216214 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366814 Page 1 of 1
ONE CIVIC SQUARE ANDREW THOMAS
CARMEL, INDIANA 46032 SHERI THOMAS CHECK AMOUNT: $4,545.00
3202 W 96TH ST CHECK NUMBER: 216214
CARMEL IN 46032
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1099S 4, 545 . 00 1099S EASEMENT
CLOSING STATEMENT
Information for Real Estate 1099-S Report Filing:
Section 6045 of the Internal Revenue Code, as amended by the Tax Reform Act of 1986,
requires the reporting of certain information on every real estate transaction. From the
information you provide below, a Form 1099-S will be produced, and a copy of it will be
furnished to the IRS and to you no later than January 31, of the next year. If you fail to furnish
adequate information, in particular a taxpayer ID number, then you will be subject to all IRS
regulations, including the possible withholding of twenty percent (20%) of the current sales
price.
FEE OWNER: Andrew D. and Sheri S. Thomas
ADDRESS: 3202 W. 96t' Street, Carmel, IN 46032
DESCRIPTION OF PROPERTY: Lot 6 in Greentree Country Club Estates, Section A as per plat
thereof recorded in Plat Book 2, Pages 150 - 151 in the office of the Recorder of Hamilton
County, Indiana.
PROJECT: 96`x' Street Waterline SOCIAL SECURITY NO.:
OR TAXPAYER ID NO.:
PARCEL:17-13-08-03-02-018.000 & COUNTY: Hamilton
17-13-08-02-018.001
CLOSING DATE: PURCHASE PRICE: $4,545.00
LAND AND/OR DAMAGES:
IMPROVEMENTS:
I (we) certify that the above is true and correct, and that it will appear on a Form 1099-S that will
be sent to the Internal evenue Service and acknowledging receipt of payment.
Fee Owners: Y %�' P
Andrew D. Thomas Date
i
Sheri S. Thomas Date
f
C,r ga..
Prior Deed References: Instrument Number
9709723801 and Deed Book 357, Page 626 in the
Recorder's Office for Hamilton County, Indiana
WATER LINE EASEMENT AGREEMENT
1-1,
This Water Line Easement Agreement (the "Agreement") is made and entered into this ?-& day of
I�1 o v ?,14 be c- , 2012, by and between Andrew D. Thomas and Sheri S. 'Thomas ("Grantor") and
the City of Carmel, Indiana ("Grantee ').
RECITALS:
A. Grantor is the owner of certain real property located in Hamilton County, Indiana
("Grantor's Property").
B. Grantee, in comlection with Grantee's construction of a 16-inch water main (the "Project")
requires a permanent, exclusive easement over, through, under, upon and across that portion of Grantor's
Property more particularly described on Exhibit A and depicted on Exhibit 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 all
associated valves, pumps, fittings, meters, accessories and equipment on, over, and across the Easement
Property.
