HomeMy WebLinkAbout158089 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 361089 Page 1 of 1
ONE CIVIC SQUARE PHILLIP D. OR MARGARET A. QUILLIN
CARMEL, INDIANA 46032 2122 E 106TH STREET CHECK AMOUNT: $41,693.00
CARMEL IN 46032 CHECK NUMBER: 158089
CHECK DATE: 411/2008
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 R4470202 41,693.00 106TH /KEYSTONE R -O -W
a. PrescriNed 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
Phillip D. Quillin Purchase Order No.
Margaret A. Quillin Terms
2122 E. 106` Street Date Due
Carmel, IN 46032
Invoice Invoice Description
Date number or note attached invoices or bills Amount
PROJECT: 07 -08: Keystone Parkwa
PARCEL: 100
COUNTY: Hamilton
I
i
Appraised Value: $40,001.00
Administrative Settlement: 1,692.00
Compensation for Permanent Fee Simple) Ri ht -of -Wa Total: $41
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
3 �3 2008
Signature Phillip-6.-Quillin Title
Signatffire Margaret A. Quillin 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.
2008
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 PAID MOTOR VEHICLE HIGHWAY FUND
Acct. Account Title Amount
No.
Form 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)
Phillip D. Quillin
M Business name, if different from above
c
0
CL c Check appropriate box: El Individual /Sole proprietor Corporation Partnership Exem t
C Limited liability company. Enter the tax classification (D= disregarded entity, C= corporation, P= partnership) p
0 2 El Other (see instructions) 0- payee
C Address (number, street, and apt. or suite no.) Requester's name and address (optional)
a 2122 E. 106th Street
City, state, and ZIP code
N Carmel, IN 46032
ro List account number(s) here (optional)
U)
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.
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).
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 1 y
Here U.S. person 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
otherwise noted. An individual who is a U.S. citizen or U.S. resident alien,
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) a 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
foreign partners' share of effectively connected income. purposes of establishing its U.S. status and avoiding withholding
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. e The U.S. owner of a disregarded entity and not the entity,
Cat. No. 10231X Form W-9 (Rev. 10 -2007)
Form W -9 (Rev. 10 -2007) Page 2
The U.S. grantor or other owner of a grantor trust and not the 4. The IRS tells you that you are subject to backup
trust, and withholding because you did not report all your interest and
The U.S. trust (other than a grantor trust) and not the dividends on your tax return (for reportable interest and
beneficiaries of the trust. dividends only), or
Foreign person. If you are a foreign person, do not use Form 5. You do not certify to the requester that you are not subject
W -9. Instead, use the appropriate Form W -8 (see Publication to backup withholding under 4 above (for reportable interest and
515, Withholding of Tax on Nonresident Aliens and Foreign dividend accounts opened after 1983 only).
Entities). Certain payees and payments are exempt from backup
Nonresident alien who becomes a resident alien. Generally, withholding. See the instructions below and the separate
only a nonresident alien individual may use the terms of a tax Instructions for the Requester of Form W -9.
treaty to reduce or eliminate U.S. tax on certain types of income. Also see Special rules for partnerships on page 1.
However, most tax treaties contain a provision known as a penalties
"saving clause." Exceptions specified in the saving clause may
permit an exemption from tax to continue for certain types of Failure to furnish TIN. If you fail to furnish your correct TIN to a
income even after the payee has otherwise become a U.S. requester, you are subject to a penalty of $50 for each such
resident alien for tax purposes. failure unless your failure is due to reasonable cause and not to
If you are a U.S. resident alien who is relying on an exception willful neglect.
contained in the saving clause of a tax treaty to claim an Civil penalty for false information with respect to
exemption from U.S. tax on certain types of income, you must withholding. If you make a false statement with no reasonable
attach a statement to Form W -9 that specifies the following five basis that results in no backup withholding, you are subject to a
items: $500 penalty.
1. The treaty country. Generally, this must be the same treaty Criminal penalty for falsifying information. Willfully falsifying
under which you claimed exemption from tax as a nonresident certifications or affirmations may subject you to criminal
alien. penalties including fines and /or imprisonment.
2. The treaty article addressing the income. Misuse of TINs. If the requester discloses or uses TINs in
3. The article number (or location) in the tax treaty that violation of federal law, the requester may be subject to civil and
contains the saving clause and its exceptions. criminal penalties.
