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Project Completion Affidavit - Tucker Drive Project No 116-118A - Walsh and Kelly
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Project Completion Affidavit - Tucker Drive Project No 116-118A - Walsh and Kelly
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4/4/2025 10:22:10 AM
Creation date
10/10/2018 3:25:03 PM
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Board of Public Works
Document Type
Projects
Document Date
10/9/2018
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:. i <br />WHEREAS, the undersigned Walsh & Kelly,Inc. has been hereto <br />employed by City of South Bend, Indiana <br />to furnish certain material and labor, to -wit: PiRe and Concrete Work <br />for the building owned by City of South Bend Indiana <br />and Iodated on Tucker Drive <br />South Bend 46619 <br />St. Joseph County, Indiana <br />Project # 116-11SA <br />NOW, THEREFORE, KNOW YE, That the undersigned, for a good and <br />valuable consideration, the receipt of which is hereby acknowledged, hereby <br />and now waives and releases unto the said Corporation, the owner of said, <br />premises, any and all lien, right of lien, or claim of whatsoever kind or <br />character on the above described building and real estate, on account of any <br />and all labor or materials, or both, furnished for or incorporated into said <br />building by the undersigned„ and we further certify that the consideration <br />moving to the undersigned for executing this WAIVER OF LIEN has been <br />mutually giv and accepted as absolute cash payment and not as a <br />conditii A rLIJJo ayment or as security for payment. <br />$` inard delivered this September, 2018A��e <br />HEL C. <br />W� <br />D *Hilary, South Bend Area Vice President <br />Personally appeared bef a me this 17th day of September, 2018 Dustin <br />Hilary who being duly sworn on oath, says: That he is the South Bend Area Vice <br />President of the Walsh & Kelly, Inc. and that he hereby acknowledges the <br />execution of the foregoing instrument for and on ehalf of said Walsh & Kelly, Inc. <br />and at their special instance and request. <br />My Commission Expires 06/07/2023 �'„_, <br />This instrument prepared by: AET 4imyJElizabeth Turpin (Notary Public) <br />��� rotary C�eblic, Skaie of InKPIN <br />diana <br />hAarshall County <br />Camrnission Expires <br />Jur:e 7, 2023 <br />
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