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Receipt, Closing <br /> Statement,and <br /> Designation of Funds <br /> Ameruan Owner City of Decatur Illinois a Municipal Corporation <br /> County Macon <br /> Parcel No. 0442-22-253-003 <br /> We order and direct the payment from Ameren Illinois for an Easerpe nt consisting of 0.267 acres located in <br /> Macon County, Illinois, as right of way for Ameren, for the total sum of -t-ou.- Th ov S(X x c f <br /> ' Dollars <br /> ($ (1O )to be distributed as follows: <br /> Party and Interest S.S.N. or E.I.N. Amount <br /> 06 <br /> L 'Wk? <br /> Sig re Signature <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 vou have any questions or need additional information lease feel free to call VolkertInc. at 618.345.8918 <br /> Easement Amount $ <br /> Damages Amount $ <br /> Total $ <br /> Detailed Damages Description <br /> Easement No. 16.01 Line Name-Number. Decatur E Main St-Decatur Rt51 - 1416 <br />