Record #: O2022-657   
Type: Ordinance Status: Passed
Intro date: 2/23/2022 Current Controlling Legislative Body: Committee on Transportation and Public Way
Final action: 3/23/2022
Title: Opening of public street(s) within area bounded by N Overhill Ave, W Clarence Ave and N Canfield Rd
Sponsors: Napolitano, Anthony V.
Topic: STREETS - Openings
Attachments: 1. O2022-657.pdf

PUBLIC STREET OPENING

 

 

WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and

 

WHEREAS, the City can enhance public access by opening new rights of way or widening existing rights of way; and

 

 

WHEREAS, the City purchased a portion of certain parcels in 2020, as described in the Warranty Deed hereto attached as EXHIBIT A from the owners; and

 

 

WHEREAS, the City seeks to use said acquired portion to widen W. Clarence Avenue between N. Canfield Avenue and N. Overhill Avenue for emergency vehicle access (CDOT File 01-41-13-3629); now therefore

 

 

BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:

 

 

SECTION 1. The opening of public right of way described as

 

THE WEST 80.00 FEET OF THE EAST 276.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, AND THE NORTH 9.00 FEET (MEASURED PARALLEL WITH THE NORTH LINE THEREOF) OF THE EAST 196.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, OF THE SOUTH 53.07 FEET OF THAT PART OF THE NORTHWEST Vi OF SECTION 1, TOWNSHIP 40 NORTH, RANGE 12, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS, THAT IS DESCRIBED AS FOLLOWS:

 

BEGINNING AT A POINT IN A LINE DRAWN PARALLEL WITH AND 993.49 FEET WEST OF THE EAST LINE OF SAID NORTHWEST % AS MEASURED PARALLEL WITH THE NORTH LINE THEREOF, 972.75 FEET SOUTH OF THE NORTH LINE OF SAID NORTHWEST V* AS MEASURED ALONG SAID PARALLEL LINE; THENCE SOUTH PARALLEL WITH THE EAST LINE OF SAID NORTHWEST %, 93.07 FEET; THENCE WEST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST 1/4, 453.60 FEET TO THE CENTER LINE OF CANFIELD ROAD (N. CANFIELD AVENUE); THENCE NORTHEASTERLY ALONG THE CENTER LINE OF CANFIELD ROAD (N. CANFIELD AVENUE) TO A LINE DRAWN THROUGH SAID POINT OF COMMENCEMENT AND PARALLEL TO THE NORTH LINE OF SAID NORTHWEST 1/i; THENCE EAST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST Vi TO THE POINT OF BEGINNING as shaded and legally described by the words "HEREBY OPENED" on the Plat Of Opening hereto attached as EXHIBIT B, which plat for greater

 

certainty, is hereby made a part of this ordinance, be and the same is hereby opened to vehicular traffic as the same is intended for public use and the public interest will be subserved by such opening.

 

 

SECTION 2. The opening to public traffic herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, the Chicago Department of Law shall file or cause to be filed for record in the Office ofthe Cook County Clerk Recordings Division a certified copy of this ordinance and all exhibits.

 

 

SECTION 3. This ordinance shall take effect and be in force from and after its passage and publication. The opening shall take effect upon its recording.

 

 

 

Opening Approved:

Gia Biagi Commissioner

Department of Transportation

 

 

 

Introduced By:

 

 

 

Honopaole Anthony Napolitano Alderman, 4tfst Ward

 

Warranty Deed Illinois Statutory

 

Doc* 2005516191 Fee *8S.80

RHSP FEE:$9.ee RPRF FEE: fl.ee

EDUARD H. MOODY

COOK COUNTY REC0R0ER OF DEEDS

date: ea/"a<i/aeae 63:17 pm pc:  i of e

 

GIT

 

 

THE GRANTOR(S), Healy & McMahon, LLC, an Illinois limited liability company, ofthe City of Chicago, County of Cook, State of Illinois, and Brian Hcaly and Bridget Healy, Husband and Wife, of the City of Chicago, County of Cook, State of Illinois for and in consideration of TEN & 00/100 DOLLARS, and other good and valuable consideration in hand paid, CONVEY(S) and WARRANT'S) to

 

 

CITY OF CHICAGO, AN ILLINOIS MUNICIPAL CORPORATION

 

 

(GRANTEE'S ADDRESS) 121 N. LaSalle Street, Room 600, Chicago, Illinois 60602, ofthe County of Cook, all interest in the following described Real Estate situated in the County of Cook in the State of Illinois, to wit:

 

 

[SEE ATTACHED "EXHIBIT A - LEGAL DESCRIPTION"]

 

 

PIN:   12-01-105-089-0000 and 12-01-105-090-0000

Property Address: 6226 North Ozanam Avenue, Chicago, Illinois 60631

 

Hereby releasing and waiving all rights under and by virtue of the Homestead Exemption Laws ofthe State of Illinois.

