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PARTIAL WA[VER QF L�fiV <br />To Alf Whorn !t May Concem: <br />WHEREAS, t�e �,ndersigned has been eonployed by ;� � <br />� �t o� �� �� <br />to ftirr�isFt fabor and materials for (�} <br />Fx�erior NC�nx`y Restoxatian <br />under a contract {�} <br />fior the improvemer�t of the premises descr�bed as (� j <br />Ciry af Arden F�ls City f�ali. <br />���� �� <br />� <br />�� <br />, i <br />� r <br />�������� <br />OCT � � Z��� <br />2ao5. � <br />�� , <br />in ffie _�� _(City-ViElagel of C�unty of <br />State o# —��� <br />a#-which Cit o� Ard� Hills . <br />the awner. <br />NOW, TH�REFOR�, this 17 day of OGta � - ..... . ,��[�8 <br />#or �nd ir� consideration af the surn o# { E) $��388•65 <br />doilars paid simu�taneo�rsly i�erewiti�, the rec�ipt rrvhereof is hereby acknQwledged by the unders�g�ed� the u�der- <br />sigrtsd cfoes F�ereby waive and reiease to the extent onEy of the aforesaid ar�ount,�any lien righ#s to, �r ciairn o# Iien <br />vsrith respEct to and on said above-described premises, and tFte improvements thereon, anrl on #he monies or other <br />considerations due or to become due �rom the owner, by �irtue of said contract, on accout�t ofi labor, sErvices, <br />materials, ftxtures, ap�aratus or machinery furnished by the �ndersig�ed to or for th� above-described premises, <br />but onfy to the extent of tf�e payment aforesaid. <br />(Aft'rx carpCra4� <br />seaf hare; <br />�111ST�{iJ��'#q��5 FO;� f'.�1ii1'l�L 3i�1,�)VE� <br />TI-i-��: �i'PS1t3Eilt <br />(�i� A. J. S�anjers Co., �c. {��A� � <br />{h[arr�e of sole nwnership, wrporation orpartnershipl <br />,/� r . <br />s � {�fi�� � <br />t5i ture] <br />4N Namepergpnorfkm�,vi[hwMmyasagreetltpiumishriiherlahor.wsennces.urmataria]s.arbpth. <br />[BS isll in naNre and sx�em pf wvrk; strihs she word fahy a�ryy word ma[eriels if t�ot in your contratt- <br />lCJt! YOuhave mo�e.tl�an ane wnaact an �he sama PrPmisas. descnDe th9 contrac[�b• num6er iFavalable, dateand <br />� ea�em ct �rk. <br />ID� �urnishan accurdtg e�nuph tlauiiption of �he imprrn�emen[ and bcapqn althe premises sa that itCan be distingoishad�from anyother property. � <br />iE1 Amaemt shown shqi�dbeme arnount eeWalryreceived on �},at dete. <br />iFl If waiver i& ior a touporatiart, corparalanamg ghould he used, r,prporate seal aHFcetl and titte of otficersigneng weiyer shoWd he se[ foAh; if waiver i9.1a� a riarsnrr,hlp. [he parSnership ngme a3�OW4 ba usnd, <br />AA�incr Sho4Ad sign �nd designate himself aspayner. ' <br />Designed By The <br />Construction industry Affairs Committee (CIAC) <br />'�OPS 3459 <br />LITItiO IN U. S. A. � � COPYfl7GHT ]973, TOPS 6V$fNE55 FORM,$. CHIGAGO, 7L{„ <br />