VERDICT

    We, the jury in the above-entitled matter, and not less than 6 of us, find as follows:

Value of the land taken   $_______________________________

Severance Damages   $_______________________________

Describe: ________________________________________________ __________________________________________________________ __________________________________________________________

Special Benefits   $_______________________________

Describe: ________________________________________________ __________________________________________________________ __________________________________________________________

Total Just Compensation   $_______________________________

_________________________________
FOREMAN

Date: ____________________________