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Final Waiver of Lien <br />State ofindl1111, County of S, . -:S ~> ~'?~ SS: <br />~\'"\"i.~ \L. °'?Gl-.~cL-bolngdulyawomthatho/sheisthe ~~c:~~~-ftJ :l \~ (Title) <br />of ~J\,t:i.~ ~ltb-~~""'W'I havingcontractedwlth L'-"'-'-' C)~ S~~,\"-%'1:rt--l~ <br />(Contractor) ~\l~ (Owner) <br />to fbmishcertaln materials and/or labor as fultows: l...t..)~'\.o,.. l S~N'-""\ ~CL-'{ 1 ~t\-~ l ~~'\J \--.) <a-J Ca Ii'-~ 1= <br />(DescrJp on) ! <br />foraprojccU::nownas ';\-;,,__~S'"\t)~'\:, ~~"Tc. ~~Q~\.\J\.~\~~ '\)"'--n~c..."-~o , ~~'L\• ~o, ; <br />(Namo of Project) <br />located at <.~o\ s (\., "1> \ "\ I s ~\)""\ '" ~~-..) \ \ N ~'-'-\'-\ <br />andownedby ~QI."~.'-..,\... \,_\...L o ('q\~ t\,:-~'-\.~'(. ~-"'4::U>t ~..,-c ~~~£1' ' <br />(Owner) <br />and doe.\ hereby further state on tho behalf of !he aforementioned subcontractor/supplier: <br />(PARTIAL W AIVBR) that Ibero is d1111 ftom the Contractor tho sum of <br />____________________ Dollars ($ <br />D m:olpt ofwhlch is hereby acknowledged; or <br />D the payment of whh:h la beon promised as the sole comidoratlon for this Affidavit and Final Waiver ofLlen which is given <br />solely with mpect to Aid amount, and which waiver shall be effective only upon RJCeipt of payment thoreof by the undersigned; <br />(FINAL WAIVER) that the final balanco due ftom the conlractor .¾$ the sum of <br />($ <br />receipt of which is herd>y acknowledged; or <br />D the payment ofwhicli has been promised as the solo consideration for this Affidavit and Final Waivor of Lien which shall <br />become offeotivo only upon receipt of such payment <br />THBREFORB, the underalgru,d waives and releases unto the Ownor of said premises, any and all liens or claims whatsoCYCr <br />oo lho abo~ribed property and improvemema thereon an account of labor or material or both, furnished b the undersigned <br />Choroto, subject to limitations or conditiOlll expreslCd herein. if any: and further cortlfled 1hat no other party bas any claim or right to a <br />lion on aocollllt of any wodc: performed or material fumishod to the undersigned fur said project, and within the scope of this Affidavit <br />and Waiver ofLlen. \ <br />?""~°<\.,u...<... ~l~\A. . ~-\(_r') <br />~~~,v·u:.-.\..\.""\'-{ $)--."-~l:i.~"'"tct.l~ ~C\..0~C' By ~?""-----,._~-e--~"'.,,._ ~----,------ <br />(Firm) (Authorized Representative) STATS OF INDIANA ) <br />) SS: <br />ST. JOSBPH COUNTY ) """ <br />Before me. the undoralgned, a Notary Public, Jn and for said County and Stato, personalzy appeared J 1• Y'J K. ? JO(f EL <br />and ackoowledged the execution of the foregoing AffidavJt and Waiver of Lien. ---~ "' <br />IN WITNESS WHERBoP, I have hereunto aubscrlbed my name and affixed my official seal on tho -;p,· · day of <br />MA-t] 200 1Q2-.3 • <br />No~ <br />My Commission Rxp~: M"""-C14 z..:z1 20 7.,J.., <br />Reaidlng in Sr Vlst.,b. County, N~P®lll? Name BENJAMIN MARLATT <br />Notary Public <br />' 1 State of Indiana <br />· Commission No. 711569 <br />'! _.,,,, .... ..._..., . My Commission Expires <br />· March 22, 2026