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Right of Way - State Of Indiana, State Of Indiana_5/6/1969�.. .�- STAT� ° INDIANA OFFICES OF STATE HIGH\VAY COMMISSION 100 North Senate Avenue Indianapolis, Indiana 46204 � INDIANAPOLIS February 5, 1969 Auditor's Office Gibson , County Princeton � Indiana Dear Sir: Enclosed find copies of grants on the following projects au�ited to the County Recorder for recording. PARCEL PR0.7ECT ROAD NAME 19 25 LSW;dc Enc. 2 I-64-1(42)26 m Which have been War. Deed Ceme[ery-Nobles Chapel United Methodist Church " Cemetery-Nobles Chapel United Methodist Church Respectfully yours, �y�, �v •GU�� � �L•. Loren S. Winkler Chief of Administra[ion Division of Land Acquisition . _ l`— �f�__�� 1 � � � �.i:� i1 G6 GS �A.-�'_ 9� � 71 � � � � . � Proj<ct I-6;-1(42)2o S�c. "A" Code Oo74 Parce! ? 9 ` TtliS �na:�uure �irne�s:�b� Th.:r�C'L'/��/� f'�� ,%�UC/_S G'!/r/�ci �i.i�i`Gj� i+'j�%/7�GDlSI � 7- / C�Jl��.:.�i t5��/ S r��IJJ/.=G�j—/��N���,%/ ���r%i�n/��FYI�Lli�li.C...�//./�—!J/�L�%C%zUJC. �D�GuC .>r.�%E/�'J-i?i::;,D}yciv 6".,�/ii="r!i!f/ � o! � j GS'Q f� Cour.ty, ir. ti:e S!ate of ��./v����� Convey ar.d ['/arrant to �he STATE OF INDI.4A`A fo� and in corsideration of r//-�� ���1� � �','y L• ��) — — — — rhe recerpt rvhereo} is i:ereby cckr.owledged, ti:e following described Real Esrate in County iii :F.e Stare of Indiar.a, to wit: Gieson ` Do[lars, F PFRT OF 7HE ��ORTH HALF OF THE SOUTHEFST C�UAR7ER OF S�c'rion i3, TOF:NSHIP �. S(IUTH� Rti:GE i0 �;e57� � GI850:: COUi:TY� IilDIANA� DESCRIBED {S FOLL0415: EEGINNIVG 7i1.40 FEET EASTERLY ALOi2G THE NORTH L�IidE OP SAID�� H14LF-QUARTER SECTIO\ FROiA THE NORTH::EST CORVER OF SAID:.HALF-QUFRTER SECTIOV� THEIJCE EAS7ERLY ii,50 FEE7� l,LONG SAID NORTH LI�E� THEACE SOUTH':lES7ERLY 13,23 FEET FLONG !.N qRC TO THE RIGH7 MD HAVING A RFDIUS OF � 3i6.4'7.FEET A":D SUB7ENDED BY A LONG CHORD HAVING A BEARING OF SOUTH 55 DEGREES 36 IAINUTES 17 SECONDS �7IE5T A':D A LE\GTH OF S3,?3 FEET TO THE 4:E57 Llilc OF TYE GkNER�S Lr'AD� THtNCE �ORTHERLY 7.59 FEET,ALGNG SAID WEST LINE TO 7HE P01\T OP BEGIY\ING {uVD CONTAINING 0,001 ACRES, MORE OR LE55. ����� _ , . . - _ .. , ��i t,- •-- , , " ' . � '1 �'. ' -. �� _.. . . ' ' . „ �'� � , ' ,. . Paid by �'arrant ivor�° "!��?�-- f1=�*�r����P�-�� ----19 G?�_ p D .. . o C �- 0 . � ' s� Lm�d a�rd rmpruvcmrn�.r S._._ �.l..:j�:�...-------...; Damage.r $.......F.� ��...,�.,�....._._: lotul r�ut.rid��ra�irur 5...�/..�.--X.�........ The ;;rnntor.sl�u(I cleu� and convey jree o/ all leases, lirenses, or other interesrs borlt legal and equiia6le, and a17 e�7cum- brmrces oj m_v kin.d or cl:aracte� on, ui and under surd la�td as carveyed. It is ur.derstood be!ween the parties h.erem, and lheir successors rn �irle, and made a cove�tr.iu herein �vhich shnl! run :oith ihe lur.d, !i:ar c!! tana+s hereinbejore desnibed (exceptin; an�� parcels specnc�a!!y design.a!ed as easenienis or ns rem- - porury rights oj ::�ay) are conveyed in fee simp(e and r.ot rr.erely ;:•r righ� of wep purposes, ar.d thel no reveisionn�y iighlt x�liatsoever cre ir.tended ro remain in the grer.�or(s). And itu:i:_^r s:c,es th.at said �ranters do hereby sepreseiit aad sta:e lhat th.ey nre each ciri�ens oJ the United Srates oj America, en.d thet said citi;,enshrp has existed continuousl}• since prior to April 6, 1940; that rhey i:ave been domici!ed and residing con!n*!�oush; wi;hin !he United S7ates since prior io Aprl S, 1940; rhar they are no: actrng direcdy or uidirecdy in u�u� cupacit� }vi:arsoever Jor er.y joreign cour.try or nationaf rhereoj; thar rhere is no one other thait ebove grmuor(s) who h.as (ltcve) ited eny proprietary �ight, tit(e or inlerest in the a6ove described rea! eslale, either direclly or indirecr!}�, drurng . eranmrs ewnership, thet :i:ese representetions and stalement.r nrv made under oath �o induce the accep:ance of rliis deed oj conveYar.ce. . > _�� j���tl�� ��N%� �.;i o�v _� in'�; L r7 f vci.✓��¢—.�'i,C��/�i�US,� � I'� ��:t �i[ttess i_�;"':o:`, the said ��/�SC:U�' S: L% =/1S —!� �1�: i,/ �j1�Y%=i`i'% D!�/ ��..�;;., �, c` v - / ;_, f:a't��hereu�uo se� ;i�-,1ihc_n.� cnd seal, , this � daT o,f / � f�1.,� t-%r' 19 C�y ' �/ � �� �� ,�J a.��-,_.i;�-� � '�,�.,.�. . � .p..... =--: ...---....-�:�-�----� ............. . ...� -: ��-�-----.....--rse�r�.. ... ;:�� �- -- --� -- -... .. -- �- -. se�l� .r-� '--- . . .. .... ... � [ , . c,_; ,,;, ;,:; �;, S' � r'p"� :: h',S-_ .: : '��C: ui' N . rj�-Nr/ ✓ il � _ T GN�i,G;� i/,'��.;r (S J�'vS __ S'i�l�_ n��l.� � :�Th%c�i=c '- i `� % ; ,: � .......-------------------°----.............---°°--°°-.--.........---°--........ ea( ......... ---..... / � a! r � �/�, , r �J� `%� �l�i--.r.% � �/.1�./�i'✓ L�C�iCt'-Q,L.G�.-t� -'°--'---.._..._(Se ) � .....�. ,�....._.__. ..-<c ..... .......... .°. ... .. _. ..... See!)........ _ . ... . - --. en! ... .--- ° - i-i/_i; jr�t/��!4-/ii;'.iC�lt�r7G%/%/�v..ic_ ' - � - -� �.... i, �.+� .. ; �� U N�.V'--'�N%i��iTO/i-Jii✓aT� Ch'U�:.:%; 4'i:.s� c=t� • � � . (Sea1)---------�- - - (Sec!) ,�, .......' """ !` " "...G T .."""""'"""'............"" ""'".........""""""""""""""'"""'""""""""""'....... ,- ����`i,c[; ' {'._.--. - .--•---..--iSer.t) ............ .. --• ° °-•-- °(Se�;r %}`Ir�� � . , ... ...... . .-_ ...................... ..... ... -- - ... .......--------..... . . .. . � =��c.y ���.,,�� ._ i'�:�aYL°/yuT,CiJTR��Si<_ -�-�--�- ��- �t�}�: , ,a�� ; � , � .;.l�rrl?,'• ,. . � . . �YL�/L � �/l�; r(i�•� \,,h .�. � ,. . fhu l��stnunei:t reparerl ey ................:.........................�--..... �:..... rJ.. -;'e: ' JaF 2-28-oE • �,- . f!�' 'V , � :�f�/, �'`� . . • ' . � S.J �SOR'S AF"r'TD�IVIT OF NONCOMPLIANCL I3Y LHSSEE � � �,i�r�-i = �-;,i'�',>c-L /•';s•Clfu,i'cH�G'c�!�Tr"��," 1 Vti � �i�,C./_V %{1li.5�_^ —�i i�'��%�� , being first duly sworn, upon his oath, depoaes - i; dE,' . and says thaEi hc� �e��lessor under the terms of un oil and ga3 leese:; dnEed �a i-i=, ii � iY�/ f?c�ci:>��' '��i %`/E•/ iN Vc�.u,a.: /J 6 �nS'c k?�7 ri7 , 19iid , recorded �<>/i/ , 19vJ , in Voiume i�/ , PageiP3 �. oP thc Lend Reeorde oP �'r//�df�n�t/ County, Yndionn, and chee onid ieeae covera . the following described landst i�.ai°r: � � � P,��.�� �� � —/ �; -i .�� �=� And iurther, deponent hereby swea:s tha= no rent�2s have becn paid to or received by him or any person, bnnk or Corporation, in his behaif for a period of one year after rental was due and owing �nder the eerms of snid leasc. Deponent furtner ewears that there has been.no drilling or develop�ent of any nature or kir.d whatsoever intended or designed for the production of oil or gas on the land covered 'oy the lesae =eFerred to herein for the past one year. This effidavit is made in compliance with Acts of 1923, Ch. 134, Sec. 1, ss found in Burn's (1946 Repl.) Sec. 3-1633, and is for the purpose of giving notice that ss:d lease nas been canceled by the lessor pursuant to the provisions of said Statute Witness ny har.d this �/��.day of /��DI/</9/�ril , 19� � t ,^� �' .—� �/�/i / . �Ll�J� ;' � � ST:+TE OF ,''I�/7;l-'f/!%/�I ) � � COiTNT:' Oi /T/f� >Sl.1ii! ) '•� nbove named and Peraonaily uppenred before me =i1 ili ���.�1� cu?y ecknowledged the execution of the above release affidavit the / 9�' day of �n �-,�f�z� � , 19� Witnees �y hand and.official aeal. -- ' `r:y Co—iee!on Expi:es � � �) G -'� , .� Rotary Public �' * ;hie ir.st.-u3ent prepared by /7 ,�� � r/ ��'-� . >'l � � , /' � I' �J/,� STATE tT.��I\llI_LV:1 ) , � ) SS COU\TY OF �Jf �,C �9 i�/ ) • o TRliSTEES OF CHURCH FtESOLUTIO:i ��Ll.� %�i�"'✓SC — CNfi/�.N/�fjbeing duly sworr. upon his oath, deposes and . � cn•c Jf � /'uS7EEa says tha: he is��the Cnurch�c�'.:.of Che /✓��,h'.L�.S �?%�� j�L ,[, ����'J'Eh /rl�ii�ot��sT" C,'�l��cN Cnurch and �aas acting as sucn on the �day of F� (�, j; � ig�� that at a church meet�ng duly called and held on said �%�%, % j~� , 19 iJ 6 � by resolu[ion duly ndoDted by snid church cor.gregation, trte Trustees of said church congregation we:e authorized, empowered and directed eo coavey by right of way grar.t - warranty deed to the State of Indiana, a parcel of land referred to in said right of way grGnt - warranty deed as Parcel� % G��, Project � D �, n L{- -%�- � 02.,� ,�i- [oJ �S 0/✓ County, Indiana and that at a church �eeting held oa the � day or �/1/f/=�%j['f� , 19 � �� , the following persons wer � duly elected and qualified as members of the Board of Trustees oi afo:esaid church by t::e membership thereof for a period of l years and until their successors were elected and qualified, namely: ¢- ri(/%;�i/ ��/�E/{/ ON — � � �:/,4 [.17 FuL,�iiLr ./T - ��/,C �,����i1:5' "c - f�� S C'_ a c Sr L ,L �=PS - f? i n/ r ri/ i;�;�_i-,TI ��i;_% �� �1/ , and that said persons are now serving and acting as such Trustees of aforesaid c'�urch. °/� / Subscribed ar.d sworn to before c.e the undersigned rotary Public in and for said � �/ County and State chis _�_ day of /✓n�/F,v����/j , 19 �/i a���. ��� . /�� � �� � �p� \otary Public /� _ '`� . , � My Cor•��ission expires _ - _ �_ •/; �6-. �� /��' 7��? , - . __ , . . ., � .�, � . .,� � `�^' / ) ✓ 1 .� ' �e \`�' �l u �� � O z � � :�. � .� �i r�L • O o . � �� A � � p � � � � � � � Pro;e�: � ;.-_c.z��� sE� ����: � Co:.'e y.i74 . ' � Pcrcr! 25 � � • ' : LtIt5 �!:l�fll[liiC ;13ICI1FSSCCb. Ti::t ���i�L� S L%7�i -'L �:�'%=�M�!r='�i.� / C./i��ti'�'/ i��'1 J � " •i i .� . o �L.1 v : � ' �OSCC:-'.S�LL.-`i`l� �3!�iy'l;1� J: :i�iJS�%L=� %%GN/�y ✓:/N=�i%Ci: —r't�rlL:i�=L�rv�r�J—p� y��%...J� —/; .:N;7 ptvFN in�/>�-'i%�/l o/ �� yiS�) j�� Cour.ty, ir. tF.e S:c:e of y'�f�j�/r�/ i Cor.rey cr„a. Ii�c�rcr.: to tlie STATE OF I\�I.4NA for cnd irs corsiderctior. of i „� o L \ _ S�t i�F�� /���Jii�',=� -�/i-�� r �''v , � �% �' �' ; .r J — tF.e receipt x�kereoJ is hereby acknaw!edged, tF.e Jo!!ox�in; described Real Es:cte ir. �ieso� County in the S:cte o} Indicna, to wi:: — — Do!lcrs, A PART OF THE SOUTHEAST QUARTER OF THE NORiriEFST QUARTER OF SECTION 13� TO:iNSHIP 4 SOUTH� RA2lGE lO OIEST� CIBSJN COUNTY� �NDIA4A� DESCRIBED AS FOLLO'A5: COhil1E�:CING A7 THE SOUiHEA57 LORNER OF SFID QUl.RTER— �QUnRTER SECTIOt.; THENCE I'IESTERLY :30.00 FEET FLO�G THE SOUTH LIftlE OF SAID QUFRTER—QUFRTER SECTION TO THE CENTERLI\E OF S.R, 5%� THENCE I�ipRTHEFSTERLY �.�7,BO FEET ALONG SAID CENTERLINE� THE�CE SOUTHc:.STERLY 4'O.00 FcET �AT RIGHT AlGLES TO SAID'CENTERLI�E� TO THE POINT OF BEGIP:NI\'G OF THIS DESCRIPTION, 41HICH POINT IS 0�: THE EASTER� BOU�D:,RY OF S.R. 57� (1� THEKCE ALOnG SAID EASTERN BOUNDARY �RTHEASTERLY i49.58 FEET c � FLO�'G A� nRC 7J THE LEFT A�D HAVI�G A RADIUS OF 2Eo�43S.SB FEET hhD SUBTEP:DED BY A�LONG CHORD HAVING A � � BEARIP:G OF UORTH 2i DE6REE5 i6 tAINUTES 23 SECONDS EAST AND A LEfJGTH OF 149.98 FEET TO:A'.SOUTHERF7 BOUNDARY � TO S.R. 77: �Z% THERCE �UTH 6S UEGREES 42 MINUTES 43 SECONDS EFST lO.00 FEET FLOt.G'SA�ID SOUTHEKN BOUNDAR . �. i�r���3� THENCE SOUTH Zi DEGREES =6 MI�UTES S9 SECO\DS �'�E57 49:99 FEET� �4'� THEhCE SOUTH 26�CEGREES•SS MINUTES ��56 SECONDS t:�EST lOO.S� FEET 70 THE POINT OF BEGINNING AND CONTAINING 0.023 ACRES, MORE OR,LESS.'- . ���,,,t,,,,,, .." . \e`� TOGE7HER WITH THE PERhSFNENT EXTI�GU151-CdEMT OF ALL RIGHTS AND EASEMENTS OF INGRE55 Af.D EGRES$ TO�fFnGN.� � '�eFND AGROSS TNE lItA1TE0 ACCESS FACILITY (TO BE KNOSlN FS Iti4 AND S.R, S7 AND AS PROJECT I—o4-1(42)26) TO 1(�� �WRD FRO:'. THE O4dN.ER'S FBUTTING LAkDS ALONG THE LINES DESCRIBED AS FOLLOWS: LII\c i: COURScS �3� A�� �4� ' �\OESCRIBED ;.BOVE. LI\E 2: BEGINNI�G AT THE NORTH E�D OF COURSE �3� DESCRIBED ABOVE: THE�CE PiJRTH 21 DEGRE l' '�JS td��UTES -4 SECO\DS Fi15T ZO.7O FEET AND TEPv�fINATING IN THE �ORTH LINE OF THE OWNER�S �ARD. LII�E 3: ~�EGIHNt\G FT TME SOUTH E�D OF COURSE �4� �ESCRIBED ABOVE� THENCE ALONG THE EASTERN BOUNDARY OF S.R. S� % �UTHlJESTERLY iC0.01 FEET FLO�G AN ARC TO THE RIGHT Ft.D HAVING A RFDIUS OF 2So,518.90 FEET AP7D SUBTENDED BY A LOf.'G CHORD HAVI�`1G F BEARING OF �UTH 21 DEGREES OB MINUTES 07 SECONDS t'�E57 AP:O A LENGTH OF 100.01 FEET TO A �ORTHEF57ERn BOUNDhRY OF S.R. 57� THENCE SOUTH 25 DEGREES 42 MINU7E5 i7 SECONOS EAST 4i.12 FEE7 ALOPJ6 S:+�D �ORTHEA57cr�� BOUPG ARY F�D 7E�INAT1\G IN 7HE NORTH BOUnDARY OF COU�TY ROAD �iSO�. THIS RESTRICI ION SHALL BE A COVENFN7 RUN�IAG WITH THE LAND A�D SHALL BE BINDIhG ON ALL SUCCESSORS IN TITLE TO THE SAID UTTIf:G LA�2D5. — co �e � v�' Lm�rigmtd f» ����,t�e�,�e�,r.r S........c�.D.:.x.k---.......; �n�„nces 5------.�.Q.f.?.t-1.,�......: Tnrul ronsiderarion 5...7.�.±�.(..t,"t......-- Tl:e grentor si�c!! clear and convey Jree oJ c!! leases, licenses, or orher interests both legal and equiteble, and al! encum- Gsm:ces o% any kir.d or charaeler on, in and wrder said (mid as conveyed. It is understood 6etweera tlte parties hereto, and their successors in �rtle, and made a covenm�t {terein }rhich shall run n�iih ti�e land, that el! !ands l:ereinbe%o�e desoibed (excepung m�y parce(s specifical(y designa!ed as easemenrs or as tem- porury rio'r.ts of rvay ) a�e conveyed in fee simpte and no� merely jor �i;ht o/ x'ay ptaposes, and tha� no reve�sionar�• rigl;7s � wltatsoeve� are inten.ded to ren:ain in the grantor(s). And further states �iie! said granto�s do herebl' represenr mid state th.et they are each ciuzens af 71:e Unrted Sta�es o/ Amerrru, and that said citizenship h.as exsted continuously srnce prios to April 8, 1940; thar 1F.ey have been domici!ed ar.d resrdin; co�uinuously witirin 7he United States since prior to Apri! 8, /940: �hat they are r.o: actir.S dbec:Iy or