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Project Completion Affidavit - Mishawaka Ave Roto Rooter Jetter Removal Project No 118-069R - Selge Construction
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Project Completion Affidavit - Mishawaka Ave Roto Rooter Jetter Removal Project No 118-069R - Selge Construction
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4/4/2025 10:20:46 AM
Creation date
11/14/2018 1:19:14 PM
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Board of Public Works
Document Type
Projects
Document Date
11/13/2018
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Final Waiver of Lien <br />State of Indiana, as: <br />WHEREAS, the undersigned Sel ge Construction Co_ Inc, has been heretofore employed <br />by the City of South bend IN to furnish certain material and labor, to wit: South Fend Catch <br />basin Division 2 Pro"ect No. 118-069 for the real estate owned by the City of South Bend <br />located in South Bend, IN County of St. Joseph, <br />State of Indiana, <br />Now Therefore, Know Ye, That the undersigned, for and in consideration of Twenty Two <br />I'liouisand One llund'red Forty Seven 'dollars and Zero Cents ($22.147.001 the receipt of which <br />is hereby acknowledged, hereby and now waives and releases unto the said owner of said <br />premises, any and all lien, right of lien or claim of whatsoever kind of character on the above <br />described real estate. TO AND FOR SAID AMOUNT, an account of any and all labor material, <br />or both furnished for or incorporated into said real estate by the undersigned up to this date, and <br />we further certify that the consideration moving to the undersigned for executing this Final <br />Waiver of Lien has been mutually given and accepted as final payment to or on account of the <br />said project for said real estate. <br />Signed, sealed and delivered this 15th day of October, 2018 <br />ml <br />Signed—....! <br />Robert l uhns, Project Engineer <br />Personally appeared before me this 15th day of October, 2018, Robert Kuhns, who, being duly <br />sworn on oath, says: That he is Pro°ect En linee,r of the Sel ge Construction Co. Inc. and that he <br />hereby acknowledges the execution of the foregoing instrument for and on behalf of said Sere <br />Construction Co., Inc. <br />My Commission expires: <br />Notary Public w�arrrrrrrrrruA <br />�yw..A Pew 4, <br />NO'Ai <br />n� d Li vnk <br />— <br />�� <br />co ", <br />
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