_2020

Exempt under provisions of Paragraph _J^_ Section 4,
Real EstateTransfer^cL^    .
                     .

Date                     Buyer. Seller or Representative

 

 

SUBJECT TO:       easements, covenants, conditions and restrictions of record, if any, and general real estate taxes accrued on the date of this Warranty Deed and thereafter

 

 

 

Dated this                     Day of februk**

 

 

 

[SIGNATURE PAGE TO FOLLOW)

 

- n ^ =°       "° !"

fan ^

 

Healy & McMahon, LLC, an Illinois limited liability company Bv: Brian Healy, individually and as Member and Manager

 

 

 

 

 

Healy & McMinon, LLC, anlllinois limited liability company By: Bridget Healy, individually and as Member

Brian Healy

 

 

 

Bridget H

 

 

 

 

 

 

pc» i cgTATE TRANSFER TAX                     2-^~T

^uonru                     21-FeW»20                                          jTSZ                     CHICAOO: 000

REAL ESTATE TRANSFERTAX                                          _                     ±                                          ggSk                     CTA"                     0 00

                     COUNTY:                     000                     gjggi 000.

J9k     i®V                     U.UN04S:                     000 TOTAL:                      

G»     ^                     TOTAL: _     _  000                     " tt^BMEMMol 20200201620103 | 0*30-»*>-W

" -^iOMBMOMT no20b201620l03 | 1-WW08-992                     Total ^ not mdude any appOeabte P-natty o, mtar.rt due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

STATE OF ILLINOIS, COUNTY OF COOK ss.

 

I, the undersigned, a Notary Public in and for said County, in the State aforesaid, CERTIFY THAT

 

 

Brian Healy

personally known to me to be the same person(s) whose name(s) is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered the said instrument as his free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.

Given un    niy linn J nntfi-ttffi^nJ.ifjU. this     1 i                     day of _ QJdfy^n                     2020

OTARY PUBLIC

OFFICIAL SEAL
JACQUELINE WILLIAMS
NOTARY PUBLIC - STATE Of ILLINOIS
<    MY COMMISSION EXPIRES:05/18/23
<^/wv^,»w^Wt^%A^^                     <

 

ss.

STATE OF ILLINOIS, COUNTY OF COOK

 

 

I, the undersigned, a Notary Public in and for said County, in the State aforesaid, CERTIFY THAT

 

Bridget Healy

OFFICIAL SEAL MY COMMISSION EXPiSf.

personally known to me to be the same person(s) whose name(s) is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered the said instrument as his free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.

Given under my hTUirlnrjfUffioinHril, this      I                     day of  febfUarU                     2020

TARY PUBLIC

- IMP

Prepared By:     Daniel B. Pappano

SMITH, HEMMESCH, BURKE & KACZYNSKI 10 South LaSalle Street Suite 2660

Chicago, IL 60603-6304

 

Mall To:

(2-1 A/. La Stiff ?/ ,4m ivo

 

Name <£ Address of Taxpayer:

I A) JO. uS*l&&tm kOO
Attn                     if P/omin                     

 

3

 

STATEMENT BY GRANTOR AND GRANTEE

 

2Q^QSignalure:

The grantor or his agent affirms that, to Ihe best of his knowledge, (he name of Ihe grantee shown on the deed assignment of beneficial interest in land trust is either fl. natural person, and Illinois corporation or foreign corporation authorized lo do business or acquire and hold title to real estate in Illinois, a partnership authorized lo do business or acquire and hold title to real estate in Illinois, or other entity recognized as a person and authorized to do business or acquire title lo real estate under (he laws of the State of Illinois.

Dated

KlUH

\ iflttComii-vJu:' "••l', v »

Subscribed and sworn to before Me by (he said \$Fir>r**ar this J2EC«ay of fS^yrft rT 20 ?Q '

NOTARY PUBLIC

 

Thc Grantee or his agent affirms and verifies lhat the name of the grantee shown on the deed or assignment of beneficial interest in a land trust is either a natural person, an Illinois corporation or foreign corporation authorized to do business or acquire and hold title to real estate in Illinois a partnership authorized to do business or entity recognized as a person and authorized to do business or acquire and hold title to real estate under the laws ofthe Slate of Illinois.

