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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 �` 3�po u p <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 City of Centerville MN <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: Down Rite Boring <br /> Date: / U S� _ <br /> c <br /> Officer/Owner Signature <br /> PRINT NAME 11T), <br /> 48 <br />