HomeMy WebLinkAbout96-01390
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CONTRACTOR'S
AffiDAVIT OF
RELEASE OF LIENS
AlA DOCUMENT C70M
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CUN TR ~CTl)R
SURETY
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I\L, q~ I.i..'/O .',dJ
TO (Owner)
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89rJ Vtl.J..lt!.y St~at
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PROJECT: A....Ji Id,. /I.J- WI AU'/:iJ
(name, address) .
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ARCHITECT'S PROJECT NO Ss ~ 1/ 9StJ.;).J.-S"
CONTRACT fOR:
EdS'1 f~"nS'Ud IIli/, Jrh()()L
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CON TRACT DA IE'
NOIli:!mlJ<!, IJ, /1')(.,
Sial.. 0': Pit. n " S r Lv G\ " i "'-
County 0/: eLl.. "'" 6 e, l a. " cl
The und..rs'gned, pu"u.,H to Mtiele 9 of the Cen..al Cond,I<on! of th.. Conlrael (or (on",ucI,on. AlA Document
A201, hereby eo,tifle, I~,al 10 the besl 01 hi, knowledg~. information and belief, .."ept as HUed belolY, Ihe Releast5
or Waivers 01 lien allJo:hed hereto 'nclude the ContrOClor, .11 Subcontractors, all ,uppll.." of materi.ls and equip-
ment, and .11 performe,'; of Work. I. bar or ,.,.vicu "ho have or m.y h,'Vi liens agaln't any prop~rly of the Owner
.Jrj~in8 ('l Olny mJnner c: ut of the petfatmance of ,he ConlrJ.(.r reierenced .bove.
EXCEPTIONS, (If none, writ,. "Non.... If req'Jlred by Ihe Own." the (Onlraelo, ,h.1I furni," bond sali,laclory 10 Lho
Owner (or e.eh excepli",n.)
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SUrrORTi,",G DOCI.:\\Et\TS ATTACHED HERETO
, Contractor', R~le.\)e or \VJi'ter of llfi1!o. ((lndi.
tionOlI upon rPCl?ipt of (il~IJI payment
2 Sep,Ho1t~ ReleJ..;es or \V~d...'ers Of lieni from Sob.
c.:onVo1ctori .\nd mOlterid ,lnd equipment SI~P.
pile", to lh{: e\tent req'Jired u" th~ Owner, ,'~
compJni~u by J li)t lh~n~of
CO'< rRA(TO~ Ie" ns IL 1ItJ. n;a. So"-nJ
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~'ub'j::d1-.:d Jnd ~~..t)rll 10 belu,u me thi~ / Ll --,
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