Dale                     ^ V^P                     , 20Q£)l Signature:                     ~"      ' "~

lanlec or Agent

Me by the said Cwbg/UAT This .gt^ay of j^bfUAW

Subscribed and sworn to before                     ^^^^.^.

<: "nr'i-

Me by the said ^\Pb " This_£ 20_fiD

NOTARY PUBLIC VT^fW.

 

NOTE: Any person who knowingly submits a false statement concerning the identity of grantee shall be guilty of a Class C misdemeanor for the first offense and of a Class A misdemeanor for subsequent offenses. (Attach to deed or AB1 lo be recorded in Cook County, Illinois if exempt under provisions of Section 4 ofthe Illinois Real Estate Transfer Tax Act.)

 

EXHIBIT "A"

 

 

THE WEST 80.00 FEET OF THE EAST 276.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, AND THE NORTH 9.00 FEET (MEASURED PARALLEL WITH THE NORTH LINE THEREOF) OF THE EAST 196.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, OF THE SOUTH 53.07 FEET OF THAT PART OF THE NORTHWEST 1/4 OF SECTION I, TOWNSHIP 40 NORTH, RANGE 12, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS, THAT IS DESCRIBED AS FOLLOWS:

BEGINNING AT A POINT IN A LINE DRAWN PARALLEL WITH AND 993.49 FEET WEST OF THE EAST LINE OF SAID NORTHWEST 1/4 AS MEASURED PARALLEL WITH THE NORTH LINE THEREOF, 972.75 FEET SOUTH OF THE NORTH LINE OF SAID NORTHWEST 1/4 AS MEASURED ALONG SAID PARALLEL LINE; THENCE SOUTH PARALLEL WITH THE EAST . LINE OF SAID NORTHWEST 1/4, 93.07 FEET; THENCE WEST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST 1/4, 453.60 FEET TO THE CENTER LINE OF CANFIELD ROAD; THENCE NORTHEASTERLY ALONG THE CENTER LINE OF.CANFIELD ROAD TO A LINE DRAWN THROUGH SAID POINT OF COMMENCEMENT AND PARALLEL TO THE NORTH LINE OF SAID NORTHWEST 1/4; THENCE EAST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST 1/4 TO THE POIN T OF BEGINNING.

 

 

 

 

Property address: 6226 North Ozanam Avenue, Chicago, IL 60631 Tax Number: 12-01-105-089-0000

Property address: 6225 North Ozanam Avenue, Chicago, IL 60631 Tax Number: 12-01-105-090-0000

 

 

 

 

PUBLIC STREET OPENING

 

 

WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and

 

WHEREAS, the City can enhance public access by opening new rights of way or widening existing rights of way; and

 

 

WHEREAS, the City purchased a portion of certain parcels in 2020, as described in the Warranty Deed hereto attached as EXHIBIT A from the owners; and

 

 

WHEREAS, the City seeks to use said acquired portion to widen W. Clarence Avenue between N. Canfield Avenue and N. Overhill Avenue for emergency vehicle access (CDOT File 01-41-13-3629); now therefore

 

 

BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:

 

 

SECTION 1. The opening of public right of way described as

 

THE WEST 80.00 FEET OF THE EAST 276.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, AND THE NORTH 9.00 FEET (MEASURED PARALLEL WITH THE NORTH LINE THEREOF) OF THE EAST 196.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, OF THE SOUTH 53.07 FEET OF THAT PART OF THE NORTHWEST 1/4 OF SECTION 1, TOWNSHIP 40 NORTH, RANGE 12, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS, THAT IS DESCRIBED AS FOLLOWS:

 

BEGINNING AT A POINT IN A LINE DRAWN PARALLEL WITH AND 993.49 FEET WEST OF THE EAST LINE OF SAID NORTHWEST V* AS MEASURED PARALLEL WITH THE NORTH LINE THEREOF, 972.75 FEET SOUTH OF THE NORTH LINE OF SAID NORTHWEST Ya AS MEASURED ALONG SAID PARALLEL LINE; THENCE SOUTH PARALLEL WITH THE EAST LINE OF SAID NORTHWEST %, 93.07 FEET; THENCE WEST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST 1/4, 453.60 FEET TO THE CENTER LINE OF CANFIELD ROAD (N. CANFIELD AVENUE); THENCE NORTHEASTERLY ALONG THE CENTER LINE OF CANFIELD ROAD (N. CANFIELD AVENUE) TO A LINE DRAWN THROUGH SAID POINT OF COMMENCEMENT AND PARALLEL TO THE NORTH LINE OF SAID NORTHWEST 1/4; THENCE EAST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST "A TO THE POINT OF BEGINNING as shaded and legally described by the words "HEREBY OPENED" on the Plat Of Opening hereto attached as EXHIBIT B, which plat for greater

 

 

certainty, is hereby made a part of this ordinance, be and the same is hereby opened to vehicular traffic as the same is intended for public use and the public interest will be subserved by such opening.

