My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
PCA - East Race Sidewalk Repairs Proj No. 117-130 - Milestone Contractors
sbend
>
Public
>
Public Works
>
Board of Works Documents
>
2024
>
Project Completion Affidavits
>
PCA - East Race Sidewalk Repairs Proj No. 117-130 - Milestone Contractors
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/17/2025 3:24:26 PM
Creation date
3/26/2024 3:53:40 PM
Metadata
Fields
Template:
Board of Public Works
Document Type
Projects
Document Date
3/26/2024
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
20 Milestone <br />AFFIDAVIT AND WAIVER OF LIEN <br />STATE OF INDIANA <br />) SS: <br />COUNTY OF SAINT JOSEPH ) <br />FINAL. <br />Payment to Follow <br />Jennifer. Timmons being duly sworn states that they are the Project Accountant of Milestone Contractors <br />North, LLC (F/K/A Inc.) having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or <br />labor as follows: CONCRETE for a project known as East Race Sidewalk Repair 2023 (MCLP Job# 239718) locatec <br />at SOUTH BEND, IN and owned by MILESTONE CONTRACTORS and does further state: <br />FINAL WAIVER: <br />that the final balance due from the owner is the sum of <br />ninety eight thousand seven hundred fouMt !three 00/100 Dollars <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 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, and further certifies that no other party has any claim or right to a lien on account of any work performed or material <br />furnished to the undersigned for said project, and within the scope of this affidavit and waiver. <br />Milestone Contractors North, LLC (F/K/A Inc.) <br />Jennifer Timmons <br />Project Accountant <br />2o�p5`YP6A� JOHN CONWAY <br />* SEAL * Commission Number: NP0746563 <br />N� =Q My Commission Expires <br />9�OFIN��P 0210112031 <br />Subscribed and sworn tto-before <br />- me this: 14th day of March. 2024 <br />Notary Public_/ih <br />John Conmir t <br />My Commission Expires: 2/1/31 <br />County of Residence: LaPorte <br />
The URL can be used to link to this page
Your browser does not support the video tag.