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<br />PARTIAL WAIVER OF ll.EN <br /> <br />To All Whom It May'Concern: <br /> <br />"\lHEREAS, the undersigned has been employed'by <br />City of Arden Hills <br /> <br />to'furnish rabor and materials for(B} <br /> <br />Exteri6r Masonry Restoration <br /> <br />work, <br /> <br />under a contract <br /> <br />Tqt the improvement of the premises described as <br />City of Arden Hills City Hall <br /> <br />in the <br /> <br />City <br /> <br />fCity-\,Iillage) of <br /> <br />Arden Hills <br /> <br />, County of <br /> <br />Ramsey <br /> <br />Minnesota <br /> <br />ofwhich <br /> <br />is the owner. <br /> <br />NOW, TH.E'REFORE, th'is <br /> <br />13 <br /> <br />day. of November . f~ 2008 <br /> <br />, -, <br /> <br /> <br /> <br />for and in consideration of the ~um oHE} $31 ,920. 00. . <br />Dollars paidsimultaneouslyherewi1th, the receipt whereof is hereby acknowledged by the undersigned, the under:: <br />sigr)eddoes hereby wa~ive a'nd rel.ease. to the. extent .onlyofthe. afore~aid:-amount,'-any Hen rights :to,or claim of. lien- <br />with respect to and on said above'':'described premises, and the 'im;provements. thereon, and onthe .monies or other <br />considerations due or to become due from' the owner, by virtue of said contract, on account of labof, services, <br />materials, fixtures, apparatus or machinery furnisheqby the undersigned to or for the above-described premises, <br />but only to the extent of the payment'aforesaid. <br /> <br />fr.-j - A. <br /> <br />sear here} <br /> <br /> <br />(SEft~l) <br /> <br />(A'ffix corporate <br /> <br />TITLE: <br /> <br />President <br /> <br /> <br />F()R. <br /> <br /> <br />tA) Name person or firm with whom you agreed to:furnish either labor, Of services, or materials; or both. <br />(8") Ril in nature and extent of work; strike the word labor or the word materials jf not in your contract. <br />. ..-(-e}AfYQu.have more.than one,contract on the same premises, describe the.cibritrac"t:by .n~fn6er'jfavailabk:!, dat~ and extent of 'work. <br />(D).Fumish an.accurate enough description of the improvement and location of the premises so that it can be distinguished':fromany other property. <br />fE) Amount shown should be the amount actually received on that date. <br />(Flit waiver is for'acorporation, corporate name should be used, corporate seal affixed and title.of officer s.igning waiver should be set forth;. if waiver is fora partnership, the partnership name should be used, <br />p:i3rtnei should sign 'and designate himself as partner. . <br /> <br />Designed By The <br />Construction Industry Affairs Committee (C'IAC) <br /> <br />TOPS 3459 <br />LITHO IN u. S. A. <br /> <br />@ COPYRIGHT 1973, TOPS BUSINESS FORMS. CHICAGO. ILL. <br />