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Project Completion Affidavit - Century Center Masonry Restoration Proj No 117-037 - Ziolkowski Construction Inc.
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Project Completion Affidavit - Century Center Masonry Restoration Proj No 117-037 - Ziolkowski Construction Inc.
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Last modified
4/4/2025 10:18:26 AM
Creation date
1/24/2018 10:17:13 AM
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Board of Public Works
Document Type
Projects
Document Date
1/23/2018
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ZIOLKOWSKI <br />Constructlan, Inc. <br />General Construction & Design/Build <br />13ulidIng strong Relatlonstilips Since 1974 <br />4—A; 4 d FAMWI U kTJ <br />State of Indiana, County of St. Joseph, SS: <br />Dawn Miko being duly sworn states that she is the Assistant Controller of <br />Ziolkowski Construction, Inc. having contracted with City of South Bend/ <br />Board of Public Works to furnish certain material and/or labor for a project known as: <br />Century Center / Masonry Restoration - Phase Two / #117-037 <br />located at South Bend, IN and owned by City of South Bend/Board of Public <br />Works and does hereby further state on behalf of said Contractor 'that our construction <br />lien rights against such property are hereby waived and released as noted: <br />THIS WAIVER IS CONDITIONAL UPON PAYMENT OF <br />0 <br />WITNESS MY HAND AND NOTARIAL, SEAL this <br />$12,038.40 <br />10th day of January,, 2018 <br />Debra L. Johnson, Notary (Public <br />My commission expires March 27, 2024 DEBRA L JOHNSON <br />Seal <br />Residing in Marshal:l County, Indiana Notary Public - state of Indiana <br />Marshall County <br />My Commission Expires Mar 27, 2024 <br />1= <br />
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