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HomeMy WebLinkAboutResolution - 1488 - Deed - TDHPT - 3,064.57 Sq Ft Lots 3-4 Block 3 Country Club Addition - 09_22_1983RESOLUTION 1488 - 9/22/83 Q DGV:cl RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock a Deed conveying some 3,064.57 square feet, more or less, of land out of part of lots 3 and 4 in Block 3, Country Club Addition, recorded in Volume 155 Page 248 of the Deed Records of Lubbock County, in favor of the Texas Department of Highways and Public Transportation, said Deed to be in a form that shall be acceptable to the City Attorney of the said City of Lubbock. Said 3,064.57 square feet, more or less, is more particularly described by metes and bounds as follows: BEGINNING at a point in the north line of said tract and in the west right-of-way of Avenue Q (Spur 326), said point being the northeast corner of said tract and 459.97 feet South 87°39'00" East of the northwest corner of said tract; 1. THENCE, South 32°46'40" West along the existing west right-of-way of Avenue Q (Spur 326) a distance of 118.53 feet to a point on the proposed west right-of-way of IH 27; 2. THENCE, North 2*23100" East along the proposed west right- of-way of IH 27 a distance of 102.20 feet to a point in the north line of said tract; 3. THENCE, South 87°39'00" East along the north line of said tract a distance of 59.97 feet to the point of beginning. Passed by the City Council this 22nd day of September,1983. AL N NRY, YOR ATTEST: Evelyn Gaffla, City SeEreta APPROVED AS TO CONTENT: Robert Massengale,,Assistant City Manager APPROVED AS TO FORM: lo l&dG . Van iver, Qnt Cit�Att rn September 12, 1983 MEMORANDUM OF AGREEMENT County of Lubbock Mr. Rodrick L. Shaw, County Judge 904 Broadway Avenue Lubbock, Texas 79401 City of Lubbock Mr. Alan Henry, Mayor 916 Texas Avenue Lubbock, Texas 79401 Dear Gentlemen: 0 County: Lubbock Highway No: IH 27 Location: From Loop 289 (N), South To 19th Street in Lubbock Project No: I 27-7(8)305 Account No: 9005-27-13 Parcel No: 191 Our negotiations for highway right of way across your property have progressed to the point that you have indicated a willingness to sign a deed in return for payment as agreed to in our previous discussions. It is thought to be in the best interests of both you and the State Department of Highways and Public Transportation to confirm this agreement in order to avoid any possible misun- derstanding as to the details of the purchase, or the process by which the State Department of Highways and Public Transportation will make payment. Your property consists of 3064.57 square feet of land located at 1100 North Avenue Q in Lubbock, Texas. The right of way being purchased by the State Department of Highways and Public Transportation has been thoroughly explained. The payment of $3051.00 as herein agreed to will constitute full payment to be made by the State Department of Highways and Public Transportation for the pro- perty to be conveyed to the State. The State and Owner have agreed to the following provisions: 1. That you will execute a general warranty deed to the State conveying clear title free of all defects, liens and encumbrances, except that oil, gas, and sulphur is reserved to you as provided in the Deed. 2. Save and Except, However, it is expressly understood and agreed that grantors are retaining title to the following improvements located on the above described property, to -wit: Landscaping Grantors covenant and agree to remove the above described improvements from said land by December 31, 1983, subject, however, to such exten- sions of time as may be granted by the State in writing; and if, for any reason, Grantors fail or refuse to remove same within said period of time prescribed, then, without any further consideration, the title to all or any part of such improvements not so removed shall pass to and vest in the State of Texas forever. Such extensions will be granted only upon a showing by Grantors or extenuating circumstances which in the opinion of the State will justify such extension. MEMORANDUM OF AGREEMENT Page 2 3. In consideration of the State's allowing Grantors to occupy the above - described land after its acquisition by the State, Grantors agree that such occupancy shall terminate not later than December 31, 1983, sub- ject, however, to such written extensions of time as the State may grant. Such extensions will be granted only upon a showing by Grantors of extenuating circumstances which in the opinion of the State will justify such extension. Grantors agree that occupancy shall be for their benefit exclusively, and the Grantors -acknowledge that said occupancy hereunder shall be