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Change Order-Project Completion Affidavit - Berlin Place Site Development Proj No 116-089 - HRP Construction Co.
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Change Order-Project Completion Affidavit - Berlin Place Site Development Proj No 116-089 - HRP Construction Co.
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3/31/2025 2:31:41 PM
Creation date
7/11/2017 2:47:10 PM
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Board of Public Works
Document Type
Projects
Document Date
7/11/2017
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Einal Waiver of l ien <br />STATE OF INDIANA, as: <br />Whereas, the undersigned HRP CONSTRUCTION INC. has been heretofore em- <br />ployed by City of South Bend Board of Public Works to furnish certain material and labor, <br />to -wit: Berlin Place Site Development, Project No. 116-089,St. Joseph County, Indiana <br />for the property owned by City of South Bend and located on <br />Berlin Place <br />City of South Bend , County of St. Joseph , State of Indiana. <br />Now THFREmRE, Know YE, That the undersigned, for and in consideration of <br />$ S4, 887.75 Dollars, the receipt of which is hereby acknowledged, hereby and now <br />waives and releases unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever <br />land of character on the above described building and real estate, TOANDFOR SAID AMOUN'r, on account of any and <br />all labor material, or both, furnished for or incorporated into said building by the undersigned, up to this date, <br />and they further certify that the consideration moving to the undersigned for executing this FINAL <br />WAIVE of LIEN has been mutually given and accepted as apart payment to or on account of the said <br />Owner for said building and real estate. <br />Signed, sealed and delivered this 19th day of June 20 17 <br />Signed <br />Nancy KnMik <br />Personally appeared before me this 19th day of LLunc 20 <br />17 <br />Nancy Knapik who, being duly sworn on oath, says: That he <br />is Controller of the HRP CONSTRUCTION INC, and that he hereby <br />acknowledges the execution of the foregoing instrument for and on behalf of said <br />Corporation __ and at <br />My Commission Expires <br />3/06/24 <br />This instrument prepared by: Nancy Knapik <br />their <br />Cindy Vanheste <br />special instance and request. <br />Notary Public <br />
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