HomeMy WebLinkAbout163710 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361856 Page 1 of 1
ONE CIVIC SQUARE JIMMIE DONNA DRISCOLL
0 t, 201 N GUILFORD CHECK AMOUNT: $14,700.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 163710
CHECK DATE: 9117/2008
DEPARTMENT A CCOUNT PO NUMBER INVOICE N AMOU DE SCRIPTION
2200 4460500 14,700.00 RIGHTS -OF -WAYS
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Prescribe_ d by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Jimmie D. Driscoll Purchase Order No.
Donna K. Driscoll Terms
201 North Guilford Date Due
Carmel IN 46032
Invoice Invoice Description
Date number or note attached invoices or bills Amount
PROJECT: Main Street and Guilford Side paths
PARCEL: 2
X
Jim ie D. Driscoll
X
Donna K. Driscoll
Fourteen Thousand Seven Hundred and 001100 Dollars $14,700.00
l 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
1 20
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.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION Board /Council Members
FOR
COST DISTRIBUTION LEDGER CLASSIFICATION
IF CLAIM RAID MOTOR VEHICLE HIGHWAY FUND
Acct. Account Title Amount
No.
REV -29 STATEMENT OF THE BASIS FOR JUST COMPENSATION UA Code:
03408
1 This is a written statement of, and summary of the basis for, thP_c__te- ,biishment 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 deterioration 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
interest is being this acquisition is identified in the Acquiring Agency's records as:
Des n/a Parcel 2 Road Main Street City /County Hamilton
Owner (s) Jimmie D. Donna K. Driscoll
3- The area and type of interest being acq 1,800 sq ft new 1,200 sq ft existing 3,000 sq ft total
eTl se areas are being acquired e�p7e.
The amount in Item 5 below includes payment for the purchase of all interests in e 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. F] A total acquisition of the real property
b. IA 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 14,700.00
b. Severance Damages (i.e.: Setback, Loss in
Value to the Residues, etc.)
c. Other damages (Itemize):
Cost -to -Cure estimates
Temporary Right -of -Way
Total Damages:
Total amount believed to be Just Compensation offered for this Acquisition is: 14,700.00
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:
Decidous tree, ornamental tree, asphalt driveway, seeded lawn, mailbox landscaping
8- Items owned by others (i.e lessee, tenants, etc.) included in Item 5 above are identified as follows:
None
9- Remarks:
Acquiring Agency:., Consultant Reviewer:
ignature Signature
RECEIVED
ame Printed Name Printed
tle 67 c /l Title 1 Sid' E
ate f 1 C� 1 Dat I)OCS
,off
Form W 0 9 Request for Taxpayer Give form to the
(Rev. November 2005) Identification Number and Certification
requester. Do not
Department of the Treasury send to the IRS,
Intemal Revenue service
N Name (as shown on your income tax return)
cc
a Business name, if different from above
c
0
m N
c Individual/ Exem t from backu
Z Check appropriate box: Sole pro Corporation Partnership Other I► L] pt P
C withholding
a Address (number, street, and apt. or suite no.) Requester's name and address (optional)
a� 9 D I 1L f`
City, state, and ZIP code
U
y
m List account number(s) here (optional)
m
U)
l Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid
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.
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, l 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. person (including a U.S. resident alien).
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 retum. 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 generapy, 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 re of 4� i
Here U.S. peon r�k L�f Data
Purpose of Form An individual who is a citizen or resident of the United
A person who is required to file an information return with the States,
IRS, must obtain your correct taxpayer identification number A partnership, corporation, company, or association
(TIN) to report, for example, income paid to you, real estate created or organized in the United States or under the laws
transactions, mortgage interest you paid, acquisition or of the United States, or
abandonment of secured property, cancellation of debt, or Any estate (other than a foreign estate) or trust. See
contributions you made to an IRA Regulations sections 301.7701 -8(a) and 7(a) for additional
U.S. person. Use Form W -9 only if you are a U.S. person information.
