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PAO 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: ASPHALT -CONCRETE for a project known as LASALLE AVE STREETSCAPE PROJECT (MCLP Job# <br />239707) located 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 />zero and xx / 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 <br />/ '} <br />LLC (F/K/A Inc.) <br />Jennifer. Timmons <br />Project Accountant <br />Subscribed and sworn to before me this: 3rd day of October. 2024 <br />Notary Public: j-at—) &4 � 4 <br />Alisha Krue <br />qt <br />My Commission Expires: June 5, 2030 <br />County of Residence: La Porte <br />4n�¢kf:ST <br />_ - <br />4 .:•• .... <br />ALISHAKRUEGER l <br />My Commission Expires <br />SEAL <br />June 5, 2030 <br />,Y_ <br />Commission Number NP0553544 <br />La Porte Count; <br />