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Final Waiver of Lien <br />State oflndiana, County of St. Joseph SS: <br />Lynn Sauer being duly sworn that he/she is the South Ber d QpgLatigu c • Presaa'tl r ' <br />(Name of Officer) (Title) <br />of Walsh & Kelly. Inc. having contracted with City of South Send <br />(Contractor) (Owner) <br />to ibrnish certain materials and/or labor as follows: Concrete, Pipe, Guardrail and Pavement Marking <br />description) <br />for a project lmown as Lincoln Wa )rovernenta Sa LI �enharn <br />(Name of Project) <br />located at Lincoln Way Past, Sample to'"kw ckenham <br />and owned by Citv f South Bend. Indiana <br />.._.. �..�. <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned subcontractodsupplier: <br />(PARTIAL WAi MR) that there is due from the Contractor the sum of <br />...� Dollars $ <br />❑ receipt of which is hereby aelmowledged; or <br />❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lienwhich is given <br />solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />(FINAL WAIVER) that the final balance due from the contractor is the sum of <br />$07,3.2 <br />❑ receipt of which is hereby aolcaowledged; or <br />® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall <br />I <br />become effective only upon receipt of such payment. <br />THBREFORB, the undersigned �gJv6Ji dr4 ases unto the Owner of sold premises, any and all liens or claims whatsoever <br />on the above -described property and i rill asp, account of labor or material or both, famished b the undersigned � <br />thereto, subject to limitations or condos d-lup »4 any; and further oertifled that no other party has any claim or right to a <br />lien on account of any work perform «fret a undersign for said projeot, and within the scope of this Affidavit <br />and Waiver of Llen <br />Walsh & Kelly, Ino. By ( p <br />STATE OF iNDUlNA �` tttlaoriddC Representative) <br />(Firm) .. <br />....... <br />ST. JOS13PH COUNTY ) <br />Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared. yn n IF;ati <br />and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. r <br />IN WITNESS WHEREOF I have hereunto subscribed my name and affixed m official on the 7 tp:, day of <br />February 20020 y m. <br />otry Publto Signet <br />My Commission19xpiros: June 7, 2023 <br />my IElizalbeth 'li'urpin <br />Residing in Marshall County, Indiana Notary Pa <br />AMY ELIZABETH TURP IN <br />No.ary Pubic, State of Indiana <br />Marshall County <br />Commission Expires <br />June 7, 2023 <br />