 

 

SECTION 2. The opening to public traffic herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, the Chicago Department of Law shall file or cause to be filed for record in the Office ofthe Cook County Clerk Recordings Division acertified copy of this ordinance and all exhibits.

 

 

SECTION 3. This ordinance shall take effect and be in force from and after its passage and publication. The opening shall take effect upon its recording.

 

 

 

Opening Approved:

Commissioner

Department of Transportation

 

 

 

Introduced By:

 

 

 

 

Honorable Anjmony Napolitano Alderman ,JWst Ward

 

Warranty Deed Illinois Statutory

Doc* 2005516191 Fee $8i?.00

RHSP FEE:S9.ee RPRF FEE: tl.ee

EDHARD M. HOODY

COOK COUNTY RECORDER OF SEEDS

DATE: 62/24/2026 63:17 Ptl   PC:    1 OF 6

 

T

 

THE GRANTOR(S), Healy & McMabon, LLC, an Illinois limited liability company, ofthe City of Chicago, County of Cook, State of Illinois, and Brian Healy and Bridget Healy, Husband and Wife, of the City of Chicago, County of Cook, State of Illinois for and in consideration of TEN & 00/100 DOLLARS, and other good and valuable consideration in hand paid, CONVEY(S) and WARRANT(S) to

 

 

CITY OF CHICAGO, AN ILLINOIS MUNICIPAL CORPORATION

 

 

(GRANTEE'S ADDRESS) 121 N. LaSalle Street, Room 600, Chicago, Illinois 60602, ofthe County of Cook, all interest in the following described Real Estate situated in the County of Cook in the State of Illinois, to wit:

 

 

[SEE ATTACHED "EXHIBIT A - LEGAL DESCRIPTION"]

 

 

PIN:   12-01-105-089-0000 and 12-01-105-090-0000

Property Address: 6226 North Ozanam Avenue, Chicago, Illinois 60631

 

Hereby releasing and waiving all rights under and by virtue of the Homestead Exemption Laws of the State of Illinois.

 

 

SUBJECT TO:       easements, covenants, conditions and restrictions of record, if any, and general real estate taxes accrued on the date of this Warranty Deed and thereafter

 

2020

/to*

Dated this        $°       Day of februk^

 

 

[SIGNATURE PAGE TO FOLLOW1

 

_ rP & s» wi -0 y»

, Section 4,

Exempt under provisions of Paragraph,
Real Estate TransforAcL^ .
                     

 

Data                     Buyer. Seller or Re

Representative

 

Healy & McMahon, LLC, an Illinois limited liability company By: Brian Healy, individually and as Member and Manager

 

 

 

 

 

 

21-Feb-2020

21-Fob-2020 0.00

0.00

0.00

REAL ESTATE THANSfERTAX_

COUNTY: ILLINOIS: TOTAL:

^-10M«Mi5r    noibwOIKOiro I 1-WM08-992

0.00 0.00 0.00'

REAL ESTATE TRANSFER TAX

CHICAGO CTA TOTAL

^10SO*MX>00 | 2^00201620103 | 0^^-• Total does not .ndude any »PP<ie»We penaBy o, interest due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

ss.

STATE OF LLLINOIS, COUNTY OF COOK

 

I, the undersigned, a Notary Public in and for said County, in the State aforesaid, CERTIFY THAT

 

Brian Healy

personally known to me to be the same person(s) whose name(s) is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered the said instrument as his free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.

Given um

FtHJ J NOT/ 4V 1

rytrend andjrffirinJjfjU. this     In                      day of. Ichrwbra                     2020

'OTARY PUBLIC

OFFICIAL SEAL JACQUELINE WILLIAMS NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES:05/18/?3

^^KVWWWVWwww*^^-^                     <

 

ss.

STATE OF ILLINOIS, COUNTY OF COOK

 

I, the undersigned, a Notary Public in and for said County, in the State aforesaid, CERTIFY THAT

 

Bridget Healy

personally known to me to be the same person(s) whose name(s) is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered the said instrument as his free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.

