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of Indiana* Conly Of SSO <br />lja�C� be� duly 6110f� tbat fWshe Is (he OWV1 <br />-P � <br />(Names of Ofaw)(rifle) <br />Of 1-U 1U LP.-� laving cnatn*-d WfthftM <br />(Contractor) (Owner) <br />tD fWldMh candle ocVor labor as followtas 5►^r� i� C'oJ i'2. S rs Gt C V?��7i.t' -- <br />A <br />0 e 1c, <br />123 <br />�rr+�rne orr�o�� <br />IG�i (4. V- I Ito <br />L I-P4 tl P SeI 1-k2 VA <br />(PARnAL WArnR) thst them is d Ue m tho Conlmctor <br />0 AqvjwMrd OVI& OjAf V*xt 4iAd P.vl4 <br />l P+f" <br />1:1 rccoipt of which is herby aclaxowledgad; or <br />8 <br />the a�m of <br />Doll�ta <br />ei2.1 <br />71111q'�' <br />01?1 the paynw:,, of which fin bear promised as the sole consedecadon for this Affidavit aad Final Waiver of Lien which is given <br />soidy with act to said amount, and which waiver aball be affective only upmn receipt of peymmt thereof by the <br />tmdasigned; <br />(FINAL WAIVER) that the bnel tx1anco due from the wi3traccor h the awn of j <br />(S q3 <br />❑ receipt ofwhiaL is hmby acknowledged; or <br />*e paymeat of which bew m the sole cmsidarati <br />A. <br />be affeefive o* upzi =6MPT Of Swh payment <br />for thin Affidavit and Final Wiflvwp of Uen which shnli <br />I - <br />{*Al <br />} <br />y ■y 3■ 4 * I ■` � y` ai <br />AL Wlview� <br />��?Ld1J LAC, <br />My co=issioa Expires; <br />R"Ming In _ <br />dars for said project, and within tho scope of this Affidavit <br />By <br />(Authozi Reprosrntative) <br />SS#P <br />JVM, e Notary POW, In er►d for asid Counly teed Slat% penwally appeared ' <br />-- <br />Notay Public Signatum <br />0 <br />Notary Public Nasm <br />Caderia Strick1snd <br />jljgjSIj' Publici <br />t JOh County <br />$%MA;k6fOf1 NOMUff PG?4 7 4 <br />r <br />i <br />