CCO FORM: RW01 COUNTY: Dallas

****DRAFT COPY****

Approved: 6/93 (TLP) ROUTE: 64

Revised: 03/10 (AR) PROJECT: Plad Maintenance

Modified: PARCEL: E80639 / 10867

QUITCLAIM DEED

THIS INDENTURE, made this day of , 20 , between the State of Missouri, acting by and through the MISSOURI HIGHWAYS AND TRANSPORTATION COMMISSION (the grantor), 105 W. Capitol Avenue, Jefferson City, Missouri 65102, party of the first part and (the grantee),

of the County of ______, State ______, party/parties of the second part,

WITNESSETH: In consideration of the payment of the sum of DOLLARS ($ ), the receipt of which is hereby acknowledged, the said party of the first part does hereby REMISE, RELEASE, AND FOREVER QUITCLAIM to the said party/parties, of the second part, a tract of land, lying situated and being in the County of DALLAS State of MISSOURI, to wit:

A TRACT OF LAND SITUATED IN THE NORTHWEST 1/4 OF THE NORTHEAST 1/4 OF SECTION 30, TOWNSHIP 35 NORTH, RANGE 18 WEST, IN THE COUNTY OF DALLAS, STATE OF MISSOURI, MORE PARTICULARLY DESCRIBED AS FOLLOWS:

COMMENCING AT A 2 1/2" ALUMINUM CAP AT THE NORTHEAST CORNER OF SECTION 30, TOWNSHIP 35 NORTH, RANGE 18 WEST; THENCE

N 87º 51' 22" W A DISTANCE OF 1331.48 FEET TO A POINT AT NORTHEAST CORNER OF THE NW 1/4 OF THE NE 1/4 OF SECTION 30, THENCE ALONG THE EAST LINE OF THE NW 1/4 OF THE NE 1/4, S 02º 27' 46" W, A DISTANCE OF 762.14 FEET TO THE INTERSECTION OF THE NORTH BOUNDARY LINE OF ROUTE 64; THENCE ALONG SAID NORTH BOUNDARY LINE, S 70º 07' 53" W, A DISTANCE OF 80.13 FEET TO AN IRON PIN WITH PLASTIC CAP, PLS 2002014099, FOR THE POINT OF BEGINNING. THENCE ALONG SAID NORTH BOUNDARY LINE, S 70º 07' 53" W, A DISTANCE OF 313.07 FEET TO AN IRON PIN WITH PLASTIC CAP, PLS 2002014099; THENCE LEAVING SAID NORTH BOUNDARY LINE, N 02º 47' 42" E, A DISTANCE OF 437.45 FEET TO AN IRON PIN WITH PLASTIC CAP, PLS 2002014099; THENCE N 67º 41' 34" E A DISTANCE OF 315.12 FEET TO A IRON PIN WITH PLASTIC CAP, PLS 2002014099; THENCE S 02º 20' 50" W , A DISTANCE OF 450.52 FEET TO THE POINT OF BEGINNING. CONTAINING, 2.93 ACRES MORE OR LESS.

TO HAVE AND TO HOLD THE SAME, with all and singular rights, immunities, privileges, and appurtenances thereunto belonging, unto the said party/parties of the second part, their heirs and assigns forever.

IN WITNESS WHEREOF, the said party of the first part has hereunto set its hand and seal the day and year first written above.

Form 4-7.3

MISSOURI HIGHWAYS AND

TRANSPORTATION COMMISSION

By ______

ATTEST:

By ______

Secretary to the Commission

Form 4-7.3

ACKNOWLEDGEMENT

STATE OF ______)

)SS

COUNTY OF ______)

On this ______day of ______, 20__, before me appeared ______, to me personally known, who being by my duly sworn did say that he/she is ______of Missouri Highways and Transportation Commission; that the seal affixed to the foregoing instrument is the official seal of said Commission; that said instrument was signed and sealed in behalf of said Commission by authority of said Commission, and that said ______acknowledged said instrument to be the free act and deed of said Commission.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal at my office in Cole County, the day and year first above written.

______

Notary Public

My commission expires: ______

Form 4-7.3