4. The type and amount of income that qualifies for the
exemption from tax. .Specific Instructions
5. Sufficient facts to justify the exemption from tax under the Name
terms of the treaty article.
Example. Article 20 of the U.S. -China income tax treaty allows If you are an individual, you must generally enter the name
an exemption from tax for scholarship income received by a shown on your income tax return. However, if you have changed
Chinese student temporarily present in the United States. Under your last name, for instance, due to marriage without informing
U.S. law, this student will become a resident alien for tax the Social Security Administration of the name change, enter
purposes if his or her stay in the United States exceeds 5 your first name, the last name shown on your social security
calendar years. However, paragraph 2 of the first Protocol to the card, and your new last name.
U.S. -China treaty (dated April 30, 1984) allows the provisions of If the account is in joint names, list first, and then circle, the
Article 20 to continue to apply even after the Chinese student name of the person or entity whose number you entered in Part I
becomes a resident alien of the United States. A Chinese of the form.
student who qualifies for this exception (under paragraph 2 of Sole proprietor. Enter your individual name as shown on your
the first protocol) and is relying on this exception to claim an income tax return on the "Name" line. You may enter your
exemption from tax on his or her scholarship or fellowship business, trade, or "doing business as (DBA)" name on the
income would attach to Form W -9 a statement that includes the "Business name" line.
information described above to support that exemption.
If you are a nonresident alien or a foreign entity not subject to Limited liability company (LLC). Check the "Limited liability
backup withholding, give the re a company" box only and enter the appropriate code for the tax
p g, g requester the appropriate classification "D" for disregarded entity, 'C" for corporation, "P"
completed Form W -8. for partnership) in the space provided.
What is backup withholding? Persons making certain payments For a single- member LLC (including a foreign LLC with a
to you must under certain conditions withhold and pay to the domestic owner) that is disregarded as an entity separate from
IRS 28% of such payments. This is called "backup withholding." its owner under Regulations section 301.7701 -3, enter the
Payments that may be subject to backup withholding include owner's name on the "Name" line. Enter the LLC's name on the
interest, tax exempt interest, dividends, broker and barter "Business name" line.
exchange transactions, rents, royalties, nonemployee pay, and
certain payments from fishing boat operators. Real estate For an LLC classified as a partnership or a corporation, enter
transactions are not subject to backup withholding. the LLC's name on the "Name" line and any business, trade, or
You will not be subject to backup withholding on payments DBA name on the "Business name" line.
you receive if you give the requester your correct TIN, make the Other entities. Enter your business name as shown on required
proper certifications, and report all your taxable interest and federal tax documents on the "Name" line. This name should
dividends on your tax return. match the name shown on the charter or other legal document
creating the entity. You may enter any business, trade, or DBA
Payments you receive will be subject to backup name on the "Business name" line.
withholding if: Note. You are requested to check the appropriate box for your
1. You do not furnish your TIN to the requester, status (individual /sole proprietor, corporation, etc.).
2. You do not certify your TIN when required (see the Part II Exempt Payee
instructions on page 3 for details),
3. The IRS tells the requester that you furnished an incorrect If you are exempt from backup withholding, enter your name as
TIN, described above and check the appropriate box for your status,
then check the "Exempt payee" box in the line following the
business name, sign and date the form.
Page 4 PROJECT 07 -08; Keystone Parkway PARCEL 100
If you decide to accept the offe° of 40,001.00* 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), Phillip D. Quillin and M A. Quillin
landowner(s) of the above desc; ibed property or interest in property, hereby accept the offer of
$40,001.00* made by the Ci. of Carmel on this 3 rj day of 2008.
Appraised Value: $40,001.00
Administrative Settlern :ant: 1,692.00
Total: $41,693.00
(Signature) (Signature)
Phillip D. Quillin Margaret A. Quillin
(Printed Name) (Printed Name)
NOTARY'S CERTIFICATE
STATE OF -T OD i A O A
SS:
COUNTY OF t ice►
Subscribed and sworn to before me this r day of Ys'I �}t6o 2008.
