Laserfiche WebLink
Ruben Alvarado <br />(Name of Officer) <br />of Rieth-Riley Construction Co., Inc <br />(Subcontractor/Supplier) <br />FINAL WAIVER OF LIEN <br />being duly sworn that he/she is the Sales Manager <br />(Title) <br />having contracted with <br />City of South Bend <br />(Contractor) <br />to furnish certain materials and/or labor as follows: Road Reconstruction Improvements <br />for a project known as CURB & SIDEWALK 124-009 <br />located at South Bend City Streets <br />and owned by City of South Bend <br />(Description) <br />(Name of Project) <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 />Four Thousand one hundred thirty 361100 ($ 4,130.36 <br />(Amount Written Out) <br />❑ receipt of which is hereby acknowledged; or <br />❑X 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 4/ 112 24 <br />Rieth-Riley Construction Co., Inc By R/ <br />(Finn) (Authorized Representative) <br />STATE OF Indiana ) <br />) SS: <br />St. Joseph COUNTY ) <br />Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Ruben Alvarado <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 />April 20 25 _ _ /j <br />My Commission Expires: 10/03/2025 Notary Public Signature <br />Residing in Marshall <br />`py�p'/i/� RACHAEL ELLIS <br />aaP. Ue ,(Votary Public, State c India <br />=z0 ' �" Marshatl County <br />SEAL: <br />*Z Ccmmisslon Number NP0744094 <br />=,,iH� •ap`' My Commission Expires <br />October43.2030 <br />chael Ellis <br />Public Name <br />