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Final Waiver of Lien <br />State of Indiana, County of j SS: <br />_K(Narn Officer) <br />l being duly sworn that he/she is thel;' <br />cer) _ .s (Title) <br />of �i t �41� t uI g <br />_Ravin contracted with <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor as follows: <br />(Descri Lion) <br />for a project known as z,24 <br />(Name of Project) <br />located at <br />and owned by a" <br />(Onvan) <br />Seel <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier: 1FMY <br />ry Public - State of Indlem <br />T <br />St Joseph ,County - <br />(PARTIAL WAMR) that there is due from the Contractor the suns oftrtlr$ion Salt+INS Oct 22, 2022 <br />Dollars ) <br />❑ receipt of which is hereby acknowledged; or <br />❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given <br />solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />(F AL WAIV132 that a A, I balartc ue fir he 1tun <br />e contractor is w " w <br />p , !lars w�a <br />❑ receipt which is h� ac w edge i or <br />the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall <br />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 whatsoever <br />on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a <br />lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit <br />` <br />and Waiver oLlen. <br />.��Firnes <br />) <br />STATE OF INDIANA <br />SS: <br />ST. JOSEPH COUNTY ) �o <br />Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared hval li"Alm / Qk <br />and acknowledged the execution of the foregoing Affidavit and Waiver of Lion. �/ <br />INWI NESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 5 — day of <br />2004 <br />Notary Pntblia Signatttro y....__W�.m <br />n Expires: _ a al a <br />My Commission �`. <br />Residing i _ 'w County, Notary Public Name <br />_� <br />