My Commission Expires: Dr GvA6i2 S,,\tog
My County of Residence is: 0(L 6 fh
L6� cc
O
(Signat re)
C-�b Ztrfii A 5ccc,L, i v A
(Printed) NOTARY PUBLIC
MEMORANDUM
TO: City of Carmel
FROM: Elizabeth A. Sullivan, Acquisition Agent
RWS South, Inc.
5226 South Elast Street, Suite A -7
Indianapolis, iii! 46227
DATE: February 29 2008
RE: Project: 07 -08; Keystone Parkway
Code: N/A
Parcel: 100
County: Hamilton
Owner(s): Phillip D. Quillin
Margaret A. Quillin
SUBJECT: Recommen&..ion for Administrative Settlement
The City's fair market value d :termination of 40,001.00 for 0.115 acres of permanent (fee simple) right -of-
way, land improvements, and severance damages was offered to the owner(s). During the negotiation
process, the property owner(s) rejected this offer stating that they should have an additional 1,692.00
The owners requested additio compensation for the trees located within the proposed acquisition
We believe it is in the best interest of the City to settle this parcel for 41,693.00 This is an increase of
1,692.00 over the appraised :amount, and we believe a great deal of time and money can be saved by
settling this parcel as opposed to acquiring it through condemnation.
Therefore, the City's acquisition agent is directed to offer 41,693.00 to the owner(s). Should they not
accept, then the additional $1.6 will be withdrawn and the 40,001.00 figure will remain the approved
amount.
THIS RECOMMENDATION APPROVED:
l
REVns �STATENIENT�OF THE BASIS F,OR JUST1G00 P�SATiO t Des NIA
07 -05
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. Public Law 91 -646 provides that 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 this
acquisition is identified in the Acquiring Agency's records as:
Project 07 -08 Parcel 100 Road Keystone Parkway County Hamilton
Owner(s) Phillip D. Margaret Quillin
3. The area and type of interest being acquired: 0 acres of Fee Simple Acquisition
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. A total acquisition of the real property.
b. 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
properly is as follows:
a. Total Land, Land Improvements and Buildings 14,536.00
b. Severance Damages (i.e.: Setback, Loss in
Value to the Residues, etc) 25,465.00
c. Other Damages (Itemize)
Cost -To -Cure estimates:
0.00
Temporary R/W 0.00
Total Damages 25,465.00
Total amount believed to be Just Compensation offered for this Acquisition is: 40,001.00
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:
Asphalt drive grass landscaping, trees, shrubs.
6. Items owned by others (i.e.: lessee, tenants, etc.) included in Item 5 above are identified as follows:
None
CF -3 Code #3782
APPRAISAL REPORT
Value Findings Short Form Long Form
Partial Acquisition El Total Acquisition Page 1 of 39
Type of Property Residential Project 07 -08
Indicate:(Residential, Commercial, Bareland, Farm, Special, Industrial)
Location E.106 Ih Street, just west of N. Keystone Avenue Parcel 100
Owner Phillip D. Margaret Quillin Phone (317) 846 -2948 Road E.106 th Street
Address 2122 E. 106 Street, Carmel, Indiana County Hamilton
Tenant Contract Buyer Phone
Address
Land Areas: Before: 0.826 Gross Acres After: 0.711 Net Acres Acquisition 0.096 Acres
0.807 Net Acres
Temp. R/W N/A Perpetual R/W N/A PER 0.019 Acres Access Rights WA
CERTIFICATION OF APPRAISER
I hereby certify:
That I have personally observed of the property herein appraised and that I have personally made a field inspection of the comparable sales relied upon in making said appraisal. The property being appraised and the comparable
sales were as represented or referenced within the appraisal.
That t o the best of my knowledge and belief the statements contained in the appraisal herein set forth are We and the information upon which the opinions expressed herein are based is correct; subject to the limiting conditions
set forth.
That I understand that such appraisal MAY be used in connection with the acquisition of right -0f -way for a project utilizing Federal funds.
That such appraisal has been made in conformity with appropriate laws, regulations, policies and procedures applicable to the appraisal of property for such purposes; and that to the best of my knowledge no portion of the value
assigned to such property consists of such items which are noncompensable under appropriate established law.
That this appraisal assignment may have called for less than would otherwise be required by the specific guidelines of the Uniform Standards of Professional Appraisal Practices (USPAP), but is not so limited in scope that it may
tend to mislead the users of the report, or the public.
