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02-13-23-R
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02-13-23-R
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2/13/2023 11:04:21 AM
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Receipt of Payment & Unconditional Release of lien <br />Job Name: Arden Hill LS #10 Date: Through 12/21/2022 <br />The Undersigned Supplier: T.A. Schifsky and Sons, Inc <br />Upon <br />Acknowledges the receipt of the sum of $5200.00 <br />Check One Payment Box <br />As PARTIAL payment for Labor, Skill and materials furnished. <br />As payment for all labor, skill and material furnished (except for the <br />Sum of $ retainage or holdback). <br />X As FULL and FINAL payment for labor, shill, materials furnished or to be furnished. <br />For value received hereby waives all rights acquired by the undersigned to file or record mechanics liens <br />against said real property for labor, skill or material furnished to said real property (only for the amount <br />paid if box 1 is checked). The undersigned affirms that all material furnished by the undersigned has <br />been paid for and all subcontractors employed by undersigned, have been paid in full, except: <br />Dated 23rd <br />Title: CAO <br />Please return waiver to: <br />p.price@vinco-inc.com <br />or <br />Vinco, Inc <br />PO Box 907 <br />Forest Lake, MN 55025 <br />day of December 2022 <br />
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