(including a resident alien), to provide your correct TIN to the Special rules for partnerships. Partnerships that conduct a
person requesting it (the requester) and, when applicable, to: trade or business in the United States are generally required
1. Certify that the TIN you are giving is correct (or you are to pay a withholding tax on any foreign partners' share of
waiting for a number to be issued), income from such business. Further, in certain cases where a
2. Certify that you are not subject to backup withholding, or Form W -9 has not been received, a partnership is required to
3. Claim exemption from backup withholding if you are a presume that a partner is a foreign person, and pay the
U.S. exempt payee. withholding tax. Therefore, if you are a U.S. person that is a
in 3 above, if applicable, you are also certifying that as a partner in a partnership conducting a trade or business in the
U.S. person, your allocable share of any partnership income United States, provide Farm W-9 to the partnership y to
from a U.S. trade or business is not subject to the establish your U.S. status and avoid withholding on your
share of partnership income.
withholding tax on foreign partners' share of effectively
connected income. The person who gives Form W -9 to the partnership for
Note. If a requester gives you a form other than Form W -9 to purposes of establishing its U.S. status and avoiding
request your TIN, you must use the requester's form if it is withholding on its allocable share of net income from the
substantially similar to this Form W -9. partnership conducting a trade or business in the United
For federal tax purposes, you are considered a person if you States is in the following cases:
are:
The U.S. owner of a disregarded entity and not the entity,
Cat. No, 10231X Form W -9 (Rev. 11 -2005)
If you decide to accept this offer of $14,700.00, 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
We, Jimmie D. Driscoll and Donna K. Driscoll, landowners of the above- described property or interest in
property e by accept the offer of $14,700.00 made by the City of Carmel on thi day of
?008.
Driscoll
Donna K. Driscoll
NOTARY'S CERTIFICATE
STATE OF
)SS:
COUNTY OF Y
Subscribed and sworn to before me this day of 2008.
My commission expires:
County of residence:�i
Sig ature a
Yom.!• 1 t..
Printed
Project: Main Street and
Guilford Road Sidepaths
Parcel 2
WARRANTY DEED
THIS INDENTURE WITNESSETH THAT Jimmie D. Driscoll and Donna K. Driscoll. husband and
wife. (individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana the
"Grantee for the sum of Fourteen Thousand Seven Hundred and 00 /100 Dollars ($14,700.00) 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 Exhibit B, which are attached hereto and incorporated herein
subject to any and all easements, agreements, restrictions and other matters of record.
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 are intended to remain in the
Grantor.
IN WITNE EREOF, Grantor has caused this Warranty Deed to be executed this day of
C W 2008.
V ANTOR,�
.l' mie D. Driscoll_
Donna K. Driscoll
NOTARY CERTIFICATION
STATE OF INDIAN
SS:
COUNTY OF i
Before me the undersigned, a Notary Public in and for said County and State, personally appeared
.Jimmie D. Driscoll, who acknowledged the execution of the foregoing Warranty Deed for and on behalf of such Grantor,
and who, having been duly sworn, stated that the representations there
County of Residence:
coi wined are true.
WITNESS my hand and Notarial Seal this day of 2008.
My Commission Expires: q� 1 1 4
N ary Signature
/TV
Notary Printed Name
STATE OF INDIA A
SS:
COUNTY OF
Before me the undersigned, a Notary Public in and for said County and State, personally appeared
Donna K. Driscoll, who acknowledged the execution of the foregoing Warranty Deed for and on behalf ol'such Grantor,
and who, having been duly sworn, stated that the representations therein col "wined are true.
WITNESS my hand and Notarial Seal this day of 008.