That neither my employment nor my compensation for making this appraisal and report are in any way contingent upon the values reported herein.
That any decrease or increase in the fair market value of real property prior to the date of valuation caused by the public improvement for which said property is acquired, or by the likelihood that the property would be acquired for
such improvement, other than that due to physical deterioration within the reasonable control of the owner, was disregarded in determining the compensation for the property.
That the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions.
That I have no direct or indirect present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved or in any benefit from the acquisition of such property
appraised.
That I have no bias with respect to any property that is the subject of this report or to the parties involved with this assignment.
That the owner or a designated representative was afforded the opportunity to accompany me on the property inspection.
That I have not revealed the findings and results of such appraisal to anyone other than the proper officials of the Acquiring Agency or officials of the Federal Highway Administration and I will not do so until authorized by said
officials or until I am required to do so by due process of law, or until I am released from this obligation by having publicly testified as to such findings.
That I have not given consideration, or included in my appraisal, any allowance for relocation assistance benefits.
That no one provided significant real property appraisal assistance to the person signing this report with the exception of those signing below.
That my opinion of fair market value for the property to be acquired and residue damages, if any, as of the 10th day of January 2008, which is the effective date of this appraisal is $40,001 based upon by
Independent appraisal and the exercise of my professional judgment.
SUMMARY PRIMARY APPRAISER
BEFORE VALUE 290,000 X Signature 4�
AFTER VALUE 249,999 Named Typed Erick Landeen, MAI
Appraisal License CG40400483
Land Taken 12,000 Broker
Existing Right -of -Way 1 Date: January 23, 2008
Land Improvements 2,535
ASSISTED BY
Improvements 0
Signature
Cost -to -Cure 0 Named Typ James R. Green
Appraisal License CG40600238
Damages to Residue 25,465 Broker
Date: January 23, 2008
Temporary R/W 0
Signature
TOTAL DUE OWNER 40,001 Name Typed
Appraisal License
Broker
Form 25008 (Rev r 05) Date:
lXI7OLOGNA INC. Real Estate Counselors and Appraisers Pagel
PROJECT Keystone Parkway and 106thStreet #07 -08 Parcel 100
CF -3 Code: n/a
APPRAISAL REPORT
Value Finding H Short Form Long Form
X Partial Acquisition Total Acquisition Page 1 of 56
Type of Property Residential (Homesite) Project #07 -08
Indicale: Raidedia Camnerclal, Bareland, F=4 special, ImdWrW
Location 2122 East 106th Street Parcel 100
Owner Phillip D. Margaret Quillin Phone 317.846.2948 Road Keystone Parkway
Address 2122 East 106th Street County Hamillion
Tenant
Contract Buyer Phone
Address
Land Areas:Before: 0.826 acres After 0.711 acres Acquisition 0.096 acres new
Temp. R/W acres Perpetual Easement acres PER 0.019 acres Access Rights n/a
CERTIFICATE OF APPRAISER
I certify that, to the best of my knowledge and belief:
That I have made a personal observation of the property that is the subject of this report and that I have made a personal field inspection of the comparable sales
relied upon in making said appraisal. The property being appraised and the comparable sales were as represented or referenced within the appraisal.
That the statements of fad contained in the report are hue and correct.
That I understand that such appraisal MAY be used in connection with the acquisition of right -of -way for a project utilizing Federal funds.
That such appraisal has been made in conformity with appropriate laws, regulations, policies and procedures applicable to the appraisal of property for such
purposes; and that to the best of my knowledge no portion of the value assigned to such properly consists of such items which are noncompensable under
appropriate established law.
That this appraisal assignment may have called for hiss than would otherwise be required by the specific guidelines of the Uniform Standards of Professional
Appraisal Practices (USPAP), but Is not so limited in sahpe that If may tend to mislead the users of the report, or the public.
That I have no bias with respect to the property that is the subject of this report or to the parties Involved with this assignment.
That my engagement in this assignment was not contingent upon developing or reporting predetermined results.
That neither my employment nor my compensation for completing this assignment Is not contingent upon the development or reporting of a predetermined value or
direction in value that favors the cause of the client, tho amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event
directly related to the intended use of this appraisal.
