Change Order No 1-Project Completion - Bowen Street Drainage Improvements Proj No 116-082A - Walsh & Kelly Inc

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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 Cit of South Bend Indiana to furnish certain material and labor, to -wit: Asphalt Paving, Concrete & Sewer for the building owned by City of South Bend, Indiana and located on Bowen Street Drainage Improvements South Bend 46614 St. Joseph County, Indiana Project # 116-082A 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 `%10W payment or as security for payment, ``�`� ed," 9e4eV'ifnd delivered this 22nd of November, 2017 °• o RA W H LLY, s sl '�F ~ Y r '°•°°• .�stin Hilary, South Bend Area Manager 1ND1 PAP*��. PerYdti*i1p4%eared b re me this 22.d day of November, 2017 Dustin Hilary who being duly sworn on 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 aid Walsh & Kelly, Inc, and at their special instance and request. My Commission Expires 06/07/2023 This instrument prepared by: AET Amy Elizabeth Turpin (Notary Public) AMY I I A iH "RPIN Notary I�ublic, State of Indiana S?�csh�ll Govnty Comm 'rssivn (X{I�f@8 ,fungi 7, 2023