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j; Milestone <br />AFFIDAVIT AND WAIVER OF LIEN <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF St. Joseph ) <br />FINAL <br />Payment to Follow <br />John Conway being duly sworn states that they are the Project Accountant of Milestone Contractors, L.P. having <br />contracted with CITY OF SOUTH BEND to furnish certain materials and/or labor as follows: Bridge Deck Replace for a project <br />known as LEEPER AVE. BRIDGE DECK REPACEMENT (MCLP Job# 249043) located at SOUTH BEND, IN and owned <br />by .City of South Bend and does further state: <br />FINAL WAIVER: <br />that the final balance due from the owner is the sum of <br />fifty-three thousand two hundred sixty-three and 88 / 100 Dollars <br />the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become <br />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 above -described <br />property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no <br />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 <br />the scope of this affidavit and waiver. <br />Milestone Contractors, L.P. <br />in <br />Project Accountant <br />Subscribed and sworn to before me this: 17th day of June, 2025 <br />e y< J .� ieI r• v a •.i;� �.� <br />` ; ��n t r �� o�,a Notary Public: <br />i SEAL r <br />C.omrr�'=!.n, ^r•!'7747205 / <br />�+rwr- ;ME4 �,� Jennifer Timmons <br />x '•3t <br />My Commission Expires: February 28, 2031 <br />County of Residence: LaPorte <br />