My Commission Expires:
County of Residence:
N tary Signature
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, returndeed 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. Douglas C. Haney
831464vI
EXHIBIT "A"
Sheet 1 of 1
Project: Main Street
Project No.:
Parcel: 2 Fee Simple
All that part of the -grantor's land lying within the right of way lines depicted on the
attached plat, marked Exhibit "B being a strip of ground Thirty (30) feet in width
by parallel lines off the entire west side of the following described lands:
in
Part of the East Half of the Northwest Quarter of Section Twenty -Five (25), Township
Eighteen (18) North, Range Three (3) East, described as follows: Begin at a point 550.0
feet North of the Southwest corner of the East Half of the Northwest Quarter of Section
25, Township 18 North, Range 3 East, thence North 100.0 feet to a point, thence East 300
feet to an iron stake, thence South parallel with the West line of said Quarter 100.0 feet to
an iron stake, thence West parallel with the North line 300.0 feet to the place of
beginning, located in Clay Township, Hamilton'County.
Containing 0.069 acres, more or less, inclusive of the presently existing right -of -way,
which contains 0.028 acres, more or less.
This description was prepared for the City of Carmel by Trent E. Newport, Indiana
Registered Land Surveyor, Licerise Number 29600021, on the 4"' day of .Tune, 2008.
TRENT E. NEWPORT
No. 29600021
y INDIANA LAND SURVEYOR
1
NO. LS 2960002
k\, STATE OF
r
PARCEL 2 Tf� Tl DRAWN BY RDP 06 -04 -03
EXHIBIT
PROJECT: Main Street CHECKED BY TEN 05 -04 -08
PROJECT No.:
COUNTY: HAMILTON OWNER: Driscoll, Jimmie D. et Ux.
SECTION: 25 RECORD DOCUMENT:. D.R. 261, pg 459 (DATED: 10- 24 -72)
TOWNSHIP: 18 NORTH
RANGE: 3 EAST HATCHED AREA IS THE
APPROXIMATE TAKING
I NW Car. NE 1/4 NW 1/4
Sec. 25, T. 18N, R. 3E
NORTH
0' 40' 80'
SCALE 1 40'
Wildwood Estates
P.H. 3, pg 16
Lot 14
300'
0'
tz o
UIO' O
Easement for telephone
in favor of Indiana Bell
Telephone Company, Inc.
500.0'
Lot 2
Christie's
Thornhurst Addition
P.B. 2, pg 59
SW Car. SE 1/4 NW 1/4
I Sec. 25, T. 18N, R. 3E
PREPARED BY:
a E NE y� A
�ISTEq To the best of my knowledge and belief, this plat was prepared from
¢E information obtained from the Office of the Recorder of Hamilton County,
No. LS and from plans prepared by Eagel Ridge Civil Engineering Services, LLC for
the City of Carmel.
2g6oao�1
STATE OF J 1 'L 1
9 /NDIA Trent E. Newport v Date
Reg. Land Survevor No. 29600021
y c U n lopm O C
J
R ■p p f� State of Indiana Developm Con sultants
X17 s 9UWA V_ E9M U. w eim
CI EL
JAMES BRAINARD, MAYOR
UNIFORM PROPERTY ACQUISITION OFFER
DATE: June 24, 2008
Jimmie D. Driscoll PROJECT: Main Street and Guilford Road
Donna K. Driscoll Sidepaths
201 North Guilford Road PARCEL: 2
Carmel, IN 46032 FEE SIMPLE PARTIAL 0.069 acres
The CITY OF CARMEL, INDIANA is authorized by Indiana law to obtain your land for certain
public purposes.
The City of Carmel needs your property for a public improvement. In this instance, the City of
Carmel needs your land for the public improvement project on the Main Street and Guilford Road
Sidepaths project and needs to take the land as described on the attached Iand plat and legal
description. See Exhibit A and Exhibit B.
It is our opinion that the fair market value of the property we want to acquire from you is
$14,700.00 and, therefore, we offer you $14,700.00 for the above- described property. You have
thirty (30) days from this date to accept or reject this offer. If you accept this offer, you may expect
payment in full within ninety (90) days after sinning the documents accepting this offer and
executing the appropriate instruments, and provided there are no difficulties in clearing liens or
other problems with title to land. Possession will be required thirty (30) days after you have
received your payment in full.
