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Final Waiver of Lien <br />State of Indiana, County of SS: <br />being doly sworn that be/she, is the <br />(Name of Officer) <br />Ing contracted with <br />(Contractor) (Owner) <br />to furnish certain materials andtor labor as follows, a <br />for aprojeot known as <br />am �cof V� <br />located at V7 0 0,5 <br />'56 and owned by C) <br />(owner) L SUE AN NE CIRA <br />Notary II <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier. sell <br />Notary Public - State of Indiana <br />tit" C <br />St Joseph Cowo <br />(PARTIAL WAIVER) that there is due from the Contractor the sum of MI? <br />Co ion JV1 Oct22. <br />MI? CoCOMMIslon Exisifes O22, 2NO22 <br />Dollars ($ <br />El receipt of which is hereby acluiowledged; or <br />El the payment of which lins been promised as the sole consideration for this Affidavit and Final Waiver of Lienwhichis 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 WAIVEWJhaVhe al ba ce 7&e &r the ~L6 contyacto Is um of fit <br />M A/lu_m* ak] 1 (s <br />I <br />El receipt of which is here rev ZrioMedged; or <br />the payment of which has been promised as the solo consideration for this Affidavit and Final Waiver of Lien which shall <br />become effective only upon recelpt of such payment. <br />THBREFORE, the undersigned waives and releases unto the Owner of said promises, any and all )lens or claims whatsoever <br />on the above -described property and improvements thereon an account of labor or material or botli, furnished b the twdersigned <br />thereto, subject to Ihnitations or conditions expressed herein, if any; and 11irther certified that no other party has any claim or right to a <br />lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit <br />and Waiver of Lien. <br />ez. 14C. 13 <br />) (Firmentative I <br />STATB OF INDIANA 05 �hl <br />) SS: <br />ST. JOSEPH COUNTY <br />Before me, the undersigned a Notary Public, In and for said County and State, personally appeared Jashele, 'LekcbreM104 <br />and aolaiowleedged the, execution of the foregoing Affidavit and Waiver of Lien. <br />S <br />ESS, WHEREOF, I have hereunto subscribed my name and affixed my official seal on the n�� day of <br />Notary Public Signature <br />My Commission Expires: Z) /a a <br />Residing in County, 'q. <br />Rchuy Public Name <br />