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• <br />t ttNi, i h `tun: ran t a MHO <br />F.x`s5I err TB43 <br />Dec & 2009 11:04em P091 J991. <br />1E9 P.0021092 I-878 <br />RECEIPT AND WAIVER OF MECHANICS', LIEN WHIM <br />Dated December 3, 2009 <br />The undersigned hereby acknowledges- receipt Of the sum of $33 <br />CHECK ONLY ONE <br />X as partial payment for labor, skill and material furnished <br />as payment for all labor, skill and material;fumished or to be <br />_as full and final payment for all labor, skill and material furs% <br />furnished to the following real property <br />Gem Lake Scheuneman Road Improvements <br />And for value received herebyy waives all rights acquired by the one <br />file or record mechanic's liens against said real property for Tabor, <br />furnished to said real property (only for the amount paid if Box 7 is <br />except for retainage shown if Box 2 is checked). ;The undersigned <br />material furnished by the undersigned have been paid in full excep <br />Lainetti & ores Inc. <br />Title rC C.Xit..fAA <br />16028 Forest Blvd N <br />Hugo, MN 55038 <br />Please mail to: T. A. Schifsky & Sons, Inc. <br />2370 E Highway 36 <br />No, St. Paul, MN 55109 <br />Fax##651-777-7843 <br />1•.04. <br />furnished <br />ed or to be <br />rsigned to <br />ill or material <br />Deck and <br />inns that all <br />