Name: Lawrence, Stuart&Lisa Project: 1297166 Property: 4611 East 116th St. Carmel, IN 46033 Code: LPA Parcel: 5(00) Mailing: Z`t"l `c Email Address: Telephone# 317-752-3086 Person Contacted Name: S/A Date: 9/26/2015 Address: S/A Time: Type of Relocation: Business-Landlord Self Move Voucher in the Amount of$450.00 Purpose: This voucher is for the move voucher payment to Mr. and Mrs. Lawrence for the removal of personal property, trash, and hazardous materials from the subject property located at 4611 E 166th ST, Carmel, IN 46033. They were given all moving options and elected the Residential Scheduled move. Amount/Calculation:The move calculation is based on PPMO brochure. 5 x 15 storage unit = $300.00 refrigerator = $75.00 Self Move Entitlement is $450.00 stove = $75.00 $450.00 Requirement: The property must be cleared of all person property, trash, and hazardous material before the funds can be released. Delivery of Check: Contact agent for replacement address Closing: All matters discussed are subject to review and approval of the CITY OF CARMEL. �e. byLq -- f t�—Dipla ee Suzan Franklin, Right of Way Agent y (317) 490-8013 - ' ro Franklin e matters outlook.com z''t't''1 • p P t'tY State Form 4130 RAAP FORM 48 REVISED 07/2014 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 Stuart and Lisa Lawrence Purchase Order No. Franklin Property Matters -8103 E Hwy 36, #194 Terms Avon, IN 46123 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 11/13/2015 0 Self move voucher for 116th and Gray RAB $ 450.00 I Total $ 450.00 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. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. Stuart and Lisa Lawrence ALLOWED 20 Franklin Property Matters-8103 E Hwy 36, #194 IN SUM OF $ Avon, IN 46123 $ 450.00 ON ACCOUNT OF APPROPRIATION FOR Board Members P09 or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 202-4460500 $ 450.00 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 11/16/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund