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Exhtbit B <br /> Receipt of Conveyance Documents and <br /> Disbursement Statement <br /> Qwner Darryl Szczelaszcryk and Jeremy Szczelaszczyk, father and son, as Joint Tenants <br /> Job No. North Brush Coliege Road <br /> Parcei No. S4 <br /> The City of Decatur, Itiinois, (Grantee) acknowiedges Receipt of theTollowing: <br /> (Check atl that appiy.) <br /> � Warranty Deed covering 0.320 acres <br /> O Permanent Easement covering 0.000 acres <br /> p Temporary Construction Easement covering 0.000 acres <br /> all {ocated in Macon Caunty, tliinois as right of way for the constructian of a new interchange at the intersection <br /> of North Brush Coi(ege Road and East Faries Parkway, dated July 12, 2019, executed by the undersigned <br /> G rantors. <br /> Grantor and Grantee agree as foilows: <br /> 1. The payment of the sum of Eighty Thousand and no/100s Doliars ($80,000.00)to Grantor as total <br /> consideration for the deed, by Grantee is subject to Grantee's approval of title and documentation and, <br /> if applicable, Grantee's final approval in accordance with Section 9.02 of the illinois State Finance Act. <br /> 2. A!i improvements located, wholiy or partialiy, on the parcei shall become the property of the City of <br /> Decatur, unless provided as fo(lows: <br /> Two (2) re-cyctec!oil heaters <br /> 3. Possession and transfer of title to the City of Decatur, accur when Grantee delivers a warrant to <br /> Grantor, in person or to the address stated herein, in the amo.unt of the above stated cansideration, � <br /> uniess provided herein. Grantor shall have the sole responsibility and obligation to proiect, preserve <br /> and maintain the parce(and improvernents thereon until delivery of possession to Grantee. <br /> 4. Grantor directs Grantee to disburse the abave stated consideration by warrant or by separate warrants <br /> as follows: <br /> Name* TINlFEIN/SSN'`* Address Amount <br /> Da i Szcielaszcz k $0.00 <br /> Jerem Szczelaszc $80,OOd.00 <br /> $ <br /> 'if muitiple names on the same warrant, list first and circle the name of the person or entity whose <br /> TIN/FEIN/SSN is entered above. tf lien holder is to be paid by warrant, use Grantor's TiN or SSN with <br /> their name listed first and lien hofder second. The first payee must match the T(N used. <br /> '"'Attach a current W-9 form for each 71N/FEIN/SSN. <br />