ir.directly ir. nny capacit}� x�h.atsoe�er Jor eny foreign country or nationnl thereof; �hai there is no one o:her rf:an above �rar,tor(s) �vho has (have) F.ed an.y propriemry right, 1i11e or interes� in th.e. aboi•e described real esrate, ei�her direcdy or indi�ecl(y, dt+ring ;rantors ovmership, lhat 1/�ese representarions and srnremem.r nrv made under oath to induce rhe acceprance o( ihis deed nJ 1�veyance. �-j�i,:i'=� in//i�h%D�Y. � V✓i`I � l� /=u! �lN�� �% ��� %r�JS� . � ,�I:t '�i:::e55 at�(�rrcof, rl:e said �� p�LOc .>is%%cf?� i�/✓:.? UI�'c�1� i-t�/���'iTO�� , � � •.. .l �-..r :hcn�S cnd sea(, , this ' da1' ol %✓Q YF=i�1L.3F/� -. � 19 � � hdo�sit�reur.to sei ///,�j�t f � % � � , '� -� . ., -:,d�� l!�/I!i���it� S �,J �J u .� X—�._ .. ..... (S�I) , ..y,... •„»��-_�....:.... - •- �---.�._.:-- • >-: `....._: - •,� ;::--. - -... �--,;�;�-; - .�. �Ii i= . ., �� ..._n ! � d.� -r rC �. — 4 J-. ri�r-�l�-V;i-�ri:./ Li� /iCUi r.P...r�. S^, f� �� n/- sri� , --rN-,�'�ii �.,-- -�5�� ;.... ................��---..........:.............( e.. )........�... ......-�- ----- - , ...... . ............. .... .. . .. . ,-. �� �._ r � / � � /• . , ��ltc�ii�C��� �.......-_-°-..--- �Sen�J . � 1 .....� �ilt�i��: ! (�.L: G.'^?�/ ........ ...: ........� __ �S2GI�....�u^......J....... _ . J •;.. - �i i �- LhoRC/r i�� ✓�i;=-= v �'✓�/✓ v✓t1J-�� 0�� �G/fui='cH %�dSi � ! L�i f1�-r7 j-�iii�!�/� (Sea.l I '�t .; ...... -...... J � . ... --°° ...................°.--�--....._ i ...........--- ...-°°-°--......._---..................-------°---- ---....._ ( )' . i/'._.... � ��/��l_ .ill�-F� �- -:�..... .. ..(Seal)....... . ................ ----...------°°-- --....�.......(Seal)�.�j� .. ... --....... .- --._.. .... . .. ' . ... .. . .. .... r G uxC � `.''i/ �,t:- �i_;�r�.r,�u3t , �/ ii rit';,;;;:.� �✓ Q /)�Ji1..�%;.1�✓� S�ij��it.. �,P.'G � . '.. T/�is Lurrru�Yrepared b�' .............. �%-!• � 5CD 2-28-6E r� . • . ................................°--'-- . . - i � ,� i ii . /� STaTE O�I\DIr1,\:A � ) , �' ) S S 1 . � COU\TY OF_ Cr/�; S D� ) � TRL�EES OF CHURCH RESOLUTZO� BlL,Li� /l.�ii-SC- C/�fl/iF/-l/�� , being du!y s�vorn unon his oath, deooses and says tha� he� s�t e Church� �������tS �_ ot the In l�',C(=�S G'fiij j'F_.�. U/u'iT� /� �•�riNnnis7— �N�P�h' — /�o.�Kl� ,� F %/l�s7res Chu.-ch and was acti^g as such or. ehe ,2 ,'-j day of %i(°_% , 19 i7� , that at a churc}: meet:ng culy c�lled and 'neld on said _/�L /, hah� , 19 � s� by resolution duly adonted by said chu:ch congregation, tne irustees of said church cor.gregation kere au[horized, en?owered and directed to convey by r_ght of way grant - �azrranty dced to the Seate of I.