for their sole benefit and that no payment has been made or is to be made to the State for use of said premises, and that any attempt to assign such benefit, or to lease, rent, sublet, or in any manner suffer or permit occupancy of the land or improvements thereon by a third party shall automatically suspend the operation of this provision, and the State shall then have immediate right of possession. With respect to any improvements located upon said land, title to which is to be acquired by the State, Grantors shall make every reasonable effort to keep such improvements in good repair and shall exercise such diligence as may be necessary to protect same from damage; however, Grantors shall not be responsible for damage or destruction as a result of fire or other acts of nature. Grantors agree that the State's employees or agents may make inspections of the premises from time to time, and that the State will be notified at the time Grantors vacate the premises. Grantors hereby acknowledge that their use of and access to the expressway lanes to be constructed in conjunction with the highway facility of which the land hereby conveyed shall become a part shall be and forever remain subject to the same regulation by legally constituted authority as applies to the public's use thereof; and Grantors further acknowledge that the design and operation of such highway facility as a Controlled Access Highway require that access from Grantor's remaining property to said highway facility shall be governed hence- forth as indicated in Paragraphs (A) and/or (B) hereinbelow; and all abutter's rights, including rights of ingress and egress and the right of direct access to and from Grantor's remaining property to said Controlled Access Highway -faci- lity, which have accrued or might otherwise accrue to Grantors, their heirs, successors or assigns are hereby waived, released and relinquished insofar as they appertain to Paragraph (B) hereinbelow: (A) Access to and from Grantor's remaining property will be permitted: To the remainder abutting the highway facility. (B) Access to and from Grantor's remaining property will be denied: Access will not be denied MEMORANDUM OF AGREEMENT Page 3 After payment of the above purchase price, you will be reimbursed for any fair and reasonable incidental expenses necessarily incurred in transferring title to the property to the State. Expenses eligible for reimbursement may include (1) recording fees, transfer taxes and similar expenses incidental to conveying such real property; and (2) penalty costs for prepayment of any pre-existing recorded mortgage entered into in good faith encumbering such real property. Voluntary unnecessary expenses or expenses incurred in clearing questionable title will not be eligible for reimbursement. Eligible incidental expenses will be reim- bursed upon submission of a claim supported by receipted bills or other evidence of actual expenses incurred. The payment of the amount herein stated and the terms herein provided constitute the only promises, consideration and conditions of this purchase, and no other promises, consideration or conditions have been promised or implied, save and except any benefits which may accrue under the State's relocation assistance program and the mutual benefits to be derived by State Department of Highways and Public Transportation and the owner from the signing of this instrument. The State without cost to the owner, will pay the cost of recording all instru- ments conveying title to the State. It is suggested that you carefully review the proposed right of way deed and satisfy yourself as to its provisions. With your signing of this letter and the execution of the deed, the State will proceed with the issuance of a State warrant, which will be made out jointly to the owners of the property and to Western Title Company, agent for USLife Title Insurance Company of Dallas. This company has been designated as the State's closing agent and is responsible to see that the State Department of Highways and Public Transportation obtains clear title. They will not endorse the warrant and make payment until clear title is secured. At the same time, you have the right not to endorse the warrant and accept payment until you are fully satisfied on all details of the transaction. Yours truly, Ben Alley District Erb ineer State Department of Highways and Public Transportation MEMORANDUM OF AGREEMENT Page 4 I fully understand the State Department of Highways and Public Transportation's proposal as contained in the above letter and acknowledge receipt of the Brochure, "Relocation Assistance Program". I understand that relocation benefits are handled entirely separate and in addition to this transaction and agree that my execution of the Right of Way Deed is based on this understanding. Count of Lubbock By: RUBRICK L. , ounty u ge Date: . ��� g-2, City o L,,bock By: NHENRY, mayor Date: f f COMMISSION ROBERT C. LANIER, CHAIRMAN ROBERT H. DEDMAN JOHN R. BUTLER, JR. OFFER TO PURCHASE STATE DEPARTMENT OF HIGHWAYS AND PUBLIC TRANSPORTATION Box 771 Lubbock, Texas 79408-0771 September 7, 1983 County: Lubbock Account: 9005-27-13 Project: 127-7(8)305 IH 27: From Loop 289 (N), South To 19th Street in Lubbock Parcel NO: 191 Lubbock County Mr. Rodrick L. Shaw, County Judge. 