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Home My WebLink AboutYARDBERRY LANDSCAPE & EXCAVATION -001658 -2/17/2011 'CARMEL REDEVELOPMENT COMMISSION 001658 Yardberry Landscape & Excavati Check: 1659 9940 S 1000 W Date: 2/17/2011 Anderson, IN 46017 Vendor: YARDBER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-P47 45,657.00 45,657.00 0.00 0.00 45,657.00 P47 storm drainage 3 16,778.13 16,778.13 0.00 0.00 16,778.13 P73 retainage 62,435.13 62,435.13 0.00 0.00 62,435.13 , .6-6- . i i it _ • . . ,. . _. . .. . _ . . . .. • _• .:_ __,,..... .6 ,:t 1 ,4pplicaton and Certificate for Payment . COWNER: CT: APPLICATION no: A D!s ibution to: ID, Dr Ow- Areri 41 5-ro .m 111-114G,G PERIOD TO: !a- i'1-to OWNER:Q MI> Srre (r,Jiit.i it eS CONTRACT FO R ARCHITECT:0 FROM VIA CONTRACT DATE: CONTRACTOR 0 CTOR: — /'I ARCHITECT: PROJECT H05: t >zvy L.t-�bs O 1� a FED:Q Rg40 5 1000 1i 0-011taSoi• k OT Q CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Cunnactor t�flat to the best of the Cr,>rcientrr dellr,information and belie't&Work covered by this Application for Payment has been completed in anoaati>mct: Application is made for payment,as shown blow,in connection with the Contract_ with the Contract Documents, that all amounts have ben paid by the Contractor for Wary'for Conimmuiian Sheet,AMA Document G7D3,is attarhnd. which precious Ce'�tes for Payment are issued and payments received farm the Owner,and 1.ORIGINAL CONTRACT SUM $ 10,,3 A5.ct n that current payment shown herein is now due. /12.Net change by Change Orders S ). p0 CO •- ,OR: CONTRACT SUM TD DATE n int.1±2)_ _--___-_-___ ._.— S la, 3a3. u By_ t, d Date: j2,J-1-lo 4.TOTAL COMPLETED&STORED TO DATE(Cannel G on G7I13) S 105 3gi3.00 State of: - ` 1nI�IR..Ik `a REfAWAGE County of: filPD∎5 of L 10 46 of Computed work S.ubsathed and sworn to before (Column D+E on 0703) S 10,69N. 3 o me.this .11Ktk day of --Dee-em$ -, a--O t O b. 0 Se of Storm Maters] e (Column F on G703) S 0.°b Notary Public. 1,----) - '. •,_)t"e--&I Total Retainage(lines 52+5b or Total in Cohn I of G703)_ S 10,53A,,30 My Cormnission expires.. / - 013-a O i"7 6.TOTAL EARNED LESS TETAINAGE $ 0/4,i q0.10 ARCHITECTS CERTIFICATE FOR PAYMENT ; (Lne 4 Less Line 5 Total) In acornda=with the Cnnnaa Documents,based on nn-site observations and the data consprfsing 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ___ S tpt I .3,tU °rr• ea Owner.to the Owner that to the best of the Architect's Itnoniedge, ( information and belief the Work ht,s prognissed as mdrtated, the quality of the Work is in (Line 6 horn prior Ce t_5cate) as xdanre a-oh the Contact Doc nmants, and the Coma= is entitled to payment of the &CURRENT PAYIEiT DUE 1 $ .IS 11 '1.too 4 AMOUNT CERTIFIED_ 9-BALANCE TO M5H,INCLUDING MANAGE AMOUNT(ERTTFTED._ _--------_-- — s'.j 657.00 (fine 3 less Tie 6) s 11,6 33. (Attach .... •• :..?9 r famosau costive&fir's front the amount applied Initial all frgursr on this App...,:,. .. . the . ...on Sheet that are changed to corgona with the amount cez1 i L) 'CHANGE ORDER SUMMARY I ADDITIONS DEDUCTIONS ••P i Totr1 changes appro‘ed ingenious months by Owner 1:i s ---C—)7 By' ' �� /� Date I/0*i Total z xumi this Mouth (5 s 0 TOTALS S g This Certificate is not nap:fable_The AMOUNT CERTIFIED is payable ally to the Contractor•0'J �,Q . caned basin.tcZnrnrr,paymaa and acceptance of payment x art without prejudice to any tights of ,NET CHANGES by Changr Order ,5 0. the Owner or Contractor under this C nhact Alit Document G7a212'-1992..Copyright 01932 and 1902 by Tha knerican IrsOute of ATchbectz A8 rights reserved. WARl2t:Gi This Ale Dccurner1 is pen•acted by U.S.DO