CiL ARTMENT OF ENGINEERING
ONE CIVIC SQUARE, CARNIEL, IN 46032 OFFICE 317-571.2441 FAx 317.,571.2439
ENTAIL ent;ineerin� @carme].in.gov
Tbds offer- was made to the owners, Jimmie D. Driscoll and Donna K. Driscoll of Hamilton County, Ir:dia< a on
the day of 2008.
Allen D. McFearin
Acquisition Specialist
Agent, City of Carmel, Indiana
Offer made by certified mail: 7007 2680 0002 2732 0277
STATE OF
)SS:
COUNTY OF
Subscribed and sworn to before me this day of 2008.
My commission expires:
County of residence:
Signature
Printed
EXHIBIT "A"
Sheet 1 of 1
Project: Main Street
Project No.:
Parcel: 2 Fee Simple
All that part of the grantor's land lying within the right of way Iines depicted on the
attached plat, marked Exhibit "B being a strip of ground Thirty (30) feet in width
by parallel lines off the entire west side of the following described lands:
Part of the East Half of the Northwest Quarter of Section Twenty -Five (25), Township
Eighteen (18) North, Range Three (3) East, described as follows: Begin at a point 550.0
feet North of the Southwest corner of the East Half of the Northwest Quarter of Section
25, Township 18 North, Range 3 East, thence North 100.0 feet to a point, thence East 300
feet to an iron stake, thence South parallel with the West line of said Quarter 100.0 feet to
an iron stake, thence West parallel with the North line 300.0 feet to the place of
beginning, located in Clay Township, Hamilton County.
Containing 0.069 acres, more or less, inclusive of the presently existing right -of -way,
which contains 0.028 acres, more or less.
This description was prepared for the City of Carmel by Trent E. Newport, Indiana
Registered Land Surveyor, License Number 29600021, on the 4` day of June, 2008.
G4'' :t TRENT E. NEWPORT
INDIANA LAND SURVEYOR
NO. LS 2960002
X
S U V, i
P,,ARCJ, 2 DRAWN BY RDP 06 -04 -08
PRnJFC'T: Main SfrQei EX� ('NF(`KFf) ElY TFN flrj— u —(1p
PROJECT No.:
COUNTY: HAMILTON OWNER: Driscoll, Jimmie D. et Ux.
SECTION: 25 RECORD DOCUMENT: D.R. 261, pg 459 (DATED: 10- 24 -72)
TOWNSHIP: .NORTH HATCHED AREA IS THE
3
RANGE: 3 EAST
APPROXIMATE TAKING
NW Car. NE 1/4 NW 1/4
Sec. 25, T. 18N, R. 3E
NORTH
0 40' 80'
SCALE 1 40'
Wildwood Estates
P.B. 3, pg 16
Lot 14
300'
0'
o
O
10' Easement for telephone
in favor of Indiana Bell
Telephone Company, Inc.
300.0'
Lot 2
Christie's
Thornhurst Addition
P.B. 2, pg 59
SW Car. SE 1/4 NW 1/4
Sec: 25, T. 18N R. 3E
PREPARED BY:
5 TE p .100 To the best of my Knowledge and belief, this plat was prepared from
EO 1 P" information obtained from the Office of the Recorder of Hamilton County,
N0. LS and from plans prepared by Eagel Ridge Civil Engineering Services, LLC for
29600021
the City of Carmel.
STATE OF
Ir 11VDIAIA y� Trent E. Newport Date
Q V E, Reg. Land Surveyor No. 29600021 Transportation do
S U R State of Indiana Development consultants
N 7 s saa w M. =a =�c ft -m (an�sre
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Ari invoice 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.
Jimmie D. Driscoll Payee
Donna K: Driscoll
201 New- 6ual#ord Purchase Order No.
Carmel, IN 46032 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$14,7000 0
Total
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.
ALLOWED 20
Donnas IN SUM OF
201 North Guilford
earinei, 1N 46662
$14,700.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1-,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
9lts 20�
Sign t
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund