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Project Completion Affidavit - Temporary Traffic Calming Materials and Installation Project No 119-053 - Selge Construction Co Inc
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Project Completion Affidavit - Temporary Traffic Calming Materials and Installation Project No 119-053 - Selge Construction Co Inc
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4/8/2025 2:39:59 PM
Creation date
10/23/2019 12:30:09 PM
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Board of Public Works
Document Type
Projects
Document Date
10/22/2019
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Final Waiver of Lien <br />State of Indiana, as: <br />WHEREAS, the undersigned Sel e Construction Co. Inc. has been heretofore employed <br />by the City of South 1lend Indiana to furnish certain material and labor, to wit: Temporary <br />Traffic Calming Materials and Installation NO 119-53 for the real estate owned by the Cif of <br />South Bend 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 'T'hree Tlmousand Six <br />Ilundred Sixty Seven, dollars and Fifty Cents 3 307 50I the receipt of which is hereby <br />acknowledged, hereby and now waives and releases unto the said owner of said premises, any <br />and all lien, right of lien or claim of whatsoever kind of character on the above described real <br />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 3rd day of October, 2019. <br />Signed <br />Austin Butler <br />Director, Business Operations <br />Personally appeared before me this 3rd day of October, 2019 Justin I3uttgL who, being duly <br />sworn on oath, says: That he is Director, Business Operations of the Sel ge Construction (::o, Inc. <br />and that he hereby acknowledges the execution of t1he foregoing instrument for and on behalf of <br />said Set e Construction. Co., Itac, <br />i, µ": 2 2 <br />P R <br />My Commission expires: 0/ 5/20 0 <br />Notary Public'"'° <br />ore � Q <br />
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