p)rt t Lax and kLm-u'±mal ere t!es.Ur.slrrort repro rctlon ce diStflotaa of lills AIAa Ucwmerd.cr cry port;on old.may result Li s_-+we Cri13 test a)m-al pauaties,and o-'11 ha proeect2ed to Me treala^r+ 1 erler,t cosTit on tt oho taw. The dsvrect was maimed by AlA adissre at 0429:19 on 052321X16 inlet Or No.1000121246 2 ni*ii expires on ritren05,and is rat for rests_ User Note_ p (4726823453)` Director of Redevelopment/ L4I,S� D 147 PARTIAL PAYMENT ESTIMATE PROJECT: Page_1_of_3_ City of Carmel-Parcel 47 Storm Drainage and Site Utilities CONTRACTOR: ENGINEER: Project No.: Yardberry Landscape Excavating 9940 South 1000 West Estimate No._2_ Anderson,IN 46017 For Period to 12/17/2010 (SECTION 1) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Unit Total Previous Payments Current Payments Total To-Date Description Unit Quantity Price Cost Quantity Amount Quantity Amount Quantity Amount Main Street South Side of Building $ - $0.00 0 0 0 $ - 0 $ - 1st Street and Main Street $ - $0.00 0 0 0 $ - 0 $ - 1 Aqua Swirl BMP Unit 1 EA $ 10,500.00 $10,500.00 1 $ 10,500.00 0 $ - 1 $ 10,500.00 2 New Storm Manhole 1 EA $ 4,000.00 $4,000.00 1 $ 4,000.00 0 $ - 1 $ 4,000.00 3 Connect BMP Storm Manhole together 1 LS $ 3,000.00 $3,000.00 1 $ 3,000.00 0 $ - 1 $ 3,000.00 4 Install cleanouts&8"sanitary sewer 310 LF $ 110.00 $34,000.00_ 310 $ 34,000.00 0 $ - 310 $ 34,000.00 5 Reconnect existing lines 1 LS $ 1,093.00 $1,093.00 1 $ 1,093.00 0 $ - 1 $ 1,093.00 6 Traffic Control 1 LS $ 2,000.00 $2,000.00_ 1 $ 2,000.00 0 $ - 1 $ 2,000.00 $ - $0.00 0 0 0 $ - 0 $ - $0.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00' 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0- $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 _$ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 . 0 $ - . . 0 $ - $ - $0.00_ 0 0 $ - • 0 $ - $ - $0.00 0 0 $ - 0 $ - TOTALS: $54,593.00- $ 54,593.00 $ - $ 54,593.00 • • PARTIAL PAYMENT ESTIMATE PROJECT: Page_2_of_3_ City of Carmel-Parcel 47 Storm Drainage and Site Utilities CONTRACTOR: ENGINEER: Project No.: Yardberry Landscape Excavating Estimate No. 2 9940 South 1000 West For Period to 12/17/2010 Anderson,IN 46017 (SECTION 1) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Unit Total Previous Payments Current Payments Total To-Date Description Unit Quantity Price Cost Quantity Amount Quantity Amount Quantity Amount Main Street South Side of Building $ - $0.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 0 $ - 0 $ - 1 Traffic Control 1 LS $ 2,000.00 $2,000.00 0 0 0.75 $ 1,500.00 0.75 $ 1,500.00 2 Storm Manhole 3 EA $ 4,000.00 $12,000.00 0 0 3 $ 12,000.00 3 $ 12,000.00 3 150' 18'ILCP Pipe 150 LF $ 85.00 $13,430.00 0 0 150 $ 13,430.00 150 $ 13,430.00 4 126' 12"RCP Pipe 126 LF $ 75.00 $9,450.00 0 0 126 $ 9,450.00 126 $ 9,450.00 5 Tie-in Roof Drain 1 LS $ 2,500.00 $2,500.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 0 $ - 0 $ - $0.00 0 0 0 $ - 0 $ - $0.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 _ $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - TOTALS: $39,380.00 $ 36,380.00 $ 36,380.00 A • PARTIAL PAYMENT ESTIMATE PROJECT: Page_3_of_3_ City of Carmel-Parcel 47 Storm Drainage and Site Utilities CONTRACTOR: ENGINEER: Project No.: Yardberry Landscape Excavating 9940 South 1000 West Estimate No._2_ Anderson,IN 46017 For Period to 12/17/2010 (SECTION 1) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Unit Total Previous Payments Current Payments Total To-Date Description Unit Quantity Price Cost Quantity Amount Quantity Amount Quantity Amount East Side of Building $ - $0.