Laserfiche WebLink
P,J,l Milestone <br />AFFIDAVIT AND WAIVER OF LIEN <br />STATE OF INDIANA <br />SS: <br />COUNTY OF ST. JOSEPH <br />FINAL <br />Payment to Follow <br />John D Conway being duly sworn states that he is the Senior Project Accountant of Milestone Contractors North, <br />Inc. having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: ROAD <br />CONSTRUCTION for a project known as Main St. Improvements, Sherwood to Dean (MCLP Job# 239700) located <br />at South Bend. IN and owned by CITY OF SOUTH BEND and does further state: <br />FINAL WAIVER: that the final balance due from the owner is the sum of twenty thousand eight hundred sixty-one and 471100 <br />Dollars <br />the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which <br />shall 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 above -described <br />property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no <br />other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within <br />the scope of this affidavit and waiver. <br />Milestone Contractors North, Inc. <br />John D Conway <br />Senior Project Accountant <br />Subscribed and sworn to before me this: 22nd day of November, 2023 <br />Notary Public: <br />Alisha Krueger <br />My Commission Expires: June 5, 2030 <br />County of Residence: La Porte ALISHAKRUEGER <br />My commission Expires <br />� : SEAL :: June 5, 2030 <br />Commission Number NP0653544 <br />La Porte County <br />