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P,iMilestone <br />AFFIDAVIT AND WAIVER OF LIEN <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF SAINTJOSEPH ) <br />FINAL <br />Payment to Follow <br />Jen . Timmons being duly sworn states that he is the Project Accountant of Milestone Contractors North, Inc. <br />having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: <br />ASH PALT/CONCRETE/ PIPE for a project known as RANDOLPH STREET PARK AREA IMP (MCLP Job# <br />229710) located at SOUTH BEND, IN and owned by MILESTONE CONTRACTORS and does further state: <br />FINAL WAIVER: that the final balance due from the owner is the sum of six thousand nine hundred serenti•-three and 261100 <br />Dollars <br />the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien <br />which shall become effective upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the <br />above -described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and <br />further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the <br />undersigned for said project, and within the scope of this affidavit and waiver. <br />Milestone Contractors North, Inc. <br />Jen . Timmons <br />Project Accountant <br />Subscribed and sworn to before me this: X th daY of September. 2022 <br />Notary Public: kJi___L4 I <br />Alisha Krug r <br />My Commission Expires: June 5, 2030 <br />Y P <br />�1� • h <br />ALISHA KRUEC,ER <br />'?�'• C+S <br />My Cvtttrlllssion Ex0res <br />County of Residence: La Porte <br />j*: SEAL 1*1 <br />Juree5,2030 <br />C md8ft 1P0853544 <br />dab <br />