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1REAL PROPERTY VOUCHER AGREEMENT <br />AGENCY NAME <br />I hereby agree to the terms and conditions listed below and <br />certify under penalty of perjury that the items and amounts <br />Kittitas County Public Works <br />listed herein are proper charges, that the same or any part <br />411 N. Ruby St., <br />thereof has not been paid, and that I am authorized to sign <br />Ellensburg, WA 98926 <br />for the Claimant: <br />(Sign in ink) <br />By: <br />GRANTOR or CLAIMANT <br />Windy City Holdings, LLC <br />1410 W. Dolarway Rd., Suite 301. <br />(Date) <br />Ellensburg, WA 98926 9426 <br />Its:dw+ <br />PROJECT TITLE: <br />Tax IDs #: 962710 and 962712 <br />PARCEL: 1 <br />Whiskey Creek Siphon <br />In Full, Complete and Final Payment and Settlement for the Title or Interest Conveyed or <br />AMOUNT <br />Released, as Fully Set Forth In: Right of Way Easement and Temporary Construction <br />Easement <br />Dated: <br />For All Lands Conveyed: <br />Temporary Construction Easement (TCE) 24,501 sq. ft <br />+$1,200.00 <br />Fee Acquisition 9,230 sq. ft. <br />+$15,000.00 <br />For All Damages: N/A <br />+$0.00 <br />JUST COMPENSATION <br />$16 00.00 <br />Legal/Administrative: <br />Administrative Settlement <br />$2,144.08 <br />FINAL SETTLEMENT (Sub -total) <br />$18,344.08 <br />Other Items: <br />OTHER ITEMS <br />$ 0.00 <br />Dedications: <br />DEDICATION <br />$ 0.00 <br />TOTAL AMOUNT TO BE PAID: <br />$18 344.08 <br />Kittitas County agrees to the terms and conditions listed <br />above: <br />Joshua Fredrickson, P.E., Director of Public Works Date <br />0 Original — Public Works 13 Property Owner ❑ File <br />