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<br />FEB-BB-2000 15:51 <br /> <br />051 bI:I8'9164 <br /> <br />T l. I,.;ONCREli:. <br /> <br />CI'$TIJNF <br /> <br />Rcceipt nud W~I' of l.jell Rights <br /> <br /> <br />DATED: ?--f--rnJ .~,d <br /> <br /> <br />The undersigned hereby acknowledges receipt oftl e sum of$ /E1J <br /> <br />from: <br /> <br />/vJ <br /> <br /> <br />CHECK ONLY ONE <br /> <br />1) [ ] as partial paymcnt for Jabor, skill and materia! \umi.s~1ed, <br /> <br />2) [~,. as full and final payment for aU labor and material furnished. <br /> <br />to the following described real properly: (legal description, street address or project name) <br /> <br />~~ <br /> <br /> <br />h~ <br /> <br />P.01/01 <br /> <br />~- p--co <br /> <br />and for valuo received hereby waives all rights acquired by the undersigned to file or record mechanic's liens <br />against said real properly for labor, skill or material furnished to said real property (only fOf the amount paid if <br />BO~ 1 is checked, and except for retainage shown if BOX 2 is checked), <br />EXCEPT: ' <br /> <br />. " <br />This Waiver is valid only if payments made clcar ~proper banking chani1~ls. <br /> <br />BY: <br /> <br /> <br />TJJLE: <br /> <br />2025 CENTRE rOJNTE BLVD. <br />MENDOT A HEIGHTS, MN 55120 <br /> <br />. . <br /> <br />U ptinllld!", ~1Id ~PO' <br /> <br />CEMSTONE PRODUCTS CO. <br /> <br />2025 Centre Pointc Boulevard, Suite 300 · Mendola Hcight~. MN 5S 120 <br />(612\ 6RR-92Q?' . FA)(' (f\ t?Yi\RR.nl ')if . MN W" T~' (IlM\'';I1,):~OO'7 <br /> <br />'\. <br /> <br />TOTAL P.01 <br />