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WAIVER OF LIEN TO DATE
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STATE OF ILLINOIS
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TO WHOM IT MAY CONCERN, . ." ,;{,,::,:;;,>:':',;;
WHEREAS the undersigned has been employed by THE NORWOOD COMPANy.... '.; ,,::iJjJ~~~;~\;i~i
. Sitework for Ule premjse~ known as AMES TRUE TEMPER DISTRIBUTION FAC~~j~YG~:~~?;!~f5
which FR DEVELOPMENT SERVICES. INC. IS the owner. . . ,.., . ';"i"\,:::'~,,!::!t~),~;;;l:c
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, THE undersigned, for and in consideration of FIVE HUNDRED THIRTY FOUR THOUSAND NtNll HUNDRED NINEty" .. .
THREE AND THIRTY CENTS ($534.993..30) Dollars, and other good and valuable consideration, the reeeiptv.;herellfis;:', '
hereby acknowledged, dotes) hereby waive and release any and all lien Or claim of, or right to, lien,under the'statUtes',of the' , "
State of PA relating to mechanics' liens, with re.pect to and 00 said above-described ptemises, and the improvements
thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due
or to become due from the owner, on account of all labor services, material, fixtures, apparatus or machinery, furnished to this
date by the undersigned for the above-described premises, INCLUDING EXTRAS.'
DATE
COMPANY NAME
Leon Wintermver. Inc
220 YoclImtown Rd Etters
SIGNATURE AND TITLE
"EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE OI<.DERS, BOTH ORAl- AND WRJTTEN. TO THE CONTRACT.
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THE UNDERSIGNED, (NAME) 'K\{..I\,\ fk ~ E>.f~ BEING Dl1I::Y;SW{}~I'1:;.'::<';:>:"
DEPOSES AND SA YS THAT HE OR SHE IS (pOSITION) c..PO . . OF (COMPANy. ".. ..'
NAME) Leon Wintermyer. Ine WHO IS THE CONTRACTOR FURNISlUNC .
Sitework WORK ON THE Bt.rILDINGLOCA TE.D
AT 700 ALLEN ROAD. CARLISLE, PA OWNED BY FIRSTINDUSTRIALDEVELOPMENTSERVICltS
That the total amount of the contract including extr.s. is $ 5.052.842,00 on which he or she has received payment of
$ . 493.614.90 prior to this payment. that all waivers are true, correct and gemline and delivered unconditionally
and that there is no claim either legal or equitable to defect the validity of said waivers. That the following are the names alld
addresses of all parties who have furnished materi.l or labor. or both, for said work and all parties having contracts or sub
contracts for specific pOliions of said work or for material entering into the construction thereof and the amount due or to
become due to each, and that the items ,nentioned included .11 labor and material required to complete said work according to
plans and specifications:
MUST BE FILLED OUT, CONTRACT PRICE
NAMES AND ADDRESS WHAT FOR !NCLDG EXTRAS'
1scon Land Surveying Surve in $74 800.00
Hall s Explosives Rock Blast $256,450.00 - 0 -
CONTRACTOR'S AFFIDAVIT
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AMOUNT
PAID
THlS
PAYMENT
thru . 3 31
Bill thru 3/31
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TOT At. LABOR AND MATERJAL INCLUDING EXTRAS' TO COMPLETE:
That there are no other contracts for said work outstanding, and that there is notllil
material, labor or other work of any kind done or to be done upon or in connecti
DATE ~ a-D SIGNATURE
SUBSeRI ,~~.,~ I TO' . E THIS .;J 0> DA OF ~~~. '1N. . :
NolarialSeal ~ ~ .I,...,
SonjaJ.lang, Notary Public >O-...J' n ---If' N01lRY;_
Newberry Twp.. York County '\J
My Commission Expires Oct. 21. 2002
Member, PenosylvanlaAssoclaUonofNOlarles
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"i''i :IIIN 23 2000 ," I
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THE NORWOOD COMPANY
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