HomeMy WebLinkAboutChange Order No. 1 and Project Completion - Ironwood Drive Repairs Project No 115-099 - Walsh & Kelly, Inc..1 � T-
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WAIVER OF LIEN
FINAL
STATE OF INDIANA ST. JOSEPH COUNTY:
WHEREAS, the undersigned Walsh & Kelly, Inc. has been hereto
employed by City of South Bend, Indiana
to furnish certain material and labor, to -wit: Asphalt Patching and Concrete
for the building owned by City of South Bend Indiana
and located on Ironwood Drive Repairs
South Bend 46614
St. Joseph County, Indiana
Project # 115-099
NOW, THEREFORE, KNOW YE, That the undersigned, for a good and
valuable consideration, the receipt of which is hereby acknowledged, hereby
and now waives and releases unto the said Corporation, the owner of said
premises, any and all lien, right of lien, or claim of whatsoever kind or
character on the above described building and real estate, on account of any
and all labor or materials, or both, furnished for or incorporated into said
building by the undersigned; and we further certify that the consideration
moving to the undersigned for executing this WAIVER OF LIEN has been
mutually given and accepted as absolute cash payment and not as a
conditional or ent or as security for payment,
. R
led'a4Aelivered this 1 da Se er 2017
,F .,.C-
»' ® D Hilary, u h Bend Area Manager
ow
Pers led efo me this11th day of September, 2017 Dustin
Hilary who being1y swo oath, says: That he is the South Bend Area
Manager of the Walsh & Kelly, Inc, and that he hereby acknowledges the execution
of the foregoing instrument for and on behalf of s d Walsh & Kelly, Ingand at
their special instance and request. f
My Commission Expires 06/07/2023
This instrument prepared by: AET lizabeth Turpin (Notary Public)
sap'T rF S A i EUMETH TURPIN
Notary Public, State of 4ndiana
Marshall County
Ca June 7 i Expires
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