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<br />PARTIAL WAIVER OF liEN <br /> <br />, To All Whom It.May'Concern':, <br /> <br />WHEREAS$ the undersigned has been employed by <br />City 0 f 'A r d' en. Hills <br /> <br />to 'furnish labor and materials for <br />Ext er io'r Mas onry Res t ora tion <br /> <br />work, <br /> <br />under a contract <br /> <br />for the im,provement of the premisE~sdesc.ribedas <br />Arden HiI,ls Ci ty Hall <br /> <br />in the. <br /> <br />city <br /> <br />. (City-'VilJage) of <br /> <br />Arden Hills <br /> <br />, County of <br /> <br />Ram.sey <br /> <br />, State of <br /> <br />Minnesota <br /> <br />ofwhich <br /> <br />City of A.rdenHil'ls <br /> <br />is the owner. <br /> <br />NOW, THER.EFOR.E, this <br /> <br />20 <br /> <br />daYhof <br /> <br />Novetnb'er <br /> <br />. ,X1B. 2098 <br /> <br />for and inconsidera.tionQfthE~~umof{EJ $27, 06'3 . 1 2 <br />Dollars paidsimultaneouslyherewith, the receipt whereof is hereby aCknowledgedby the undersigned, the under:.: <br />signed does hereby waive and release to the extent only ofthe aforesaidamount,any lien rights.to,or claim of lien. <br />with respect toandonsaid above-described premises, and the improvements thereon, and on the monies or other <br />considerations due orto become due from the owner, by virtue of said contract on account of labor, services, <br />materials, fixtiJres, apparatus or machinery furnished by the undertsigned to or for the above-described premises, <br />but only to the extent of the payrnent aforesaid. <br /> <br />ff.:} . <br /> <br />A. J. Spanjers Co., Inc. <br />(Nameofsol~ ownership, corporation or partnership) <br /> <br />{;3EALJ <br /> <br />corporate <br /> <br />seaJ here} <br /> <br />...~ <br /> <br /> <br /> <br />TITLE: <br /> <br />President <br /> <br /> <br />\fV'J~~.I~~~f Eli <br /> <br />(A) Name person :or firm with whom you agreed. to. furnish either labor, or services, or materials; or both. <br />(BJ Fill in nature and extent of work; strike the word labor or the word materials if not in your contract. <br />(CJ-Jf-YQu have more.thanone,contract on the same premises, describe theeOAtr-8ct-by nurnber-ifavailable, dat~ and extent of work. <br />(O) Furnish an,accurate enough description of the improvement and location of the premises so that itcanbe distinguished';from 'any other property. <br />tEl Amount shown should be the amount actually. received on that date. <br />iF) If waiver is f~r a corporation. corporate name should be used, corporate seal affixed and title .of officer signing waiver should be set forth; if waiver is for a partnership, tlle partnership name should be used, <br />. - <br />PBnner;should sign and designate himself as partneJ'~ <br /> <br />Designed By'The <br />Construction Industry Affairs Committee: (C'IA(:) <br /> <br />TOPS 34,59 <br /> <br />LITHO IN U, S. A, <br /> <br />@ COPYRIGHT 1973. TOPS BUSINESS. FORMs. CHICAG,O.ILL~ <br /> <br />