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for the Contnu:tor. or lilY Sub-Contructor or MlIlorial nuul, or in his or U"ir nome LBOillal ..ill buildinll or buildinas. 101 or loll
of IIfOwuI or lilY paIt tho:n:of II\lI for su.:h ""I or ""llIthi. shall b.: 11000 WId sulndenl WB/TWII WId oulhonly. wul a ref_ to
th. COW1. Tcnn lIIld Number in which Wid who", thi. AllfCCmL'lI1 sholl hllve bc..'lI 11I.:.J shall b.: a .ulnc;.:nl oxhibit of tho
Authorily he",in CQnlllinallo WDlTlIIll .u.:h ""lion. WId the Conl1ll<tor for hlm...lI: U,em..lve.. il...lf. do hCNby rcmiHo:, "'I.....
IIld quil..:laim all nabll 8/ld allIlUllU1L~ oC mu.... W.CC<:lll WId impcrfL"lions wluIllIoeVL" ill L'lItorillll .u.:h ..ti.lilI:lion or in lilY-
wiaatow:hlna or CQllccmlnalhe samc.
IN WITNESS WHEREOF. llu: ...ill partie. IuIve "'~CWlIo IlC\ their Iuuu1s II\lI ao:uls lIalcllllu: lIay II\lI year l\rsl
abovo \\Tillen.
WITNESSES PRESENT:
(SEAL)
Owaa.
1Ul,A. /;/.
TINA M. FLUSS
/ h; ...r-d-
OWnar
(SIAL)
I )~-()(~~
\...4 7 4
ROBERT~:y6LDSMITH, III Coalnelor
2