904 Broaday Avenue Lubbock, Texas 79401 Dear Sir: City of Lubbock Mr. Alan Henry, Mayor 916 Texas Avenue Lubbock, Texas 79401 ENGINEER -DIRECTOR MARK G-GOODE IN REPLY REFER TO FILE NO. In acquiring right of way for the Texas Interstate Highway System, the State Department of Highways and Public Transportation follows a definite procedure for appraising the land needed and for handling personal negotiations with each owner. As explained by the State's negotiator, Hector Serna, your property located at 1100 North Avenue Q in Lubbock Texas, is required for construction of Interstate Highway 27. We believe at this stage of purchase procedure it is mutually beneficial to con- firm that based on an appraisal(s) made by a.qualified appraiser(s) and an ana- lysis by the appraisal review staff both in this office and in our Austin office, the State is authorized to offer you $3,052.00 for your property. This amount is the full appraised fair market value for fee title to the property less oil, gas and sulphur. Any increase or decrease in fair market value of the property within the right of way caused by the Interstate Highway 27 project has been disregarded. The total offer of $3,052.00 represents $3,052,00 as value for the property to be purchased and $0.00 as payment for damages to your remaining property. ., This offer to purchase includes the improvements as listed below which kre con- sidered to be part of the real property. Since the improvements must be removed, it is the policy of the State Department of Highways and Public Transportation to permit owners to retain them. The retention values are the estimated amounts the improvements would bring if sold on public bids. Should you'wish to retain title to any of the following improvements and remove them from the right of way, the above offer will be reduced by the appropriate retention amounts. OFFER TO PURCHASE Improvement Amount to be Subtracted if Retained Landscaping $1.00 As required by law, it is the policy of the State Department of Highways and Public Transportation to negotiate with the owner of the land with the understanding that you will in turn negotiate with any lessees or others who may own any interest in the land or improvements except for utility easements and advertising sign leases. These will be handled separately by the Department. After the date of payment of the purchase price, you will be reimbursed for any fair and reasonable incidental expenses necessarily incurred in transferring the title to the State. Expenses eligible for reimbursement may include (1) recording fees, transfer taxes and similar expenses incidental to conveying such real property; and (2) penalty costs for prepayment of any pre-existing recorded mortgage entered into in good faith encumbering such real property. Voluntary unnecessary expenses or expenses incurred in clearing title will not be eligible for reimbursement. Eligible incidental expenses will be reimbursed upon sub- mission of a claim supported by receipted bills or other evidence of actual expenses incurred. You may be entitled to additional payment and services under the State's reloca- tion program. It is emphasized, however that any benefits to which you may be entitled to under this program will be handled entirely separate and in addition to this transaction. The Brochure, "Relocation Assistance Program", will advise you of eligibility requirements and payments and services which are available. Attached is a copy of State Department of Highways and Public Transportation booklet entitled "Right of Way Purchase" which we trust will give you a better understanding of the procedures followed by the department in purchasing right of way. Should you have any questions regarding the details as to the type of highway to be built or concerning the purchase transaction, please do not hesi- tate to ask Mr. Serna or myself. Yours truly, Ben Alley Dist�riic�t� ,Engineer Glenn Y. Johnson Right of Way Engineer District Five GYJ/HS/ddb Attachment Pa of Pages EXHIBIT County: Lubbock Highway: