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AFFIDAVIT AND WAIVER OF LIEN <br />-01 Final ❑ Partial 0 Payment to Follow <br />STATE OF: Indiana <br />COUNTY OF: St. Joseph <br />,Jennifer Martell being duly sworn, deposes and says that she makes this <br />affidavit for and in behalf of MARTELL ELECTRIC, LLC which, having entered into an agreement with <br />City of 4t wli 13end Dept of Public Works ("Contractor") for the construction of Angela Bridge Lighting <br />on the premises of the owner located at Angela Steet <br />states that, upon receipt of payment by Martell Electric from Contractor in <br />the amount of Fifty one thousand nine hundred ninety six & 69/100 Dollars, <br />(the "Payment"), which payment has been promised by Contractor and is anticipated by Martell Electric, <br />all material and subcontract, due and payable, will have been paid and all labor paid in full to the date of <br />this affidavit EXCEPT for: <br />CONTRACT <br />RETENTION <br />Effective upon receipt by Martell Electric of the Payment, Martell Electric does waive and release unto the <br />owner of said premises, any and all lien, right of lien or claim of whatsoever kind of character on the <br />above -described building and real estate under the Statutes of the State of Indiana <br />relating to Mechanic's liens, on account of any and all labor, material, or both, furnished for or <br />incorporated into said building by the undersigned, up to this date. <br />Subscribed and sworn to before me, <br />on this 6th day of March, 2019 <br />Notary Public <br />My commission expires: 2/28/2023 <br />MARTELL ELECTRIC, LLC <br />(hdl^'�'y k14 <br />BY <br />(4i�rrecl <br />Jennifer Martell <br />(Printed Name) <br />President <br />(Title) <br />��✓ �, <br />Y641Wd dq '�r� JpwTm <br />yN.,uq � <br />j pgpW <br />A NA <br />(w a dmd (� ���j <br />r.sr, <br />&P N,viy P,01fib. aN fr✓ gas Ya;,�i vi 4 <br />�+ <br />urE <br />i �YPH 41k ✓r <br />1� <br />�',IiDP� IA trir "9"'s �Y i <br />� <br />Y (IP � Ft6Q <br />