NOW, THEREFORE, for and in consideration of the foregoing recitals which are incorporated
herein by reference and the mutual covenants and agreements hereinafter set forth and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as
follows:
1. Grant of Easement. Grantor hereby grants and conveys to Grantee an exclusive, perpetual
easement for the purpose of laying, installing, constructing, maintaining, operating, inspecting, altering,
re p aring, replacing and removing water utility lines, and all associated valves, pumps, fittings, meters,
accessories and equipment (the'"Improvements") on, over, through, under, upon and across the Easement
Property. Grantee shall have the right to: (a) remove from the Easement Property, without liability for
replacement or repair, any fences, structures, asphalt or concrete paving, curbing or other improvements,
trees, bushes, earth berming, landscaping and other structures that exist prior to, at the time of, or after
Grantee's acquisition of such easement; and (b) make such alterations and improvements to the Easement
Property as Grantee deems may be necessary or useftil in the exercise of Grantee's rights hereunder. If the
hnprovements are installed in good faith in a location other than the location that is described and
Thomas easement grant form
depicted in Exhibit B then, and in that event, the Easement Property defined herein shall be revised to
include that strip of land that is centered on the line or equipment as installed, and in such an event,
Grantor and Grantee, shall join in the execution and acceptance of an appropriate substitute easement
instrument if either Grantor or Grantee shall deliver to the other a written request for such a substitute
easement instrument. Grantee shall also have the right of ingress and egress over, under, upon and across
the Grantor's Property for purposes of access to the Easement Property. The easement also includes the
rights and privileges to temporarily use, from time to time, additional space on the Grantor's Property,
where available and necessary, for equipment and materials necessary for the installation, repair and
maintenance of the Improvements located in, under, upon, over, and/or across the Easement Property, to
do all acts and things requisite and necessary for the full enjoyment of the easement hereby granted, and
for nearby property owners, their grantees, successors, agents, or employees, to connect the premises of
such nearby property owners by service pipes to the Improvements installed by Grantee within the
Easement Property, provided such nearby property owners, their grantees, successors, agents, or
employees restore the portion of the Grantor's Property disturbed by their work to a condition that is as
near the condition that existed just prior to the time the portion was distuubed by them as is practicable.
2. Obligations of Grantee. Subject to the terms described in Section 1 limiting the Grantee's
obligation for repair and replacement, [and the location of the Improvements on the Easement Property],
Grantee shall restore the Easement Property, to the extent practicable, to the condition as existed prior to
the commencement of the Project. The Grantee shall maintain, repair, replace and service the
Improvements.
3. Rights Retained by Grantor. Grantor shall retain unto itself the right to use the Easement
Property for any and all purposes and uses not inconsistent with the foregoing easement. Notwithstanding
the foregoing, Grantor shall not erect or maintain any permanent structures, obstructions, or other
improvements under and/or upon the surface of or over the Easement Property or 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 effected by
it) the erecting or maintaining in the Easement Property of any earthen mound or series or system of
earthen mounds.
4. Obligations of Grantor. Grantor shall keep the Easement Property free of any fence,
structure, asphalt, gravel, plants, concrete or other improvements (other than those installed by Grantee).
Grantor shall mow and care for the grass located within the Easement Property. Grantor shall not block,
impede or interfere with the Improvements or Grantee's access to or use of the Easement Property.
5. Easement and Covenants Appurtenant. The easement granted, created and made herein,
together with the benefits thereof, shall run with the Grantor's Property and the Easement Property, inure
to the benefit of Grantee and its grantees, successors and assigns and shall bind Grantor and its grantees,
successors and assigns. All covenants and agreements hereunder may be enforced by an action for
Thomas easement grant form
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
parry all amounts expended in connection with exercising any such remedy (including without limitation,
court costs and attorneys' fees).
6. Environmental Matters. Grantor covenants and represents that to the best of its knowledge,
neither the Grantor's Property nor the Easement Property is not presently the subject of, nor is there the
threat of any federal, state or states, or local envirommentally related lien, proceeding, claim, liability or
action. Grantor agrees that between Grantor and Grantee, the acceptance of this Agreement by Grantee
shall not increase the liability of Grantee for environmentally related claims arising from or related to (i)
conditions on the Grantor's Property or the Easement Property prior to the acceptance of this Agreement;
(ii) acts of Grantor or any other third party; or (iii) conditions on the Grantor's Property or the Easement
Property not created by Grantee.
7. Jurisdiction. Grantor and Grantee agree that any litigation associated with or arising from
this indenture shall be filed with a court of competent jurisdiction within the State of Indiana.
8. Other Obligations. Grantor agrees that this Agreement shall not transfer to Grantee any
past, present, or future obligation(s) of Grantor to be responsible for, or to pay, any tax, assessment, or fee
associated with or related to the Grantor's Property or Easement Property.
9. Waiver. Waiver by either party of any one default hereunder will not be 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.
10. Amendment. Grantor and Grantee agree that this Agreement shall only be modified or
released by the express, written consent of both Grantor and Grantee. Said consent, when duly recorded,
shall run with the Grantor's Property and the Easement Property.
