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<br /> JUL-25-9C1 l,ED 15:00 B 498::::717 F' ~ ~:) 1
<br /> !I Form ND. 2~7M - ReceiPl and Waiver 0/ Mechanics' Lien. W9.ller S 8oo:~1 Co I
<br /> RECEIPT AND WAIVER OF MECHANICS' LIEN RIGHTS
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<br /> ,( (Appr~\'\':d by Minr,e~polis Real Em'[:2; B.::.s.rJ)
<br /> N.B. - It is impQrt:mt that the f0l1owiJ1,R dir~('tion:<; he closely followed as OIherwis.e the ~ceipt WILL NOT BE ACCEPTED.
<br /> i I. This i(. ~ LEGAL INSTRUMENT and must bt tXt:<:utcd ac,;ordingl)' by ofticefs (If ClJ~urf.ttions and by pa.rtners in c().partn~T5h..lp;;:,
<br /> 2. It i~ impQrt::tn.t that ALL the blank...~ be cortlpkted Bod the AMOUNT PAID BE SHO 'N.
<br /> 3, If paymcTH is ll.Ot in fulJ to date, so state, SHOW VNPAID BALANCE, and Mrike out last three lines.
<br /> 4,.4.. receipt similar [0 [his or legal waiver of lien righLs will be required for all plumhing, hecHing and plastering malerials, etc,
<br /> 5, NO E-RASURES OR ALTERATJONS MUST BE MADE.
<br /> ! Th',m,',";",,' "lmow;,',,, ",";0' "cd,," p',m,,; of ~~~~ t~'lfJ
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<br /> (J.M-~t-~ ~ollars, ($_ 0"'0 )
<br /> ).,I.R. S. (Am<lunl Flid"l
<br /> From ~(:JM~r:SiLC"-.:rON, :7></,::,. in full payment of
<br /> all --r; j"J I? -h (",moot P'PrJ
<br /> li'i1r EU.UrJ
<br /> (Kind 6IM.aLcri3.1 orLOltor) //JrLI :r.VC
<br /> by the undersigned delivered or furnished to (0( performed at) _6::..EJY)
<br /> i -- blq_=-L~* 5r~EET &_6..,-- ,~
<br /> fJ fI D EiJ..1l.r US / jiJ AJ . 5SI/;;<.
<br /> (Sl.!~tl Ad;:l~~~ or Lt:E011 De~.:ripljOD)
<br /> and for value received hereby waives all rights which may have been acquired by the undersigned to file
<br /> mechanics' lien against said premises for labor:skill or material furnished to said premises pdor (0 the date hereof.
<br /> PLUMBlNG, HEATIl'>G and PLASTERING -- I
<br /> con tractors mu~t sign slateme,nt on reverse By 0_"40 ~. (JO. Q:Q, I
<br /> I hereof.
<br /> ~.,-1<'~.,..MJ.l,tr,,~,,~ -
<br /> I' (litle, I
<br /> II Address 3q3;:>. _ ~ <;0"'" ...,
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