Given under my h£

this     I *"?                     day of  fcb^UOnj                     2020

TARY PUBLIC

 

 

MY COMMISSION EXP'^ -                      

Prepared By:     Daniel B. Pappano

SMITH, HEMMESCH, BURKE & KACZYNSKJ 10 South LaSalle Street Suite 2660

Chicago, IL 60603-6304

 

Mall To:                     pf M        6                     Name & Address of Taxpayer:                     Ctfa $ OniC^g

 

 

 

Attn    Ml? P/nmin                     

 

3

 

STATEMENT BY GRANTOR AND GRANTEE

 

The gran lor or his agent affirms that, to the best of his knowledge, (he name ofthe grantee shown on Ihe deed assignment of beneficial interest in land trust is either a. natural person, and Illinois corporation or foreign corporation authorized to do business or acquire and hold title to real estate in Illinois, a partnership authorized lo do business or acquire and hold title to real estate in Illinois, or other entity recognized as a person and authorized to do business or acquire title lo real estate under (he laws of the

State of Illinois.

 

The Grantee or his agent affirms and verifies that the name of the grantee shown on the deed or assignment of beneficial interest in a land trust is either a natural person, on Illinois corporation or foreign corporation authorized to do business or acquire and hold title to real estate in Illinois a partnership authorized to do business or entity recognized as. a person and authorized to do business or acquire and hold title to real estate under the laws of the State of Illinois.

Dated

Subscribed and sworn to before

Me by the said ^rn^Axar this £ENay of Kp^^rxi 20 7Q '

NOTARY PUBLIC "^/H^

2Q^QSigna

Grantor or Agent ( V

f

\ KOYAi.v*-.i.i'.i'; s-v.-ti .- i '                     %\

 

Me by the said CSV/bfiAAAT                     

Dale

 

Subscribed and sworn lo before Me by the said t"^fo

20_JG© NOTARY PUBLIC

20c3uP Signature:

"Of!-' • M> NOiAirt i'l.i .j" stArfc is-1 .<»«'«;__

 

 

NOTE: Any person who knowingly submits a false statement concerning the identity of grantee shall be guilty of a Class C misdemeanor for the first offense and of a Class A misdemeanor for subsequent offenses. (Attach to deed or AB1 to be recorded in Cook County, Illinois if exempt under provisions of Section 4 ofthe Illinois Real Estate Transfer Tax Act.)

 

EXHIBIT "A"

 

 

THE WEST 80.00 FEET OF THE EAST 276.00 FEET, AS MEASURED ALONG THE NORTH AND-SOUTH LINES THEREOF, AND THE NORTH 9.00 FEET (MEASURED PARALLEL WITH THE NORTH LINE THEREOF) OF THE EAST 196.00 FEET, AS MEASURED ALONG THE NORTH AND SOUTH LINES THEREOF, OF THE SOUTH 53.07 FEET OF THAT PART OF THE NORTHWEST 1/4 OF SECTION 1, TOWNSHIP 40 NORTH, RANGE 12, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS, THAT IS DESCRIBED AS FOLLOWS:

BEGINNING AT A POINT IN A LINE DRAWN PARALLEL WITH AND 993.49 FEET WEST OF THE EAST LINE OF SAID NORTHWEST 1/4 AS MEASURED PARALLEL WITH THE NORTH LINE THEREOF, 972.75 FEET SOUTH OF THE NORTH LINE OF SAID NORTHWEST 1/4 AS MEASURED ALONG SAID PARALLEL LINE; THENCE SOUTH PARALLEL WITH THE EAST . LINE OF SAID NORTHWEST 1/4, 93.07 FEET; THENCE WEST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST 1/4, 453.60 FEET TO THE CENTER LINE OF CANFIELD ROAD; THENCE NORTHEASTERLY ALONG THE CENTER LINE OF.CANFIELD ROAD TO A LINE DRAWN THROUGH SAID POINT OF COMMENCEMENT AND PARALLEL TO THE NORTH LINE OF SAID NORTHWEST 1/4; THENCE EAST PARALLEL WITH THE NORTH LINE OF SAID NORTHWEST 1/4 TO THE POINT OF BEGINNING.

 

 

 

 

Property address: 6226 North Ozanam Avenue, Chicago, IL 60631 Tax Number: 12-01-105-089-0000

Property address: 6225 North Ozanam Avenue, Chicago, IL 60631 Tax Number: 12-01-105-090-0000