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215 Johnson St <br />FINAL WAIVER OF LIEN <br />STATE OF Indiana SS Cty # <br />COUNTY OF LaPorte I Escrow # <br />TO WHOM IT MAY CONCERN: <br />WHEREAS the undersigned has been employed by Green Demolition Contractors Inc <br />to furnish demolition services <br />for the premises known as <br />of which City of South Bend is the owner. <br />THE undersigned, for and in consideration of Two thousand seven hundred forty dollars and zero cents <br />$2,740.00 Dollars and other good and valuable considerations, the receipt whereof is hereby acknowledged, do(es) <br />hereby waive and release any and all lien or claim of, or right to, lien under the statutes of the State of Illinois relating to mechanics' liens, <br />with respect to and said above -described premises, and the improvements thereon, and the material, fixtures, apparatus or machinery <br />furnished, and on the moneys, funds or other considerations due or to become due from the owner, on account of all labor, services, material, <br />fixtures, apparatus or machinery, heretofore furnished, or which may be furnished at any time hereafter, by the undersigned for the <br />above described premises, INCLUDING EXTRAS.* <br />DATE June 23, 2025 <br />SIGNATURE AND TITLE <br />*EXTRAS INCLUDE BUT ARE <br />STATE OF Indiana SS <br />COUNTY OF LaPorte <br />COMPANY NAME Green Demolition Contractors Inc <br />ADDRESS 315 Brighton St Ste 1, LaPorte, IN 46350 <br />CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE <br />CONTRACTOR'S AFFIDAVIT <br />TO WHOM IT MAY CONCERN: <br />THE UNDERSIGNED, (NAME) Michael J Brough <br />AND SAYS THAT HE OR SHE IS (POSITION) President <br />(COMPANY NAME) Green Demolition Contractors Inc <br />CONTRACTOR FURNISHING demolition <br />LOCATED AT 215 Johnson St <br />OWNED BY City of South Bend <br />BEING DULY SWORN, DEPOSES <br />OF <br />WHO IS THE <br />WORK ON THE BUILDING <br />That the total amount of the contract including extras* is $ 54.800.00 on which he or she has received payment of <br />$ 52,060.00 prior to this payment. That all waivers are true, correct and geniune and delivered unconditionally and that <br />there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names and addresses of all parties <br />who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work <br />labor and material required to complete said work according to plans and specifications: <br />NAMES AND ADDRESSES <br />WHAT FOR <br />CONTRACT PRICE INCLDG <br />EXTRAS* <br />AMOUNT PAID <br />THIS PAYMENT <br />BALANCE DUE <br />Green Demolition Contractors Inc <br />$ 54,800.00 <br />$ 52,060.00 <br />$ 2,740.00 <br />$ - <br />315 Brighton St Ste 1 <br />LaPorte, IN 46350 <br />All material taken from our fully paid stock and delivered to jobsite in <br />our trucks. All benefits are paid in full. No outside rental equipment <br />used. <br />TOTAL LABOR AND MATERIAL INCLUDING EXTRAS* TO <br />COMPLETE. <br />$ 54,800.00 <br />$ 52,060.00 <br />$ 2,740.00 <br />$ - <br />That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material, labor <br />or other work of any kind done or to be done upon or in connection with said work other than a <br />DATE: June 23, 2025 SIGNATURE:bov ted it <br />SUBSCRIBED AND SWORN TO BEFORE ME THIS 23 r DAY OF —jV K e <br />*EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE <br />ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT <br />%R4000001F.I. <br />�•m3E901AE ? <br />V <br />JANET M DOMMER <br />Notary Public - Seat <br />Porter County - State of Indiana <br />Commission Number NP0746920 <br />My Commission Expires Feb 16, 2031 <br />