11. Entire Agreement. This Agreement contains the entire agreement of the parties with respect
to the subject matter hereof, and all prior agreements, conununications and negotiations between the parties,
either verbal or written, are hereby merged into this Agreement. This Agreement may be terminated,
modified, or amended only by a writing signed by the parties, and no agreement or consent of any other
persons shall be necessary for such termination,modification, or amendment.
12. Governing Law. This Agreement will be governed by and construed in accordance with the
laws of the State of Indiana.
13. 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
Thomas easement Brant form
or served under or by the terms and provisons of this Agreement or pursuant to law or otherwise, shall be
in writing. All notices shall be either (a) sent by overnight delivery using a nationally recognized
overnight courier, in which case notice shall 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 shall be deemed
delivered two business days after deposit in such mails, or (c) sent by personal delivery, in which case
notice shall be deemed delivered upon receipt or refusal of delivery. All notices shall be addressed to the
respective parties as follows:
If to Grantee: City of Carmel
One Civic Square
Carmel, Indiana 460')2
Attn: Carmel City Attorney
With a Copy to: City of Carmel
One Civic Square
Carmel, Indiana 46032
Attn: Director of Utilities
If to Grantor: Andrew D. Thomas
3202 West 96th Street
Carmel,IN 46032
.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.
14. Severability. If any term, covenant, condition or provision of this Agreement or the
application thereof to any person or circumstance, shall at any time or to any extent be held invalid or
unenforceable,the remainder of this Agreement, or the application of such term or provision to persons or
circumstances other than those as to which it is held invalid or unenforceable, shall not be affected
thereby, and each such term, covenant, condition and provision of this Agreement shall continue to be
valid, binding and enforceable to the fullest extent permitted by law.
15. A-Lithori1y. The person executing this instrument on behalf of Grantor hereby represents that
he has the authority to bind Grantor to the terms and conditions set forth herein and that all necessary action
therefore has been taken. Grantor further represents and warrants to Grantee that Grantor is the fee simple
owner of the Easement Property; that Grantor has the right to grant this easement; that Grantor guarantees
the quiet possession of the Easement Property to the Grantee; that 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
Thomas easement grant form
date of execution hereof, appears of public record; and that, subject to the foregoing, Grantor will warrant
and defend Grantee's title to the easement granted hereby against all claims thereon.
16. Attorneys' Fees. In the event of any action or proceeding brought by either party against
the other under this Agreement, the prevailing party shall be entitled to recover all costs and expenses,
including reasonable attorneys' fees.
IN WITNESS WHEREOF, the parties hereto have executed this Water Line Easement Agreement
as of the day and year first above written.
GRANTOR:
By:
Printed: Andrew D. Thomas Printed: Sheri S. Thomas
Date: Z61 Date:
Thomas easement grant fort
GRANTEE:
THE CITY OF CARMEL
By and tluough its Board of Public Works and Safety
By:
James Brainard, Presiding Officer
Date:
By:
Mary Ann Burke, Member
Date:
By:
Lori Watson, Member
Date:
ATTEST:
Diana L. Cordray, IAMC, Clerk-Treasurer
Date:
Thomas easement Brant form
STATE OF INDIANA )
SS:
COUNTY OF HAMILTON )
Personally appeared before me this day James Brainard, Mary Amt Burke, and Lori Watson, who having
been duly sworn/affirmed, state(s) that they are members of the City of Carmel's Board of Public Works
and Safety and have executed the foregoing Water Line Easement Agreement on behalf of such entity.
WITNESS my hand and notarial seal, this day of , 2012.
My Commission Expires: Signed Name:
My County of Residence: Printed Name:
Thomas easement grant four
STATE OF INDIANA )
SS:
COUNTY OF
Before me, a Notaiy Public in and for the State of Indiana, appeared Andrew D. Thomas and Sheri
S. Thomas, who acknowledged the execution of the foregoing Water Line Easement Agreement as his/her
voluntary act and deed.
