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222457 <br />Final Waiver of Lien <br />State of Indiana, County of Starke SS: <br />Brian Triska being duly sworn that he/she is the President <br />(Name of Officer) (Title) <br />of Traffic Control Specialists, LLC having contracted with City of Southbend <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor as follows: <br />(Description) <br />for a project known as City of South Bend MC Striping <br />(Name of Project) <br />located at Chippewa & Michigan Intxn <br />and owned by City of South Bend <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier: <br />(PARTIAL WAIVER) that there is due from the Contractor the sum of <br />Eight Hundred Twenty -Nine an Dollars <br />($_ 829.04 ) <br />❑ receipt of which is hereby acluiowledged; or <br />the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lion -which is given <br />solely with respect to said amount, and which waiver shall be, effective only upon receipt of payment thereof by the <br />undersigned; <br />(FINAL WAIVER) that the final balance due from the contractor is 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 Final Waiver of Lien which shall <br />become effective only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever <br />on the above -described property and improvements thereon as account of labor or material or both, furnished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a <br />lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit <br />and Waiver of Lieu <br />\ 0k <br />_ Traffic Control Specialists LLC By <br />(Firm) (Autho 'zed Representative) <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 Brian Triska <br />and aelaiowledged the execution of the foregoing Affidavit and Waiver of Lien. <br />IN WITNESS WBEREOF, I have hereunto subscribed my name and affixed my official seal on the 26th day of <br />February 20a 24 ` <br />Notary Public Signature <br />My Commission Expires: 10/20/2027 j <br />Residing in Starke County, _In <br />DAWN L. BENNETT <br />�P.••••.4�'c Notary Public, State of 1115 <br />n= r,.,.,Starke County—�.--U <br />SEAL' =, rr,rr <br />ion Number NP0�2�9t <br />M Com,misslon [x >ires <br />v NP P� y <br />October 20, 2027 <br />L. Bennett <br />Name <br />