That any decrease or increase in the fair market value of real property prior to the date of valuation caused by the public improvement for which said property is
acquired, or by the likelihood that the property would be acquired for such Improvement, other than that due to physical deterioration within the reasonable control of
the owner, was disregarded In determining the compensation for the property.
That the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and
unbiased professional analyses, opinions, and conclusions.
That I have no direct or indirect present or prospective interest in the property that Is the subject of this report and no personal Interest with respect to the parties
involved or in any benefit from the acquisition of such property appraised.
That the owner or a designated representative was afforded the opportunity to accanpany me on the property inspection.
That I have not revealed the findings and results of such appraisal to anyone other than the proper officials of the Acquiring Agency or officials of the Federal
Highway Administration and I will not do so until authorized by said officials or until I am required to do so by due process of law, or until I am released from this
obligation by having publicly testified as to such findings.
That I have not given consideration, or included in my appraisal, any allowance for relocation assistance benefits.
That no one provided significant real property appraisal assistance to the person signing this report with the exception of those signing below.
That my opinion of fair market value for the property tote acquired and residue damage, N any, as of the 10 day of January 20 08 which is
the effective date of this appraisal is 56,340.00 based upon my independent appraisal and the exercise of my professional judgment.
SUMMARY PRIMARY APPRAISE
BEFORE VALUE 310,000.00 SI nature:
Name Typed Dennis 0. Otto
AFTER VALUE 9 253,660.00 Appraisal License CR49600157
Broker IB58800198
Land Taken 8,645.00 Date January 12, 2008
Land Improvements 9,500.00 ASSISTED BY
Signature
Improvements Name Typed:
Appraisal License
Cost-To-Cure Broker
Date
Damages to Residue 38,195.00
Signature
Temporary R/W Name Typed:
Appraisal License
TOTAL DUE OWNER 56,340.00 Broker
Form 25008 (Rev. 8/06) Date
OAS I Land. Acquisition Group
Project: 07 -08; Keystone Parkway
Parcel: 100
WARRANTY DEED
THIS INDENTURE WITNESSETH THAT Phillip D. Quillin and Margaret A. Quillin
(individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana (the
"Grantee for the sum of Forty -one Thousand Six Hundred Ninety -three and NO 100 Dollars 41.693.00
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.
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 WITNESS WHEREOF, Grantors have caused this Warranty Deed to be executed this y 3 day of
2008.
GRANTORS: Phillip D. Quillin and Margaret A. Quillin
Printed: Phillip D. Quillin Printed: Margaret A. Quillin
Title: Title:
NOTARY CERTIFICATION
STATE OF Z WDI FO-)
SS:
COUNTY OF ft1A41LT0,-)
Before me the undersigned, a Notary Public in and for said County and State, personally appeared
Phillip D. Quillin and Margaret A. Quillin
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 therein contained are true.
WITNESS my hand and Notarial Seal this 3 rJ day. of MA(LC44 2008.
My Commission Expires: DVZ g166K. r, �WB
County of Residence: Mot& A N SUL
Not Signature
Cpl LM96T A A. :5UL(- VAJ
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.
831464v1
2
EXHIBIT "A"
Project: 07 -08 Shect 1 of I
Parcel 100 Fee Simple
A part of the West Half of the Southeast Quarter of Section 6. Township 17 North, Range 4
East, Hamilton County, Indiana, and being that part of the grantors' land lying within the right
of way lines depicted on the attached Right of Way Parcel Plat, marked EXHIBIT "B
described as follows: Beginning at a point on the south line of said half quarter section South
89 degrees 23 minutes 38 seconds East 410.45 feet from the southwest corner of said half
quarter section and the point of beginning of this description: thence North 0 degrees 36
minutes 22 seconds East 40.00 feet along the west line of said grantors' land to point "355"
designated on said plat; thence South 89 degrees 23 minutes 38 seconds East 125.00 feet to
the east line of said grantors' land; thence South 0 degrees 36 minutes 22 seconds West 40.00
feet along the east line of said grantors' land to the south line of said half quarter section;
thence North 89 degrees 23 minutes 38 seconds West 125.00 feet along said south line to the
point of beginning and containing 0.115 acres, more or less, inclusive of the presently right-
of-way, which contains 0.019 acres, more or less.
This description was prepared for the City of Carmel, Indiana by Tracy L. McGill, Indiana
Registered Land Surveyor, License Number LS20500009, on the 26 day of December, 2007.
