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Final Waiver of Lien <br />Slato ofladlana, County of St,. Joseph SS: <br />M.W. Frahn boing duly awom thathe/she Is tite President / CEO / CFO <br />�Natne of moe'r) (Title) <br />Midland Engineering Co., Inc. The City of South Bend <br />of tee_ M !laving contracted with <br />(Contractor) ��- <br />(Owner) <br />to ilirmsh certain materials and/or labor ns follows: Roofing & Sheet Metal <br />for a project known as -Vested Interest Building <br />(Name of Projoot) <br />located at 251 E. Sample Street, South Bend, IN <br />and owned by The City of South Bend <br />(Oawncr. <br />and does hereby further state on the behalf of the aforomendoned subcontraotor/supplier: <br />(PARTIAL WA1vBR) that there is dne from the Contractor the aum of <br />Dollars <br />❑ rccolpt of which Is hereby nolatowledged; or <br />❑ the payrttont of whleh has boon promised as the sole oottsldoratloaa for this Affidavit and Final Waiver of Lien which is given <br />soiopy MdIh respect to said amount, and which waiver sball be effocllvo only upon receipt ofpayment thoroof by tlao <br />undersigned; <br />(FINAL WAIVERt.) that the anal balance duo kom the contractor Is the sum of Twenty-three Thousand,, One Hundred Seventy- $2 3 , 17 7 . 4 0 <br />Seven & ). _. <br />❑ receipt of which is hereby acknowledged; or <br />® the paytnont of which has been promised as the sole consideration for this Affidavit and Final Wolves of Lien wl)loh shall <br />become effeodvo only upon rccolpt of suoh payment, <br />TUHIM ORE, tiao anttdonlgned wolves and releases unto the Owner of sold promises, arty and all liens or claims whatsoever <br />on tine abovc•doscObcd property and Inaprovente,nts thereon air n000ttui of labor or tnntorial or both, iltrnished b the undersigned <br />thorolo, stobject to Ilrnlintlons or conditions oxprossod herein, If any; and tltrtltor cortifled that Ito Otherpatly has tiny claim orrig'ltt to it <br />Ilon on s000tnd of any work perforated or material fain ishod to the undersigned for sold pri ed; and wilhln the scope of this Affidavit <br />and Waiver of Llem <br />Midland Engineering Co:, Inc. off' <br />Y.... <br />(Firm) ) M . W . FrahnAt#tlPr siie rosont/C <br />STATBOP%NpIANA ant CE0/CFO <br />SS: <br />ST, JOSEPH COUNTY M W.. Frahn <br />13efore me, dto undersigned, a Notary Public, in and for said County and Stato, personally appeared <br />and nolalowledged the execution of the foragobtg Affidavit and Waiver of Lion. 10 t h <br />IN WITNESS WHEREOF, Thave hereunto ,vubsedbed my name and affixed my of1"iclal goat on the day of <br />March 202Q <br />AotPttbllo S)gtrnttuo <br />My Commission acpfros: 8/ 3 0/ 2 0 2 3 <br />-- Beth Hickey <br />St. Joseph Indiana <br />Residing In County, Notinj Public Name <br />BETH HICKEY <br />NOTARY P',It1,' i( SEAL <br />My orm-nis ion Expires 8/30/ t S4I',! <br />STATE OF INDIAN! COUNTY OF ST JO <br />