Interstate 27 Project Limits: From U.S. 62 (19th Street) to Loop 289 (North) Account: 9005-27-13 Field Notes for Parcel 191 BEING 3064.57 square feet, more or less, of land out of that certain tract of land situated in the City of Lubbock, Lubbock County, Texas, being out of part of lots 3 and 4 in Block 3, Country Club Addition, according to a map or plat of said Addition recorded in Volume 155, Page 248, of the Deed Records of Lubbock County, conveyed to the County of Lubbock and the City of Lubbock by J. D. Slaughter and wife, Sammie Slaughter, by deed dated December 19, 1955, recorded in Volume 603, Page 691 of the Deed Records of Lubbock County, Texas; said 3,064.57 square feet, more or less, being more particularly described by metes and bounds as follows: BEGINNING at a point in the north line of said tract and in the west right- of-way of Avenue Q (Spur 326), said point being the northeast corner of said tract and 459.97 feet South 87039'00" East of the northwest corner of said tract; 1) THENCE, South 32046'40" West along the existing west right-of-way of Avenue Q (Spur 326) a distance of 118.53 feet to a point on the proposed west right-of-way of IH 27; 2) THENCE, North 2023'00" East along the proposed west right-of-way of IH 27 a distance of 102.20 feet to a point in the north line of said tract; 3) THENCE, South 87039'00" East along the north line of said tract a distance of 59.97 feet to the point of beginning. KEMPER STREET S 87'39"C"E - S 8T° 39' 001, E 400.00' j 1 .0Conc. Walk - - _ _ 19.1' n k n F II. ' 19.0' — REMAINDER T.KiNG 3 50 I I N 2t' 12 0 11 10 9 12.1; 8 7 6 5 4 WOOD SHED �iI i�oN GRASS ASPHALT li ICHAIN LINK No �y3, 50.0' I ASPHALTS ^�- /BRICK BLDG. o I I / 3 ► io o N I I i Mti0 c c 031 I I I 11 i W `a I I O 1 1 a- STA.406.66.24 I i I I I d 476.89' 0 I I o / T71 7 T 6. C nC Walk ,y 1� / / J / ALLEY CLOSED 69` p — /— GRASS N„ L J� —( �— — — L L — ' 6Ar — I 1 T o 7 .6`— I 15 I 16 111 I 17 v MiiCT 0—A.C. 18 Y t 20 / I J 13 14 ! 172' 137.2' .OI' 19 I �406-00 41.5 w I r j o, I ,ASPHALT/ I( / O Parcel No.191 Q M,' j 1 4 I I j "' `0 tv The County of Lubbock & City of Lubbock a l I I -142' I (-STORY BRIICK BUILDING I 7 Q Country Club Addition Z Z,I IY I I N q i 1 I a7' Prts. of Lots 3-5 19 81 20, 81 All of Lots 6-18; Blk. 3 N Job No. 9005-27-13 io I I I I 1 BRICK PLANTER I.H.27 3 ,. Lubbock Co. I�q I o 1 I 27.0' 1 171.1' I v i a° Taking 3064.57 S.F. 29, I �ry `0, Remainder 97,610.43 S.F. I 62.3' I I I m5.0 conc. Walk I 0 I y 12.0' I �0 I -82'Cono. Walk g t 1 I O. r i n Scalc 1" 30' r� ' 15.6 3 23.4 Cone. ik . N 87°39'00"W 305.65' • ' JARVIS STREET 'y � 2 31983 State Department of Highways Lubbock County and Public Transportation 9005-27-13 Form D-15-12 (Partial Taking) I 27-7(8)305 Page 1 of 6 Parcel 191 Rev. 7-75 COPY DEED CONTROLLED ACCESS HIGHWAY FACILITY THE STATE OF TEXAS COUNTY OF LUBBOCK �( WHEREAS, the State Highway and Public Transportation Commission has been authorized under House Bill 179, Acts of the 55th Legislature, Regular Session, 1957 (Article 6674w-1, et seq., Vernon's Annotated Civil Statutes of Texas) to purchase land and such other property rights deemed necessary for the purposes of facilitating the con- struction, maintenance and operation of Controlled Access Highways; and, WHEREAS, the purchase of the hereinafter described premises has been deemed necessary by the State Highway and Public Transportation Commission for the purposes of facili- tating the construction, maintenance and operation of a Controlled Access Highway facility; NOW, THEREFORE, KNOW ALL MEN BY THESE PRESENTS: That, The County of Lubbock, a political subdivion of the State of Texas; and, the City of Lubbock, a municipal corporation, existing under the laws of Texas of the County of Lubbock , State of Texas, hereinafter referred to as Grantors, whether one or more, for and in consideration of the sum of Three Thousand Fifty-one and No/100------------ ($ 3,051.00 ) Dollars, to Grantors in hand paid by the State of Texas, acting by and through the State Highway and Public Transportation Commission, receipt of which is hereby acknowledged, and for which no lien is retained, either expressed or implied, have this day Sold, and by these presents do Grant, Bargain, Sell and Convey unto the State of Texas, all that certain tract or parcel of land lying and being situated id the County of Lubbock , State of Texas, more particularly described as follows, to wit: See Attachment - Exhibit "A" Page 2 of 6 Pages EXHIBIT A County: Lubbock Highway: Interstate 27 Project Limits: From U.S. 62 (19th Street) to Loop 289 (North) Account: 9005-27-13 Field Notes for Parcel 191 BEING 3064.57 square feet, more or less, of