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State of Indiana, County of —St..- -Joseph__ SS: <br />Rick Slagle being duly sworn, that he/she Is the President <br />(Natnaof Officil FTRIO) <br />of Majority_ Builders,, Inc. having contracted with The, Ci:ty_qf South_Bend Public -Works <br />(Owner) <br />to famish certaln materials andfor labor as follows, - _'.gaper4l contracting,_ <br />MoscrIption), <br />for a project known as The Hill 511 Nqtfq,._Dame _Avenue TIFJPKqjgct _r_' <br />(Name of Project) <br />located at Dame �.A qnue,,_.South.,_ <br />and owned by ..-City of South Bend, <br />and does-ifeieby Auther state on the behalf of the aforementioned subcontraotor/supplier, <br />(PARTIAL WAIVER) that thero is due from the Contractor the aura of <br />Fifty four thousand, six hundred <br />`:fifty - three 7dollars' and __ tiifty--s even-6ents Dollars <br />C1 receipt of which is hereby noluiowlodged; or <br />Ja the payment of which has been promised as the sole consideration for this.Alidaytand Final Waiver of Lionvithich 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 />(FINAL WAIVER) Out the final bal4nco due ftin the contractor is the mn of <br />receipt ofwhioh is hereby acknowledged; or <br />si <br />❑ thepaytnent of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall T <br />become effective onlyapon.recelpt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said promises, any and all liens or claims whatsoever <br />on the above-deserlbed property and improvements thereon an account of labor or material or both, famished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any, and further certified thatno other patty has any claim or right to a <br />lion on account of any work performed or material famished to the undersigned for sold project, and wlthin the scope of this Affidavit <br />and Waiver ofLien. <br />Majority Bdilders, Inc. BY, <br />(F (AuthoAiW"cntative) <br />STATE OF =LANA <br />SS: <br />ST, JOSEPH COUNTY <br />Before me, the undersigned, a Notary Public, In and for said County and Slate, personally appeared ;LRick,,§1aR1e_ <br />and aftowledged the execution of the foregoing Affidavit and Waiver of Lien. <br />IN WITNESS WHEREOF, .shave hereunto subscribed my pamo and affixed my 071 seal oil the 8t: ay of <br />March <br />202 <br />'L­N6teuiyNblId-Si --gnafift <br />My Commission Expires: <br />Catherine A. Pram a' <br />Residing in, Michigan Coaaty, Cass <br />blip Name - <br />CATHERINE A PRANGE <br />01" NOTARY PUBLIC - INDIANA <br />I SEAL ._ Commission No. NP0721290 <br />My Commission Expires 0711412027 <br />