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Final Waiver of Lien <br />/State of Indiana, County of ! el iv/ le SS: <br />4_4 d.. r .Z n A,*'� ......... ......_ being duly sworn that helshe is the <br />(,Name Officer) T (Title.) <br />Of of �'� .�?l��e—"—��a�'dr /.a c , having contracted with � y e � W�7r!�h ,&? <br />(Cant acf' tux) (Owner) <br />tokraishcertainmaterials andtorlabor its follows; ruU_r(ie'l GJjvP/ e t r Ju17 <br />(Descrip on) <br />for a project known as <br />located at <br />IAJ <br />and owned by <br />and doss hereby f'iu Cher state on the behalf ofthe aforementioned suboontraotar/supplier; <br />(PARTIAL WAMR) that there is due from the Contractor the sure of <br />❑ receipt of which is hereby aoluiowledged; or <br />" <br />Dollars (� ) <br />Q fire payment of which lies boon promised as the sole consideration for (his Affidavit and Filial Waiver of Menwhich is given <br />solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />ow'l r r <br />(FINAL <br />,,,.,1WAIVER) that the final bal/ance � <br />/due from the eor&*d0 ,c the sum of&1/4421 6� - A <br />[] iremipt of which is hereby aclmowledged; or <br />the payment of which has been promised as the 3010 consideration for this Affidavit and Final Waiver of Lien which shall <br />become affective onlyupon.xecelpt of such payment, <br />TI-JEREFORB, the tMerslgrrod valves and releases unto the Owner of said premises, any and all liens or claims whatsoever <br />on the above -described property and improvements thereon Em account of labor or material or both, furnished b the U dersigued <br />theroto, subject to limitations or conditions expressed herein, if any; and further cortifted that no other party has any claim or right to a <br />lies: on account of any work performed or material furnished to the undorsigned for sold project, and within the scope of this Affidavit <br />and Waiver of Lien. <br />lei By <br />irm) r (A thorizedlt tative) <br />STATE OF 1NDIAAIA ) <br />I_G Pat{C ) SS: <br />•.s�3es�oUNr� ) <br />Before me, die undersigned, a Notary Public, In and for sold County and State, personally appeared 419 <br />and aoknowledged the execution of the foregoing Affidavit and Waiver of Lien. <br />IN WITNESS WI RE3F, I Dave hereunto subscribed my name and affixed my official seal on the day of <br />N Publio Slgri <br />My Commission Expiros: <br />Residing , in 1��1(�ovsc�5' <br />County, <br />Notary Public NameJOHN CONWAY <br />No wy Pubis <br />Sk � t tom; <br />�o,Aa* Gommlatlali EriRhbe,t11 �0, <br />