land out of that certain tract of land situated in the City of Lubbock, Lubbock County, Texas, being out of part of lots 3 and 4 in Block 3, Country Club Addition, according to a map or plat of said Addition recorded in Volume 155, Page 248, of the Deed Records of Lubbock County, conveyed to the County of Lubbock and the City of Lubbock by J. D. Slaughter and wife, Sammie Slaughter, by deed dated December 19, 1955, recorded in Volume 603, Page 691 of the Deed Records of Lubbock County, Texas; said 3,064.57 square feet, more or less, being more particularly described by metes and bounds as follows: BEGINNING at a point in the north line of said tract and in the vest right- of-way of Avenue Q (Spur 326), said point being the northeast corner of said tract and 459.97 feet South 87039'00" East of the northwest corner of said tract; 1) THENCE, South 32046'40" Nest along the existing west right- of-way of Avenue Q (Spur 326) a distance of 118.53 feet to a point on the proposed west right-of-way of IH 27; _ 2) THENCE, North 2023'00" East along the proposed west right-of- way of IH 27 a distance of 102.20 feet to a point in the north line of said tract; 3) THENCE, South 87039'00" East along the north line of said tract a distance of 59.97 feet to the point of beginning. F,drm D-15-12 (Partial Taking) Page 3 of 6 Rev. 3-62 SAVE and EXCEPT, HOWEVER, it is expressly understood and agreed that Grantors are retaining title to the following improvements located on the above described property, to wit: Landscaping Grantors covenant and agree to remove the above described improvements from said land by December 31 , 19 83 , subject, however, to such extensions of time as may be granted by the State in writing; and if, for any reason, Grantors fail or refuse to remove same within said period of time prescribed, then, without any further consideration, the title to all or any part of such improvements not so removed shall pass to and vest in the State of Texas forever. Form D-15-12 (Partial Taking) Page 4 of 6 Rev. 3-67 Grantors hereby acknowledge that their use of and access to the expressway lanes to be constructed in conjunction with the highway facility of which the land hereby conveyed shall become a part shall be and forever remain subject to the same regulation by legally constituted authority as applies to the public's use thereof; and Grantors further acknowledge that the design and operation of such highway facility as a Controlled Access Highway require that access from Grantor's remaining property to said highway facility shall be governed henceforth as indicated in Paragraphs (A) and/or (B) herein - below; and all abutter's rights, including rights 6f ingress and egress and the right of direct access to and from Grantor's remaining property to said Controlled Access Highway facility, which have accrued or might otherwise accrue to Grantors, their heirs, successors or assigns are hereby waived, released and relinquished insofar as they appertain to Paragraph (B) hereinbelow: (A) Access to and from Grantor's remaining property will be permitted: To the remainder abutting the highway facility. (B) Access to and from Grantor's remaining property will be denied: Access will not be denied. Grantors reserve all of the oil, gas and sulphur in and under the land herein conveyed but waive all rights of ingress and egress to the surface thereof for the purpose of exploring, developing, mining or drilling for same; however, nothing in this reserva- tion shall affect the title and rights of the State to take and use all other minerals and materials thereon, therein and thereunder. Form D-15-12 (Partial Taking Page 5 of 6 Rev. 4-75 TO HAVE AND TO HOLD the above described premises herein conveyed together with all and singular the rights and appurtenances thereto in anywise belonging, unto the State of Texas and its assigns forever; and Grantors do hereby bind ourselves, our heirs, executors, administrators, successors and assigns, to Warrant and Forever Defend all and singular the said premises herein conveyed unto the State of Texas and its assigns against every person whomsoever lawfully claiming or to claim the same or any partthereof. 