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Print Form <br />CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN <br />Proiect/Owner GW Contractor <br />g7V'T70/✓ f'/C1iao��—J3 <br />Project:ye-5skz 0 5- t,&514.- eafllz- . 411F- Name: CnmwilA✓ <br />Address: 830 Michigan Street <br />South Bend. IN 46601 <br />City State Zip Code <br />Owner: South Bend Water Works <br />TO ALL WHOM IT MAY CONCERN: <br />Address: 11/-7 sz cell r 97- <br />1971113Wl,tW4a IA., Ve4;_ _K_ <br />City state Zip Code <br />Contractor Licence: Pe Pk601307 <br />Contract Date: 07 l 12l _206 <br />For good and valuable consideration, the receipt and sufficiency of which is hereby <br />acknowledged, the undersigned Contractor hereby waives, discharges, and releases any and <br />all liens, claims, and rights to liens against the above -mentioned project, and any and all other <br />property owned by or the title to which is in the name of the above -referenced Owner and <br />against any and all funds of the Owner appropriated or available for the <br />construction of said project, and any and all warrants drawn upon or issued against any such <br />funds or monies, which the undersigned Contractor may have or may hereafter acquire or <br />possess as a result of the furnishing of labor, materials, and/or equipment, and the performance <br />of Work by the Contractor on or in connection with said project, whether under and pursuant to <br />the above -mentioned contract between the Contractor and the Owner pertaining to said project <br />or otherwise, and which said liens, claims or rights of lien may arise and exist. <br />The undersigned further hereby acknowledges that the sum of <br />0 rv6&" 7 <br />,.t 676-& "i' <br />Dollars ($ / fl'16 < 52 constitutes the entire unpaid balance due the undersigned in <br />connection wi h said project whether under said contract or otherwise and that the payment of <br />said sum to the Contractor will constitute payment in full and will fully satisfy any and all liens, <br />claims, and demands which the Contractor may have or assert against the Owner in connection <br />with said contract or project. <br />Witness to Signature: <br />Dated this � day of �%` 20 {6 <br />Contractors/ <br />By: /�G <br />Title: <br />Page 1 of 1 <br />G' P7�i <br />