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 0 $ - 0 $ - 1 Large Storm Manhole , $ 5,000.00 $5,000.00 0 0 1 $ 5,000.00 0 $ 5,000.00 2 134'HDPE Storm Pipe @$65.00/ft $ 8,710.00 $8,710.00 0 0 1 $ 8,710.00 1 $ 8,710.00 3 8' 18"RCP @$80.00/ft $ 640.00 $640.00 0 0 1 $ 640.00 0 $ 640.00 4 1 small storm manhole $ 4,000.00 $4,000.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 0 $ - 0 $ - $0.00 0 0 0 $ - 0 $ - $0.00 0 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - $ - $0.00 0 0 $ - 0 $ - TOTALS: $18,350.00 $ 14,350.00 $ 14,350.00 • MONTHLY CERTIFICATION(SECTION 5) 5. CERTIFICATION OF CONTRACTOR According to the best of my knowledge and belief, I certify that all items and amounts on the face of this Periodic Estimate for Partial Payment are correct;that all work has been material supplied in full accordance with the requirements of the referenced Contract, and/or duly authorized deviations,substitutions,alterations, and/or additions;that the foregoing is a correct statement of the contract account up to and including the last day of the period covered by this Periodic Estimate;that no part of the"Balance Due This Payment"has been and that the undersigned and his subcontractors have-(check applicable line): a.(x) Complied with all labor provisions of said Contract. b. ( ) Complied with all labor provisions of said Contract except in those instances where an honest dispute exists with respect to said labor provisions (if[b]is checked,describe briefly nature of dispute). i Yardberry Landscape Co., Inc. BY: (Contractor) �/ignature of Authorized Representative) DATE: 12/17/10 TITLE: Owner 6. CERTIFICATION OF ENGINEER I certify that I have checked and verified the above and foregoing Periodic Estimate for Partial Payment;that to the best of my knowledge and belief it is a true and correct statement of wo and/or material supplied by the Contractor;that the work and/or material included in this Periodic Estimate has been observed by me and/or by my duly authorized representative or assist, accordance with generally accepted Resident Project Representative practices, and that it has been performed and/or supplied in accordance with requirements of the referenced Contract possible testing requirements; and that Partial Payment claimed and requested by the Contractor is correctly computed on the basis of work performed and/or material supplied to date. H our approval of this Periodic Pay Estimate does not constitute FINAL approval or acceptance of the labor performed or materials supplied by the Contractor. This final approval will be issi conditions of the General Conditions and other Specifications. SIGNED: SIGNED: (Engineer) (Construction Coordinator) DATE: DATE: 7. APPROVAL BY THE OWNER BY: TITLE: DATE: Friday,December 17,2010 8:06 AM 1'ardbeny Landscape Excavating Invoice 9940 South 1000 West - Anderson- IN 46017 Date Invoice# 12/17/2010 6695-AA Bill To CrrY OF CARMEL-PARCEL 47 STORM DRAINAGE Description Amount PAY ESI I IAT'E 42 - 45,657 0)0 Total 545.657.00 Unfiled Notes Page 1 -- ice: Partial �aiurrr of i n t STATE OF INDIANA, SS: WHeeeAi he und�er ti n,rd A?u° .la-'iZj -C " CPC b` () ha been heretofore e+n- ployed bye_ t A?'.htil' _ _to(furnish certain material and labor, to-wit: 4z-G t, 't'� Siroz.. 1 I r.1 Pal- .