11% W NE�F, this instrument is executed on this the �'% day of , 19 83 un Lu cc City bo BY jF B RODRICK L. SHAW, County Judge AL4K HENRY, kayor SINGLE ACKNOWLEDGMENT THE STATE OF TEXAS County of - Lubbock ( Before me, _ /NEr �A7_14off __, a notary public in and for said County and State, on this day personally appeared __Rodrick L._Shawi_County —Judgee_ LubbQck_Coslntv_,—TQxas known to me (or proved to me on the oath of a credible witness) to be the person ___ whose name --_ _ is __subscribed to the foregoing instrument and acknowledged to me that __he__-_ executed the same for the purposes and consideration therein expressed, and 1 e capacit therein stated. Given under my hand and seal of office, this the f'= day of t�ZE 19 J 3 Lubbock Notaryv Public in and for _____-_____________ ----- _---- -------- - --- _---- County, Texas. SINGLE ACKNOWLEDGMENT THE STATE OF TEXAS County of - Lubbock— Before me, a notary public in and for said County and State, on Alan Henry, Mayor, City of Lubbock, Texas this day personally appeared ----------_-_- --__-�-� —�- --� known to me (or proved to me on the oath of _—__—_____--_—__________—, a credible witness) to be the person ^ whose name — is subscribed to the foregoing instrument and acknowledged to me that —he____ executed the same for the purposes and consideration therein expressed, and ie capacitv th ri n stated. Given under my hand and seal of office, this the dal of 119 —� Lubbock __ �^ _T County, Texas. Notary Public in and for _________.____.___ y Form D-15-12 (Partial Taking) Page 6 of 6 Rev. 3-62 CORPORATION ACKNOWLEDGMENT STATE OF TEXAS County of BEFORE ME, the undersigned authority, a notary public in and for_______—______________ ------- County, Texas, on this day personally appeared______—___ ___—_—_____ —_, of——______� ________—____�_______, known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that the same was the act of the said _____—____—_ ------- _____--_________, a corporation and that he ev.ecuted the same as the act of such corporation for the purposes and.consideration therein expressed, and in the capacity therein stated. Given under my hand and sea] of office, this the —________day of_________ ___--_—__—___, 19 2 tn 0 m m iH m I r� N �o a, o Z n H N 4 H N U o w 0 al � Z o fAj r 9s B 4 G F V ci x c� < a Notary Public in and for ENDORSEMENTS THE STATE OF TEXAS, County of 1 .____________—_____County, Texas. $4 N y Q y I i o 0 v i m � q F ICr.C� vl Gi I, Clerk of the County Court of said County, do hereby certify that the foregoing instrument of writing, dated the —___ day of _— ___A. D. 19___- with its authentication, was filed for record in my office on the _-_—day of______—__—, A. D. 19_— at_ __o'clock —_M., and duly recorded this the--- day of �_____ ____, A. D.19____ _ at__ --_o'clock .----- M., in the Deed Records of said County, in Volume _____ on Page___------. Witness my hand and the seal of the County Court of said County, at office in ________________�__________, Texas, the day and year last above written. Clerk of Court, _—_County, Texas. By ------- ----- - Deputy. STATE DEPARTMENT OF HIGHWAYS AND FORM 134 REV. 11-76 PUBLIC TRANSPORTATION MONTHLY STATEMENT BILLING INSTRUCTIONS: To Iscllllete handling and prompt payment show Department Order NO., Requi,lllon No, and So Co No. In spaces provided. Submit statement in quintuple; sign the original only. Submit a separate statement for each requisition. Charges for freight or sapnts, if any, must be supported by the prepaid freight or espress bill. . _ Name of Firm County of Lubbock, City of Lubbock Data September 12, I1 83 Address 904 Broadway Lubbock, Texas 79401 INVOICE DATE NUMSER DESCRIPTION QUANTITY UNIT PRICE AMOUNT DEPARTMENT ORDER NO. Parcel 191 Purchase of 3064.57 square feet, mo e or less, of land out of part of Lots 3 and 4 in Block 3 of the Country Club Addition, City of Lubbock, Lubbock County, Texas, Partial taking. Total Consideration 3,051 00 9005-27-13 I 27-7 8 305 ** City of bb k B: Alan Henry, Mayor YID # Ve Rodrick L. Shaw ** do hereby certify Ihet Rk. re owners . and thaffRAV (Title of Person Certifying) duly authorised to mate this certification Count of Lubbock . City of for and on behalf of }� CASH DISCOUNT DAYS TOTAL DUIS TION NO. BOARD OF CONTROL NO. (Name of payee company/claimant) 1 fuNher certify that the attached invoice is correct and the} it corresponds in every particular with the supplies and/or servicet contra Ned for. 1 further certify that •he account it true, correct, and unpaid. Co of Lu bo �'�►( i COST DISTRIBUTION a NO J Pat DETAIL COST ACCOUNTING CODES ANoUNT I AUTN Qu" ON cosr •ccuHuLAT.oN No p RESEARCH !0a MO /•NC[Lr uTarTT No NIGNWAY MO O O O ,tC O O •f FUNCTION 1.21 oa,ECT or EYRENDITURE Dp,A1 I.I N lEl , law N►R Lp (Data) Rodric('9V!"'Jhaw, Coun L PN GUt Ct DESIGNATOR AGENCY CERTIFICATION— I CERTIFY THAT THE ASOVL SERVICE$ ■ER[ RENDtR20,OR GOD'RECEI YED, AND TXAT TXLY CONRE a►OM0 IN [VE R7 PARTI CYLaR WITX TXE CONTRACT UNDER WHICH THEY WERE PROCURED AND 7XlT THE INVOICE It TRUE, AND UNPAID. ROW Engineer T I"CI•L JDOTN DC J 5 7013 400 336 1 3 05 0 Xa Y[ TITLE CALCULATIONS AND FOOTINGS v RIFILO— SUPPORTING DOCUMENTS ,OWPLIITEI aT