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2015-09-09 CC Packet
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2015-09-09 CC Packet
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RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHT <br /> 1. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporations and <br /> by partners in co-partnerships <br /> 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. <br /> 3. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating, <br /> plastering materials,ect. <br /> 4. NO ERASURES OR ALTERATIONS MUST BE MADE <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 <br /> (Except the sum of$ retention) <br /> 3) _X_As full payment for all labor,skill,and material furnished or to be furnished to the following <br /> described real property: (legal description,street address,or project name) <br /> 2014 Centerville MN Pd in full$21,136.00 <br /> And for the value received herby waives all rights acquired by the undersigned to file or record <br /> mechanic's liens against said real property for labor,skill or material furnished to said real <br /> Document 1 property(only for the amount paid in box 1 is checked,and except for retain age <br /> shown in Box 2 is checked)The undersigned affirms that all material furnished by the <br /> undersigned has been paid for, and all subcontractors employed by the undersigned have been <br /> paid in full <br /> Company Name: Lesters Water Works <br /> Date: P .'a3 1 �i'L4 <br /> Officer/Owner S;ig�na`ture <br /> PRINT NAME <br /> 44 <br />
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