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BOWEN <br />Engineering Corporation <br />WAIVER OF LIEN <br />{X} Final { ) Partial {X} Payment to Follow <br />State of Indiana, County of Newton , SS: <br />Patrick Stanford being duly sworn states that he/she is the Project Manager <br />(Name of Officer) (Title) <br />of Bowen Engineering Corporation having contracted with City of South Bend, IN <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor as follows: Supervision, Labor, Equipment and Material <br />(Description) <br />for a project known as Pinhook WTP Improvements <br />located at 2800 Riverside Drive, South Bend, IN 46628 <br />and owned by City of South Bend, IN <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned Contractor: <br />(PARTIAL WAIVER) that there is due from the Owner the sum of <br />{ } receipt of which is hereby acknowledged; or <br />{ } the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of <br />Lien which is given solely with respect to said amount, and which waiver shall be effective only upon <br />receipt of payment thereof by the undersigned. <br />(FINAL WAIVER) that the final balance due from the contractor is the sum of <br />TWENTY FIVE THOUSAND FOUR HUNDRED SEVENTY EIGHT DOLLARS ($25,478.00) <br />{ } receipt of which is hereby acknowledged; or <br />{X} the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of <br />Lien which shall become effective only 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 <br />thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right <br />to alien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this <br />affidavit and waiver. <br />Bowen Engineering Corporation By <br />(Firm) (Patrick Stanford, Project Manager) <br />WITNESS MY HAND AND NOTORIAL SEAL, this 5TH day of April 20 23 <br />(Notary Public) <br />My Commission Expires June 5, 2024 Printed Margaret Burroughs <br />Residing in Newton County <br />10769 Broadway, #325, Crown Point, IN 46307 <br />219-661-9770 Fax:219-661-9766 4D <br />