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EXHIBIT "B" SHEET 1 OF 2
RIGHT -OF -WAY PARCEL PLAT
Prepared For The City of Carmel o >oo' zoo'
by: AMERICAN SCALE: 1" =200'
STRUCTUREPOINT
INC.
6 5
6 5
28
31
450 +0
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3
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C
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N
w
445 +0
Jordon Woods Q
Second Section
Plot Book 2, Page 228 0
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LOT 49
LOT 48 W
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LOT 47 Q
3
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C) r=
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m w 342
o: O tine
355 356 RAW ko pR S -S- f
343
R W
6 6 R W EXISTING R/W 341 CA 440 +0 6 5
1:
7
E 5.0' Line "S -5 -E" 0 7 8
106th Street 23 0+
0
410.45' 22 �n N 25
18
HATCHED AREA IS THE APPROXIMATE TAKING
OWNER: Quillin, Phillip D. et ux. DRAWN BY: ]EM
PARCEL: 100 CHECKED BY: TLM
PROJECT: 07 -08
ROAD: Keystone Parkway DEED BOOK 222, PAGE 122, DATED AUGUST 6, 1968
COUNTY: Hamilton
SECTION: 6
TOWNSHIP: 17 NORTH
RANGE: 4 EAST THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY,
EXHIBIT "B" SHEET 2 OF 2
RIGHT -OF -WAY PARCEL PLAT
Prepared For IThe City of Carmel
by: AMERICAN
STRUCTUREPOINT
INC
POINT REFERENCE CHART (Feet)
Point North East Station Offset
18
21
22
23 See Location Control Route Survey Plat
25
28
31
340 15308.1808 12891.0092 10 +00 0' PR -S -5 -E
341 15298.4553 13810.5079 19 +19.55 0' PR -S -5 -E
342 15390.2863 14016.0948 21 +44.72 0' PR -S -5 -E
343 15311.6324 14380.8194 25 +17.83 o' PR -S -5 -E
355 15350.8413 13109.5201 +PL(12 +18.05) PL(44.97') Lt. PR -S -5 -E
356 15348.1972 1 13359.5062 1 +PL(14+68.05) PL(44.97 Lt. PR -S -S -E
SURVEYOR'S STATEMENT L'� %1
To the best of my knowledge and belief, this plat together with the Location Control
.�G1S1 fR
Route Survey" recorded as Inst. No. 200200088040 in the Office of the Recorder of AZ Fo
Hamilton County, Indiana, incorporated and made a part hereof by reference, p
comprise a Route Survey executed in accordance with Indiana Administrative Code l��.
865 IAC 1 -12 "Rule 12 :20500009:
Reg. Tracy Land Surveyor No. LS2050 009
State of Indiana
NOTE: STATIONS AND OFFSETS ARE TO CONTROL OVER NORTH AND EAST COORDINATES.
OWNER: Quillin, Phillip D. et ux. DRAWN BY: JEM
PARCEL: 100 CHECKED BY: TLM
PROJECT: 07 -08
ROAD: Keystone Parkway
COUNTY: Hamilton
SECTION: 6
TOWNSHIP: 17 NORTH AMERICAN STRUCTUREPOINT, INC PROJECT NO. IN20030661
RANGE: 4 EAST
THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY.
s
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
Phillip D. Quillin Margaret A. Quillin Purchase Order No. NA
2122 E. 106th Street Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/03/08 NA 07 -08 Keystone Parkway
106th Street Just Compensation Land Cost $40,001.00
Administrative Settlement $1,692.00
Parcel 100
Please forward this check to Skip Tennancour
American Structurepoint, 128 Torrey Pine Drive
Brownsburg IN 46112
Total $41,693.00
I 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.
Phillip D. Quillin Margaret A. Quillin ALLOWED 20
2122 E. 106th Street IN THE SUM OF
Carmel IN 46032
41,693.00
ON ACCOUNT OF APPROPRIATION FOR
Phillip D. Quillin Margaret A. Quillin
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA NA 4470202 $41,693.00
1 hereby certify that the attched 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
March 31, 20 08
$41,693.00 Signature
Cost distribution ledger classification if City En
claim paid motor vehicle highway fund Title