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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 corporamns and <br /> by partners in co-partnerships <br /> 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHO':N <br /> 3. A receipt similar to this or legal waiver of lien rights will be required for all plus Lm� , 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 furnishes{ <br /> 2) _X_As payment for all labor, skill,and material furnished or to be furnished <br /> (Except the sum of$1,085.00 retention) <br /> 3) YAs 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 /> Contract#2014.1412 Centerville MN <br /> And for the value received herby waives all rights acquired by the undersigned to file cif record <br /> mechanic's liens against said real property for labor,skill or material furnishpd to�,s:d 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 furnish:(I r)y i he <br /> undersigned has been paid for,and all subcontractors employed by the undersikne l have been <br /> paid in full <br /> Company Name: Hugo Plumbing <br /> Date- �,- I S I +5 ._ _ — , <br /> Officer/Owner SignaWre --- <br /> PRINT NAME 11i" <br /> 46 <br />