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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: Forterra Pipe <br />Acknowledges the receipt of the sum of $6,284.66 <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 />__,,/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 C1 day of 2022 <br />By: C <br />Title: �G1 l• :-t lc� S !4c G I lS'� <br />Please return waiver to: <br />o.oriceCa)vinco-inc.com <br />or <br />Vinco, Inc <br />PO Box 907 <br />Forest Lake, MN 55025 <br />