Amendment to Rightofway Grant

AMENDMENT TO RIGHTOFWAY GRANT

STATE OF LOUISIANA

PARISH OF EAST BATON ROUGE

KNOW ALL MEN BY THESE PRESENTS:

That, pursuant to L.R.S. 41:1173, 36:1, 36:4, 39:8, 39:11(c) and 41:1:

Reference is hereby made for all purposes to that certain RightofWay Grant No. ______from the State of Louisiana, to ______, dated ______, recorded in COB ______, Entry No. ______, of the Records of ______Parish, Louisiana.

WHEREAS, since the execution of said RightofWay Grant No. ______it has been necessary to ______

______, and

WHEREAS, this alteration results in an additional consideration of ______which amount is hereby tendered,

WHEREAS, the Administrator of the State Land Office is agreeable to amending said RightofWay Grant No. ______so as to provide for this alteration,

NOW, THEREFORE, for the consideration heretofore paid to the State of Louisiana, said RightofWay Grant No. ______dated ______is hereby amended per the attached drawing dated ______which is made a part hereof for all purposes.

As hereby amended, said RightofWay Grant No. ______dated ______is hereby declared to be in full force and effect as of this date.

IN WITNESS WHEREOF, the STATE OF LOUISIANA has executed this Amendment to RightofWay Grant No. ______on this ______day of ______, ______.

WITNESSES to the signature of the

Administrator of the State Land Office:

______

Printed Name: Adam Cox

______

ADMINISTRATOR, STATE LAND OFFICE

Printed Name: Jonathan Robillard

______

Printed Name:______

ACKNOWLEDGMENT FOR THE ADMINISTRATOR OF THE STATE LAND OFFICE

STATE OF LOUISIANA

PARISH OF EAST BATON ROUGE

BEFORE ME, the undersigned authority, personally came and appeared Adam Cox, who by me being

first duly sworn, deposed and said:

That he is one of the witnesses to the execution of the foregoing instrument and that he saw Jonathan Robillard sign said instrument as Administrator of the State Land Office in the presence of appearer and the other

subscribing witness.

Sworn to and subscribed before me on this the

______day of ______, ______.

______

Signature of Witness

Printed Name: Adam Cox

______

Notary Public

IN WITNESS WHEREOF, GRANTEE has executed this Amendment to Right-of-Way Grant No. ______

on this _____ day of ______, ______.

WITNESSES:

______

Printed Name:______

GRANTEE

Printed Name:______

______

Printed Name:______

ACKNOWLEDGMENT FOR CORPORATE GRANTEE

STATE OF ______

______OF ______

BEFORE ME, the undersigned authority, personally came and appeared ______, who by

me being first duly sworn, deposed and said:

That he/she is one of the witnesses to the execution of the foregoing instrument and he/she saw ______

______execute said instrument as______of ______

as the free act and deed of said corporation in the presence of appearer and the other subscribing witness.

Sworn to and subscribed before me on this the

______day of ______, ______.

______

Signature of Witness

Printed Name:______

______

Notary Public

Printed Name:______

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