� � k1 1 LA-r<-S for the 6u1 sng owned <y � and located on 1 'FT 0 ✓T<`2-L' i , at City of___ ^^' , County of --r-el t--Z0� ,State of Indiana. Now THEREFORE, KNOW Ye, That the undersigned,for and in consideration of }' T4-t•-iid _SsfAt58_^ s' Qr1' kliNtrteD 'Trr-}► E-su^N 1p.L.Dollars, the receipt of which is hereby acknowledged, hereby and now waives and releases unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever kind of character on the above described building and real estate,To AND FOR SAID AMOUNT,on account of any and all labor material, or both, furnished for or incorporated into said building by the undersigned, up to this date, and further certify that the consideration moving to the undersigned for executing this PARTIAL WA gym/ of LEN has been mutually given and accepted as a part payment to or on account of the said for said building and real estate. t_ Signed, sealed and delivered this d y o A-"E xA , }$ b L J Signe• personallyjappeared before me this day of s" ,-'N C1 1N` R4tt�Gt✓R- who, being duly sworn th, says: That he is_ +i t— // of tJIZ � 4--£per and that he hereby ; knowledges the execution o e foregoing instrument and on behalf of said.., .ln17-1)-22c13_- y Lic►IDSt1P- c__. and at 'e --- special instance r request. s My Commission Expires L 61° / a 3- �I d- ti= ry Public This instrument prepared by: de-Or s• - r • 1 v t d }, .• Document 702 — 1992 Application and Certificate for Payment • TO OWNER CT: APWLICAT OH NO: 3 Distribution to: l.: 1 w (...;r1--a.rneL.- l-Q��r�_. �13 CrrTZ. Me L.- PERIOD TO: tot- r�-i e O D l es.r4 Ca..,.-rest— -P€0 -c CONTRACT FOR: ARCHITECT:❑ FROM VIA I CONTRACT DATE: 2-30-09 E GOtiTRACTOR ❑CTOR ARCHITECT: PROEM- L-_t�1�Cl r k` f FIELD:0 gc40 S 1000 t3 ff�� 1DR-sonl, I,.) OTHER:[3 CONTRACTOR'S APPLICATION FOR PAYMENT The certifies that to the best of the Coanaaa&a lenculdedge.iufonni ion on is made tar and belief the Work covered by this Agpti xis for Payment his been completed in a daroc App&icati payment.,as shown blow,m ecamrcbnn unit the Contract with the Contract Documents, that all a •n*mrt have been paid by the Conrad'for Work for Continuation cation Shed.ALA Document G703,is attached. width prelims Certificates for Payment mere issued and paynneats deceived from the Opt,and I.ORIGINAL CONTRACT SUM . S 1 q S t 10(:;\.r 0 that evaeat pa ..-.• . •tea herein is now due. 2Nd(kluge by Change Orders 5 0.a a CONTRACTOR: . 3.CONTRACT SUN TO DATE 0 Mel t 2),-...—_,..-------.....— S I°1 t tact." By: ... Date: /,R- 14-1° &TOTAL COMPLETED 8 ST ORM TO DATE(Column G an G703) S 1 la'1 t 1'6 i. 3', Stste of: I nlD a R KIA 5.REfATNAGE: County of ,J L 0 %of Camp/eted W� Su6scrlbed and sworn to before .. D t s o ` 17E1-E rY0Ctz, 0 t 0 (Col=D+E oo G7031 5 Q• me this �L m. day of b. Q St,of Stored Material ,, a 1 J` �` (Column F on G703) 5 0. Notary Public Total Rex/Mast fLines 5 s+51)or Total in Cvivmsn f of G703) S Q." My CEO S. J-a 3- D r "I E.TOTAL EARNEO LESS RETTAINAGE S tt,,x'18,'3 ARCHITECT'S CERTIFICATE FOR PAYMENT ('Lane 4 Less Line 5 Total) ha accordance with the Contract Doc imenrs.based on on-site olu teas and the data ofd 1 SI DO 3.11 this die Atchi[xt txrtifia to the Ow ec that to the best of the Aschiaxcs's]matt 7.LESS P}ZEVIO[1S CERTff)CATES FDR PAYMENT _.._...__._.,..._.._.._.. _.. 58e. (Lint 6 from prinr Guff). case) a tnfosmatirm and belief the Work has progressed as indicated, the quality of the Work is is =colsnea with the Contras Documents, and the Cotaractor is entitled to payment of the B.CURRENT PAYMENT Da ©«1l AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETARIA.GE AMOUNT CERTIFIED._.. -_____.._.._... __.