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Receipt,Closing <br /> Statement,and <br /> Designation of Funds <br /> Owner City of Decatur a Municipal <br /> --__-_ Corporation <br /> County Macon <br /> Parcel No. 0412-14302-010 <br /> We order and direct the payment from Ameren Illinois for an Easement consisting of 0.107 acres located in <br /> Macon CouIllinois,as right of way for Ameren,for the total sum of t) y'a n-d S)2( }�t�rtdecnf <br /> E$ t ln,e p _o Dollars <br /> to be distributed as follows: <br /> �1 Party and Interest S.S.N.or E.I.N. Amount <br /> J <br /> Signature SI __ <br /> gnature <br /> Print Name - Print Name <br /> Signature Signature <br /> Print Name Print Name <br /> Date: <br /> Possession and transfer of easement to Ameren Illinois occurs when Grantee delivers a payment to Grantor, in person or <br /> by mail, in the amount of the above stated consideration,unless provided herein. This Receipt, Closing Statement, <br /> Designation of Funds and conveyance documents are the entire and exclusive agreement between the parties and <br /> supersede any written or oral understanding, promise or agreement,directly or indirectly related to the purchase of the <br /> easement. The parties agree that any changes to this Receipt may only be made in writing and signed by the parties. <br /> Receipt and Designation of the Funds,executed by these Grantors, is acknowledged. <br /> Date Negotiator for Ameren Illinois Company <br /> If you have any questions or need additional information please feel free to call Volkert,Inc.at 618.345.8918 <br /> Easement Amount $ <br /> Damages Amount $ <br /> Total $ <br /> Detailed Damages Description <br /> Easement No. 4.01 Line Name-Number. Decatur E Main St-Decatur Rt51 - 1416 <br />