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FINAL \\,,'AIVER, OF' LIFN <br />. ....... -- D . LISI i i - I - 'Efrf«ar <br />--- - - ---- . ....... - ----- heim, duly sworn that lie,'she is the VP Of'SOUth Bend Area <br />(Name oll"Officer) <br />of' Walsh �&, Kelly, Inc ... .... . . . . . ............ havin- contracted with G1 � ol'South Bmd <br />(contractor) (Owner) <br />to ftimrsh ceilain materials and/or laboras 1'ollows: Recover, 1-�jlletize and deliverTuit St. bricls to C.,�jlvert Si Wit <br />........ ... <br />(Description) <br />f'or a project known as 120-045 Folit Street Brick Recovcj-�, <br />- — ----- - -------- - -- . . ...... . . . ..... . . ..... .. <br />(Name o!"ProJect) <br />located at VaCdt0d TLJU Street, north of San le Street it Lal"a elte BOUlevard <br />� -11111111,- -1--l-r— ...- . �1e <br />1 � - -- - - ------- . .. . ......... <br />and owned by it) of South Beat] <br />........ . . --- . ........... .. . ..... <br />(Owner) <br />and does hereb), I'miller state on the behall'ot'llie aforeincritioneci coalraclor: <br />F'INAL WAIVER that the f-mal balance due from the contractor is the SUM of <br />E'"wwctatx three [f)(lusand cra LJ -Ln ( d 6 hiv-nine dollars (S 13,889.00) <br />I . . .......... !��- . . ........ . . . .......... - <br />(Amount Wrillen Oig) <br />receipt of which is hereby ackjrj()wVledged: Or <br />the payment ol"which has been promised as the sole considera6on Poor this Affidavit and Final Waiver ot'l,,Jen kNhich <br />shaff become cf1cctive oilly upon receipt of such Payment, <br />- <br />I I HER EFOR E, file Uodef-SiOncd waives and releases unto) the )wner o I'said premises, am and al I liens or Claillis <br />whatsoever on the above -described properly and improvements thereon aT, jc�c()u,jj of labor or material or both, ftu-nished <br />b the Undersigned thereto, subject to limitations or conditions expressed herein, if'any ;bind I'La-ther cer-tified that no other <br />I. has any claim or right to a Tien on account of art work performed or inaterial Furnished 10 file Undersigned for said <br />proIect, and within die scope of'this Affidavit and Waiver of Lien. <br />Date <br />Walsh K, Kd��,,, hic. <br />.............. .. — ..... . ..... <br />(I, irm) <br />B,N <br />orized Representative) <br />STATE' OF <br />St Joseph CO U NTY SS: <br />Before me, the undersi,med, as Notary Public. it) ano for. said and State. persomafly appeared <br />and acknowledoed the execution o,)J'flje <br />IN \\/I r FNE'SS WHERF'OF. I 11,1%IC IlUCUMO Subscribed ill) name and affixed my of'fickd seal on tile <br />October <br />20 <br />M\ Commission F\pires: <br />Residin', in S1 Joseph <br />County <br />04/03`2027 Notary Public Sionature <br />Derek Allen <br />. .............. . . . . <br />Notary Public Name <br />DILIStill I Man, <br />1 St da� of' <br />