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cay-DUv�t �t('C0hes <br />(Name of Officer) <br />CE I- ehes Mi,lliv"O' my ., <br />of DgA The AErvu.a{zrivLO Co <br />(Subcontractor/Supplier) <br />FINAL WAIVER OF LIEN <br />being duly sworn that he/she is the <br />having contracted with <br />ares�devut <br />(Title) <br />City Of south gevO <br />(Contractor) <br />to furnish certain materials and/or labor as follows: Themt.opLasti a stripLo'CA <br />(Description) <br />for a project known as 124-025 Tk 6 rn&oph2sti c stripi vLO <br />(Name of Project) <br />located at T>ort2ge/Lathrop RAg avLd l>OrtaOe/goLawd RAg <br />and owned by CCtI Of South gevud <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier: <br />FINAL WAIVER that the final balance due from the contractor is the sum of <br />s�xteev, Thousawd sevev, r fvwudred :FOLtr DOLLars 00/1oo ($i6,7o4.00) <br />(Amount Written Out) <br />❑ receipt of which is hereby acknowledged; or <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 only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims <br />whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished <br />b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other <br />party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said <br />project, and within the scope of this Affidavit and Waiver of Lien. <br />Date 2 <br />I�1� Ua ,11nG,, <br />�,E�rj ( rkpw By <br />(F u on ed Representative) <br />STATE OF VLd l a wa_ ) ,,o<�i P� -- ND�y�p� Sttaatee oR(Nndlana <br />;a. o=_ <br />SS: _ SEAL; ? � councr <br />cDmrnisC Number NP0739934 <br />II �COUNTY ) '-'�My (ommlasion E � <br />HDinN,. March: 2030 <br />Before me, the undersigned, allotary Public, in an y appeared (1.WOI.w`�. S <br />and acknowledged the execution of the foregoing Waiver of Lien. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of <br />ail ( I A&A09K 2024 <br />My Commission Expires: 1j OA� A� Notaig Public Si ature <br />Residing in R)G,-4 n County <br />Notary Public N e <br />