PCA - LaSalle Ave. Streetscape - Milestone Contractors - TABLED

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PAO Milestone AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) SS: COUNTY OF SAINT JOSEPH ) FINAL, Payment to Follow Jennifer. Timmons being duly sworn states that they are the Project Accountant of Milestone Contractors North, LLC (F/K/A Inc.) having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: ASPHALT -CONCRETE for a project known as LASALLE AVE STREETSCAPE PROJECT (MCLP Job# 239707) located at SOUTH BEND, IN and owned by MILESTONE CONTRACTORS and does further state: FINAL WAIVER: that the final balance due from the owner is the sum of zero and xx / 100 Dollars the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the above -described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no 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 the scope of this affidavit and waiver. Milestone / '} LLC (F/K/A Inc.) Jennifer. Timmons Project Accountant Subscribed and sworn to before me this: 3rd day of October. 2024 Notary Public: j-at—) &4 � 4 Alisha Krue qt My Commission Expires: June 5, 2030 County of Residence: La Porte 4n�¢kf:ST _ - 4 .:•• .... ALISHAKRUEGER l My Commission Expires SEAL June 5, 2030 ,Y_ Commission Number NP0553544 La Porte Count;