Witness my hand and Notarial seal this ZLL*day of No U,2 v4 eJ , 2012.
My Commission Expires:
U' (- 2,j 15 Notary P blie
My County of Residence: L s 0
{-}a""' l A 0 rl_ [Printed]
This instrument was prepared by and after recording return to: Douglas C. Haney, City of Carmel, One
Civic Square, Carmel, IN 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. Douglas C. Haney.
Y:\Project Files - active\14181 I Carmel - 96th and Towne Rd water main\48-003 Easement Acquisition\G
Land Acquis Docs\Thomas easement grant form.DOC
LORI OLDSON
5 ► Residen c Hamilton County, IN
,„�. Commissicr:expires:September 1, 2013
Thomas easement rant form
EXHIBIT "A"
OWNER: Andrew D. Thomas and Sheri S. Thomas
DEED RECORD: Instrument Number 9709723801 and Deed Book 357, page 626
HAMILTON COUNTY PARCEL,NO.: 17-13-08-03-02-018.000 &
17-13-08-03-02-018.001
PERMANENT WATERLINE EASEMENT
A part of Lot 6 in Greentree Country Club Estates, Section A, as recorded in Plat Book
2, Pages 150 - 151 in the Office of the Recorder of Hamilton County, Indiana and being
in Clay Township, Hamilton County, Indiana, said part being more particularly described
as follows:
Twenty-five (25) feet by a line parallel with the south line of said lot off the entire
southerly side of said Lot 6. The northerly line of said easement is to be extended or
shortened to terminate at angle points in the easterly and westerly lines of said lot.
Containing 0.112 acres (4,875 square feet),more or less. Subject to all legal highways,
rights-of-ways, easements, and restrictions of record.
DATE: November 1, 2011
RONALD L. NOLAN
Registered Land Surveyor SO 439
Q�0 N0.,
* SO 439
��•"•.• STATE OF ''�
'� ••'oNDIANP°•��
Page 1 of 2
YAProject Files-active\1 1181 l Cannel Utilities-96th Street\48-001 -Survey\Easements\8 Thomas
easement.doc
OWNER:ANDREW D. THOMAS do SHERI S. THOMAS
*EED RECORD: INSTRUMENT NO. 9709723801 AND DEED BOOK 357, PAGE 626
HAMILTON COUNTY PARCEL NO. 17-13-08-03-02-018.000 de
17-13-08-03-02-018.001
— —— ——— — —— — — —— — —— ———
I LOT 6
GREENTREE
COUNTRY CLUB
ESTATES
50' BUILDING LINE
I
I
0
25' PERMENANT EASEMENT
0.112 ACRES
(4,875 SQ. FT.)t
a
25' SANITARY
SEWER EASEMENT TO CTRWD
I CAUSE NO. 29DO3-9701—CP-00
20' WIDE SANITARY
SEWER EASEMENT TO CTRWD
Q INSTRUMENT NO. 9709715431
a
DRAWN BY CHECIQ=D BY APPROVED BY EXHIBIT '61311 CURRENT VEET NO.
H.A.K. R.L.N. R.L.N. i��H gqb
DRAWING SCALE EASEMENT EXHIBIT
��_r 50� ��� ANDREW D.THOMAS&SHERI S.THOMAS
PREPARED FOR TOTALSHEETS
PROJECT NUMBER ENGINEERING THE CITY OF CARMEL,INDIAPlA
0
141811.04.001 More than a Project'"
VOUCHER # 123202 WARRANT # ALLOWED
T2082 IN SUM OF $
THOMAS, ANDREW & SHERI
3202W 96TH ST
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
010713 06-1052-10 $4,545.00
Availability
Voucher Total $4,545.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
T2082
THOMAS, ANDREW& SHERI Purchase Order No.
3202W 96TH ST Terms
CARMEL, IN 46032 Due Date 1/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/2013 010713 $4,545.00
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 l
Date Officer