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Final Waiver of Lien <br />State of Indiana, County of 1Z SS: <br />Alevll'n M-k''enke-1 being duly sworn that he/she is the <br />(Name of Office (TitIej <br />of t?e c)(LO r C.Y° having contracted with ©x t..& <br />c� <br />(Contractor) I(Owner) <br />to f rnish certain materials and/or labor as follows: 4',e c &m zw Pr-,c .e e,,-k l p D 1 <br />for a project knawu as <br />located at <br />and owned by <br />(Description) <br />0 oci <br />(Name of Project) <br />(owner) <br />and does hereby Anther state on the behalf ofthe aforementioned sub ontmotor/supplier: <br />C,"� L" ��'w.X 04 <br />(PARTIAL WAIVER) that there is due from the Go Wwtorfhe. sum of <br />Dollars <br />❑ receipt of which is hereby acltnowledged; or <br />❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lienwhtoh 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 />(FINAL WAIVER) that the final balance due atom, the contractor Is the sum of <br />❑ receipt ofwhioh is hereby acknowledged; or <br />❑ thepayMeat ofwltfeh has been promised as the sole consideration forthis Affidavit and Mnal Waiver of Lien which shelf <br />become effective only upon receipt of such payment. <br />WHEREFORE, the undersigned wolves and releases unto the Owner of said promises, any and all liens or claims whatsoever <br />on tho above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any; and further cortifed that no other party has any claim or right to a <br />lieu on Account of any work performed or materlal furnished to the undersigned for saldproject, and within the scope of this Affidavit <br />and Waiver of Ue% <br />(Firm) ��uthorlzedR rescntative) <br />STATE OF INDIANA ) <br />Ss: <br />ST, JOSEPH COUNTY <br />Before me, the undersigned a Notary Public, In and for sold County and State, personally appeared .Vwm We A <br />and achowledgad the execution of the foregoing Affidavit and Waiver of Lien. <br />IN I SS WHMOF, I have hereunto subscribed my name and affixed my official seal on the day of <br />�0-ffty Publi S ature <br />My Commission Expires: 7b WqE <br />Residing in Coup o&PUh,10Name <br />Jennifer Mroualn <br />St, Joseph County <br />My Commission Expires <br />April 20, 2025 <br />