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08!24/2015 09: 32 6514648288 CENTRAL LANDSCAPING PAGE 01/'02 <br /> 05/•15/2015 FAT 7152 FAX 320 363 8386 0 6 L BKOlVd+Sng 0002/002 <br /> 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 similarto 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 MADC <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 fumished or to be furnished to the following <br /> described real property: (legal description,street address,or project name)$14,104.65 <br /> Contract#2014.,1412 Centerville MN <br /> And for the value recalved 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 I 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 bythe <br /> underslgn9d Mas been paid for, and all subcontractors employed by the undersigned have been <br /> paid in full <br /> Company Name: Central Landscaping <br /> Date: <br /> Officer/owner Signature <br /> PRINT NAME <br /> 50 <br />