08'- og -D09. Application Number: fi00q- \j- 10
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1 -- - EXHIBIT 1 9- Public Works and Transportation Department Office Use Only REAL PROPERTY SECTION Date Application 115 South Andrews Avenue (Room 326) Ft. Lauderdale, FL Accepted: Phone FAX '- og -D09 Application Number: fi00q- \j- 10 ndonme nt of Strc 2ase cf I Public E nron eyways, Roads or Other. Places Used fo ts r and P 'rivate P latted E;?semen1 ts or Intc Travel?rests(6 Petitioners (owners): " PEP I Petitioner : Wal-Mart Stores, Inc. 1 Folio(s): I contact: David Ewing Address: Depi 4703,2001- SE loth Street ' Important: Proof of Property Ownership required. Note: For Co-Petit!oaers/Owners, complete additional PetitionersIOwner Information page(s). I Phone: (479) Fax: (479) david.ewine@.wal-mart.com... ent for Petitioners: City/State/Zip: Ft. Lauderdale, FL Note: Proof of Agent Authorization by Petitioners required. Fax: (954)
2 The undersigned Peititoner(s) has fully reviewed the Instructions concerning the Application for Vacation and Abandonment and understands that the Application must be complete and accurate prior to Broward County acceptance and review. The undersigned hereby petitions the Broward County Board of County Commissioners to vacate and abandon the property described herein. By signing as Petitioner(s), the undersigned certifies authenticity of ownership and, when applicable, authorized the Agent to be its representative in this Application to Vacate and Abandon process. ~iiness ,Regional Vice President WAL-MART STORES, INC. :' - '(print signer's name)
3 PETITIONER ACKNOWLEDGMENT (By Business or Government Entity) State County T' 12pz7 jcfl 1 herby certify that on this day personally appeared before me, an officer duly authorized to administer oaths and take acknowledgments, J. Chris Callaway (Name), as Resional Vice President (Title) of Wal-Mart Stores. Inc. (Name of Entity), a Delaware corporation (type of corporation1 partnership1 government), on behalf of the business or government entity, who being first duly sworn by me this day, deposes and states that slhe is authorized on behalf of the business or government entity as Petitioner(s) I the foregoing Application for Vacation and Abandonment. S/he is K] personally known to me, or [ ] has produced as identification. The foregoing instrument was acknowledged before me this ic dayof 2 0 ~ 5. (SEAL) My commission expires: i \, / I.C.;,'~ i - NOTARY PUBLIC, STATE OF FLORIDA L.' :.' ); ' (Signature) '.- ' S ) 1 ; \-I:.+..,,.1b,/. (Print Name). -. (Serial Number, if applicable)
4 DELEGATION OF SIGNATURE AUTHORITY I, Carl R Muller, being n Vice President of Wal-Mart Stores, Inc.; Wal-Mart Real Estate Business Trust; Wal-Mart TRS, LLC; Wal-Mart Realty Company; Wal-Mart Property Company; Wal-Mart Stores Arkansas, LLC; Wal-Mart Stores Texas, LLC; Wal-Mart Stores East, LP; Wal-Mart Louisiana, LLC; WSE Managcment, LLC ("WSE"); Wal-Mart Stores East, hc. Sam's Real Estate Business Trust; Sam's lxs, LLC Sam's East, b~c.; Sam's West, Inc.; Sam's Properly Company and Sam's PW, Inc. (collectively, "Company"). do hereby delegate to: John E. Clarke J. Chris Callaway Michael E. Gardner Shsnnon E. Letts Brian E. Hooper authority to execute all instruments requiring execution by the Company, in connection with the purchase, sale or leasing of real estate or the construction related thereto, including but not limited to all contracts, checks or demands for money, notes, bonds or other obligations, and mortgages on behalf ofthe Company. This delegation shall supersede and revoke any signature authority previously given to those listed above. All acts and transactions of iedividuals above, which were taken or made in good faith and prior to the formal delegation of authority to individual that are consistent with this delegation are hereby ratified and approved. 4 Carl R. Muller Vice President b Subscribed and sworn before me thi&ay o&~~nn{'&2m)~ My commission expires:
5 AFFIDAVIT TO AUTHORIZE PETITIONER(S) AGENT I, We Wal-Mart Stores. Inc., a Delaware corporation, the property owner(s) of property to be vacated in the subject Application for Vacation and Abandonment, being duly sworn, depose(s) and say(s): 1. That I, We am, are the owner(s) and record title holder(s) of the lands that are to be vacated and abandoned. My, our Folio Number(s) is, are as follows: That 1, We do hereby appoint the following Agent to act on my, our behalf in the processing of the subject Application for Vacation and Abandonment to Broward County Board of Commissioners: Name: Ruden McCloskv Smith Schuster & Russell. PA Address: 200 E. Broward Boulevard 15th lo or Citv/State/Zip: Ft. Lauderdale, FL Telephone: (945) Contact Person: Susan P. Motlev, Esq. andlor Kim Glas-Castro. AlCP WAL-MART STORES. INC. Name of Petitioner/Owner(s) n / STATEOF i&\~n.,i COUNTYOF 7Z,,i-';t!-.!l ) J. Chris Callaway. Fleaion3 Vice President Print Signature Name., j '? day of -;.,i c;': The foregoing instrument was acknowledged before me this i 5 day of.::;t-.,c: 2003, by J. Chris Callaway, as Regional Vice President of Wal-Mart Stores, Inc., who-is-personally.-.. known - to me or has produced as identification , '?,, *:,.,,.,.;.:..&- ;:,-,-?*'../%.* +._&.,L &+.,./ ',., $-. -., Print Name k,' Title Serial No..,,vlj.,4,,, h /CL,.].-{.
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