FORM 3: SURVEYOR CERTIFICATION
   I (name) , hereby certify that I am a Professional Surveyor/Engineer, licensed in compliance with the laws of the State of Indiana, that this plat correctly represents a survey completed by me on (date) .
That all monuments shown thereon actually exist and that the location, size and material of said monuments are accurately shown.
Signature ___________________   License # __________________
(Ord. 6-2002, passed 3-4-02)