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Conditional Receipt and Waiver of Mechanic's Lien Rights <br />Dated: 11 / 07 2025 <br />Upon receipt by the undersigned of a check from BRZ Coatings Inc in the sum of <br />$ $13,421.64 and when the check has been properly endorsed and has been paid by the <br />bank upon which it is drawn, this document shall become effective to release any mechanic's <br />lien, stop notice, or bond right the undersigned has as follows: <br />Check Only One <br />1) ❑ as partial payment for labor, skill and material furnished or to be furnished. <br />2) ❑ as payment for all labor, skill and material furnished or to be furnished (except the <br />sum of $ retainage or holdback) <br />3) ® as full and final payment for all labor, skill and material furnished or to be furnished <br />to the following described real property: <br />Owner Name: <br />Street Address 1: <br />Street Address2: <br />City: Arden Hills <br />BRZ Coatings Inc <br />1230 Red Fox Road <br />State: MN Zip: 55112 <br />And for value received hereby waives all rights acquired by the undersigned to file or record mechanic's <br />liens against said real property for labor, skill or material furnished to said real property (only for the <br />amount paid if Box 1 is checked, and except for retainage shown if Box 2 is checked). The undersigned <br />affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed <br />by the undersigned have been paid in full. <br />(Note: if this instrument is executed by a Corporation, it must be signed by an officer and if <br />executed by a partnership, it must be signed by a partner.) <br />Company Name: Tnemec Company <br />Signed By: C4l_u a_91 <br />Title: Credit Analyst <br />Street Address: 123 W 23RD AVE <br />MO <br />City: North Kansas City State: Z= Zip: 64116 <br />FOR SUB -CONTRACTORS <br />