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Print Form <br />CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN <br />Project/ Owner <br />Project: Hill & Colfax Project # 114-018 <br />Address: 227 W. Jefferson Blvd. <br />South Bend IN 46601 <br />City State Zip Code <br />Owner: City of South Bend <br />TO ALL WHOM IT MAY CONCERN: <br />Contractor <br />Name: S/T Bancroft Electric <br />Address: 25020 SR 2 <br />South Bend IN 46619 <br />City State Zip Code <br />Contractor Licence: <br />Contract Date: 3 / 8 /2016 <br />For good and valuable consideration, the receipt and sufficiency of which is hereby <br />acknowledged, the undersigned Contractor hereby waives, discharges, and releases any and <br />all liens, claims, and rights to liens against the above -mentioned project, and any and all other <br />property owned by or the title to which is in the name of the above -referenced Owner and <br />against any and all funds of the Owner appropriated or available for the <br />construction of said project, and any and all warrants drawn upon or issued against any such <br />funds or monies, which the undersigned Contractor may have or may hereafter acquire or <br />possess as a result of the furnishing of labor, materials, and/or equipment, and the performance <br />of Work by the Contractor on or in connection with said project, whether under and pursuant to <br />the above -mentioned contract between the Contractor and the Owner pertaining to said project <br />or otherwise, and which said liens, claims or rights of lien may arise and exist. <br />The undersigned further hereby acknowledges that the sum of <br />One Hundred Twenty Four Thousand One Hundred Eiohty One dollars <br />Dollars ($124,181.43 ) constitutes the entire unpaid balance due the undersigned in <br />connection with said project whether under said contract or otherwise and that the payment of <br />said sum to the Contractor will constitute payment in full and will fully satisfy any and all liens, <br />claims, and demands which the Contractor may have or assert against the Owner in connection <br />with said contract or project. <br />Witness to Signature: <br />Notary Public - Stile of Indiana <br />LakcCOU* <br />My Commisslon Expires Jon 18, 2023 <br />Dated this. day of Vn e, 201(� <br />Conracto <br />By: gem P 1 knrN <br />Title: X/ P �f 40 T-R <br />Page 1 of 1 <br />