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Final Waiver of Lien <br />State ofmana, County of St. Joseph SS: <br />Robert Lingenfelter being duly sworn that he/she Is the President <br />(HEM of Uflioer) ('i`itte) <br />of Gibson -Lewis. LLC _ _ having contracted with City Of South Bend <br />(Contractor) (Owner) <br />tofmishaeitabimaterials and/orlabor asfollows: Player Facility lrrt rovgrnents <br />(Description) <br />for ap4octknown as Four Winds Player Facility <br />— (Name ofProJeot) <br />located at South Bend, IN <br />and owned by City of South Bend <br />(Owner) <br />and does hereby further state on the behalf ofthe aforementioned subcontractor/supplier. <br />(PARTIAL WAIVER) that there is due from the Contractor the sum of <br />Dollars ($ <br />❑ receipt of which is hereby aclntowledged; or <br />❑ the.paymont of which has boom prottuised as the sole consideration for ft Affidavit and Irinal Waiver of >;.foscwhloh is given <br />20)*wM respect to said amount, and which waiver shall be efl alve only upon rocaipt afpaytnent titeraof by pre <br />undersigned; <br />(FINAL WAIVER,) that the final balance dua Bern the contractor fs 0 a 4ogg <br />SEVENTY THOUSAND FIVE HUNDRED, NINETY-THRT100 $70 593.42 <br />❑ receipt of which is hereby acknowledged; or <br />® thbP*meut of which has been promised as the sole consideration for this Affidavit and Fetal Waiver of Lien which shall <br />become efl adve ** upon Mocipt of euoh payment. <br />CURB, the ttndergPed waives and releases unto the Owner of said promises, any and all liens.or claims whatsoever <br />on the above•desrxlbed.property and improvements thereon au $acotntt of labor armate6l or both. Nmlal ed b dw undemigned <br />#+eretn, suideot to Ihnitatlods or conditions expressed horela, if auy; and ilufhcr cettlflW that no oiherpady has my claim oartot to a <br />Meer an e000tmt ofatw Work pertbtmod Ormaterial ftuelahed to rite undersigned for said pgoct, and within rho scope of flds A#Yldavh <br />and Waiver ofL1en. <br />Gibson -Lewis, LLC BY <br />(Finn) (�IgthotiasdRepresontativn] <br />STATE OF INDIANA ) <br />SS: <br />ST. JOSEPH COUNTY <br />(Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared <br />and admowledged the execution ofthe foregoing Affidavit and Waiver of Lien. <br />IN WrIMSS WId MOP, I have hereunto subscribed my name and affixed my o"f seal on the 5th day of <br />May 2023 <br />Notary Publio Sigastum <br />My Commission Expires; July 10, 2024 <br />Elizabeth A. Biddle <br />Residing in St._ Joseph County, I N Notary Publio Name <br />