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' STATE OF Indiana COUNTY OF lake ss <br />WHEREAS, the undersigned Thleneman Construction Inc. <br />has been heretofore employed by <br />The City of South Bend <br />to furnish certain material and labor, to -wit., General Contrao(irg <br />for the building owned by The g& of South Bend <br />IIINII"I"P R ester -Gas Utilization Desk r►:l'"ro ect <br />and located on 3113 Riverside Drive South Bead' IN 46628 <br />Now, Therefore, know Ye, that th <br />reby and now, waives and releases unto <br />ity of South Bend <br />ht of lien, or claim of whatsoever kind of <br />tate, on account of any and ali labor or <br />i"lding by the undersigned; and we furthe, <br />dersigned for executing this WAIVER D <br />payment In full. Signed, sealed and d <br />is the <br />at the <br />rndersigned, for a good and valuable consideration, <br />9 said <br />_the owner of said premises, any and all lien, <br />iracter on the above described building and real <br />Trial, or both, furnished for or incorporated into said <br />Wify that the consideration moving to the <br />.IEN has beep onditionally given mil receipt <br />,erect this, ,�_,_ day of , _ 2018. <br />M <br />day of —� ) L'&I , 2018. <br />rn on oath, says` That he is Prn ect <br />and that he hereby <br />it for and;n behalf of said City` of <br />Notary ,Public IrracyA.Powers 'P4'0%t0 <br />td�s0i0#16099 V2 S0,2026 <br />County of Residence: Lake a <br />My Commission Expires: 9-30-202 1 ° <br />