__ S et" .fl.r3 (line 3 less Line 61 5 (), (+dada tech rrasiart g a nd certified&fen.from the unwed applied.6ziaal e'�l figmars an this Applitnricm and Sheet that err changed ao av orta with Me ematvtt owt(�tai) 'MANGE E ORDER SUMMARY ADDITIONS DEDI LIONS ' ARCHITECT" Tots!changes epproeed in pre icos months by Owner S p 15 0 ' BT L D 2/d9//i Total axrpso ed this Month S u 5 0 'This Cettlfic=is not TOTALS S t}..5 () The AMOUNT CERTIFIED is payable only to the Coun NET GRANGES by Change Orrin S 0 ; named herein.lssnance.payment anti acceptance of paymrnt are without prejudice to any tigbrr of the Chanel or Contractor under this Cunene*. ALA Deena r g G7a1"-199[2.Copyright 01 B92 and 1992 by The kmatic.so Ir s rim d Arch AN tights maimed.WAttUR.ta:This MA'.Does nerd to protected by U.S.Capp right Law and totarna cata1 Treaters.ll u1zee reprq: an or d st-11,0ton of ttis MA'Dcurat:M.a cry portlott of ti,zany result a snare cfv7 dui aknhat penafaies,and era be prosece.rnd to the enx=t,, extant gessitt env the taw, 7tte daaacm was prodned by AA sorloare et 0523.19 an 05/232:005 scWor Orders Nat 000121248 2 which expires on 51 U2005,and is rd nor rasa9e. User Notes: (47294 ) Director of Redevelopment/4 140 y 73 —1/-----. ( CONTINUATION SHEET AMA DOCUMENT G703 (instructions on reverse side) PACE OF PAGES MA Document C702,APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: Contractor's signed Certification is attached, APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B c D E F C H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE PRESENTLY COMPLETED tG+C) TO FINISH FROM PREVIOUS THIS PERIOD STORED AND STORED fC-CI APPLICATION (NOT IN TO DATE (D+E1 D OR EI (D+E+F) r)10/3 l�EmDr3 �1l00, ya3O, L OD. `' 0 • " t J']00 to o 0•" Q . lJ A j00 k/A r°A l0' o ICI(,J.S O L /�\ �/n1 �/�) /�• /// (�nJr 5/ 1 M�Ni r �T• r � • oo. ,s50, - /5o.' 0.LJ 5'00. J 1017 0 . 0 ' VR L.JE 5 V 3 c..rr 6i w r c�f�"I m�-t' 0, w 16('o, '?' 60'401 15,008 . '3 liolo, 15'1.W too 0 ' J LAi f OS 5-ro AJ a p • �i1 oF>G .. ter eg, 35oo. `� 310." ASV "' v O. .4500. Inu O. Ito/-718. t) AIA DOCUMENT G703•APPLICATION AND CERTIFICATE FOR PAYMENT•MAY 1983 EDITION•AIA••C 1983 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON. D.C. 20006 " • Vardhcrry Landscape Excavatin_ Invoice 9940 South 1000 West Anderson. IN 46017 Date Invoice FL' t4 2010 669-1-.1.\ 9 Sitt To Ci Iti tlF C'AREt1 t -I9 RIMI:F iR I3-\&KI-Iti. Description Amount RETAtNAtil-. 16,778.13 • Total 516,778,13 Unfiled Notes Page 1 • partial 3:`ittturr of �trit r rl Or INDIANA, ss: Wahs r the under igneAeriR to fi 14diC. j__ ha been hereto/ore em- ed by t7U tf kjtK./1gL� to furnish certain material and labor, to�wit: � JO for the building owned by- :11) Ct �L // and totaled on 1 , at__ I City of c... ...- , County of P1140"--1-°J ,State of Indiana. Now TIIZRtYORK, KNOW Yr, That the undersigned,for and in consideration of 541"f .Tl10`t44(`Id Vej 0 Ak..i..r9-.ki1€1Wr-c' 13Lx_Dollars,the receipt of which is hereby acknowledged, hereby and now waives and releases unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever kind of character on the above described building and real estate,TO AND FOR SAID AMOUNT,on account of any and all labor material, or both,furnished for or incorporated into said building by the undersigned, up to this date, and further certify that the consideration moving to the undersigned for executing this P•sTTAt. 4> WAtvta as LAIN has been mutually given and accepted as a part payment to or on account of the said for said building and real estate. y_- s Signed, sealed and delivered this t1 k. day of 1-' -+..i ey , t$_ t( Signed a) a tSlbs �` =- (II Personal! appeared before me this '�dety,.-of_ , t8- 041 //11p4\ g. p i who, being�duly rntorw oath, says: That he is__1�� — of th ` -- 1`JF� "e- I._.!4,_ a and that he hereby 0 acknowledges the ereeution he oregoing instment or and on behalf of and at j ` c;6 sto er rnd request. s My Commission Espires_1_2 0I a J t-"^ -_ Notary Public This instrument prepared by:. 1 t< .ja_r 7 ..