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Project Completion Affidavit - LWW and Charles Martin Sr Dr Improvements Project No 117-072A - Selge Construction
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Project Completion Affidavit - LWW and Charles Martin Sr Dr Improvements Project No 117-072A - Selge Construction
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4/8/2025 2:38:21 PM
Creation date
9/11/2019 10:43:55 AM
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Board of Public Works
Document Type
Projects
Document Date
9/10/2019
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Final Waiver of Lien <br />State of Indiana, as: <br />WHEREAS, the undersigned Selge Construction Cyr. hic, has been heretofore employed <br />j� <br />bythe _Cit o f S.out [i Bend, Indiana to furnish certain material and labor, to wit: Lincoln Way <br />West and Charles Mart -in Sr. Drive Iniq)rovements., # 1, 18-072A for the real estate owned by the_ <br />C <br />J�tof&gLdhBand 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 />Thotisand 1,ive Hundred Seventy Dollars and Zero Cents (322,52Q.00the receipt of which is <br />hereby acknowledged, hereby and now waives and releases unto the said owner of said premises, <br />any and all lien, right of lien or claim of whatsoever kind of character on the above described <br />real estate. TO AND FOR SAID AMOUNT, an account of any and all labor material, or both <br />furnished for or incorporated into said real estate by the undersigned up to this date, and we <br />further certify that the consideration moving to the undersigned for executing this Final Waiver <br />of Lien has been mutually given and accepted as final payment to or on account of the said <br />project for said real estate. <br />Signed, sealed and delivered this 2nd day of July, 2019 <br />Signed <br />Robert P. Kuhns, Project Engineer <br />Personally appeared before me this 2nd day of July, 2019, Robert P. Kuhns who being duly <br />sworn on oath, says: That he is a Proiect Enginaer for the and that <br />he hereby acknowledges the execution of the foregoing in aid <br />Selge Construction Co., Inc. <br />My Commission expires: 11 /08/2020 <br />Notary PLJb'1i'Zr <br />$11111111 WOO'S <br />
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