^.diana, a parcel of land referred to in said right of caay grant - wa:raney deed as ParceP� ,°,[,t� , Projec[�_ �j �'/-�Y N� (,�- jl�SG i(/ County, Indiana and that at a church mee[ing held or. the �� day of iv1�'RC'y , 19 G�_, the foilowing persons werejcuiy elected and qualified as members or the Board of Trustees of afo:esaid churc: by the membership �hereof for a period of ..� years and ur.til thei: successo:s we:e eiected aad qualified, na..�ely: ��n/i��/ Vl/i�%/1/D/V� F�ni,v�,17 FvLLi��i/' � f3/L�S�y/�'i?i�S< ��� � Go� 5r,�.�.�P, S— TiW.�it/. lA��/�i�?% n/I/� and that said persoas a:e r.ow serving and acting as such Trustees of atoresaid c!:urch. �- � �� - Subscrioed a.^.d swo:n [o before ue the u.^.dersigned Notary Pu ic in and for said Cour.ty �zd State this � p ° day or l✓0 1/C�(.fB�%' , 19 �� - ;:y Ca;ic�issio; expires . ,� �'v;= %�".� %�7r2 , i . � � \o�.a: Public 11�DG.f��E �•�J� Y . �`• . , 1 ' ,' � t� �OR' S APF'TDAl7IT OF NOi:COi•fPLZA\C� � Li:SSe,E O /��C O�Es EN�� <,C b'iv:Ts:� //�i%/�v�si L°iYuilc�,/ <''3���y_ /��[ i�S� —�I %RUJ/!G , being first duly eworn, upon his oath, deposes and say5 tha['�er�s��.yiessor under tne terns of an oil end gas leese, S)aa�tea i',U[� ii? /y �'� h'cN�ni�D y�i/ !`/�Gj �:l '✓vt�a�c `/.SC. ; ��c ,� �y' /i �, , 19 ,�n , recorded /:'_/;,'/ , 19�, in Voiume �/ r 7 , Page S�s . 04 the Land Records oC ir//7.S D.(/ Couney, Tndionn, and that eaid lease covers the .oliowing described landa� P�=1t'C°:=ti y;�.?�S- i'RC:T<r.T _.G-l�-�-(� �) , And further, deponent hereby swears that no :enta:s have been pxid to or received by him or any person, bank or Corporation, in his bchalf for a period of one year after rental wss due and owing under the terms of Reid leuse. Deponent further awears that the:e has been no drilling or development of any nature or kind whstsoever intended or designed for the production of oil or gas on the land covered 'oy the lease re:erred to herein :or the past one year. T:^.is affic�vit is made in complience w±th Acts of 1923, Ch. i34, Sec. 1, as fou::d in Burn's (i946 Repl.) Sec. 3-1633, and is for the purpose of giving notice t��at said lease has been car.celed by the iessor pursuant to the provisior.s of eaid Statc.e. S�itnese cry hand this %1� day of i ri Lr STATE C? <J'J;i/�t ^lh ) COU'!�TY OF a .� ?:� � ) Persor.aliy aopee:ed before mo r�s,/.Y��t+ �G�`v%ri1�l nbove named ar.d duly ackr.o•.aiedged the execution of the nbove :eleaeo c+£iidavit tne � day of ��.���-��.�� . �910�! Y:i*_ncos Wy hnnd ar.d official seal. � . My Co�lsaion H::pires �� �C %y" � %"YR-��D ���� , '�y p�v����GLL/f'/'•/'DE * T:ie ir:struWc:t prepared by /Y �-O�✓C? �' V�- � � ' _ _ _ _ . . . ..,_ _ . .. . , .,. .. _ ;:: ..V.. .__.. . , _ . _ ,_ . . . � •r�=-•-