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Final Waiver of Lien <br />State of Indiana $ County of St Joseph Sg; <br />Bill Favors being duly atwoM that helsliS Is the Presldent & CFO <br />(Name ofofficer) (Title) <br />of Ziolkowski Construction, Inc. having contracted with City of South Bend <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor its follows: curb and Sidewalk <br />(Description) <br />for a project known as 2017 Curb and Sidewalk Div. B, C, D, E & F <br />(Name of Project) <br />located at South Bend, Indiana <br />�.",. and owned by City of South Bend <br />(owner) <br />and does heraby further state on the behalf of the aforernentioned subcontractor/supplier: <br />(PARTIAL WA1lrVBR) that there is dire from the Contractor the aura of <br />DORRIS <br />i� receipt ofwvhlch is hereby acltrrowledged; or <br />the payinent of which has been promised as the sole consideration for this Affidavit and Final Waiver of Llenwhlch is ,given <br />solely with respect to said umount, and which wwuivrrr shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />(FINAL WAIVER) that the final balance clue fr' n the contractor Is the sure of <br />Twentv Elaht ThousandSeven Hundred TwentyFour and 690t70 ( 28.72469 <br />E] receipt ofw~tbioli is hereby acknowledged; or <br />thepayanent of which has been promised as the sole consideration for tlrls Affidavit and Final Waiver of Lien which shall <br />become effective onlyuponreucipt ofsuoh payment. <br />Tl' BREFC9RE, the undersigned wwalves and releases unto the Owner of sold premises, any and all liens or claims whatsoever <br />on the above-desarlbed propezty ,and improvements thereon an accowt: of labor or material or both, f rmished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, If any; and further certified thatrro other party has any claim or right to a <br />Bert on accolant of any work performed or material fturnished to the undersigned for saidprraject, and within the scope of this Aftldavlt <br />said Waiver ofLlem <br />Ziolkowski Construction, Inc, By ' 4Favurs president &CFO <br />- (Firm) (Atnthorizeci Ap-presuntative) <br />STATF Dlr !! DJAANA ) <br />SS: <br />ST, JOSEPH COUNTY ) <br />before me, the tandersfgtred, a Notary Pablio, in and for said County and Slate, personally appeared � BillFavors <br />and acicraowledged the execution oftho foregoing Affidavit and Waiver ofLion, <br />IN WITN1 SS WIRRE ?F, x have hereunto subscribed jay name and. affixed my official seal ore the 19tn day of <br />June, 2018 µ_ <br />NOtarty!'tmbllfff_ <br />My Commission Bxpfres: March 6, 2025 <br />Lynn D. Vining <br />Residing in Elkhart County, Indioana l+Tatary.FENotary <br />LYN'N D VINING <br />Public5eata't <br />C'U <br />State of Pndlanaotn7 sslsa�n s>zpdrest�tar d, 2025 <br />