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WAIVER OF LIEN TO DATE
STATE OF ILLINOIS
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COUNTY OF
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TO WHOM IT MAY CONCERN:
WHEREAS the undersigned has been employed by THE NORWOOD COMPANY to furnish
Sitework for the premises known as AMES TRUE TEMPER DISTRIBUTION FACILITY of
which FR DEVELOPMENT SERVICES, INC. is the owner.
THE undersigned, for and in consideration of fOUR HUNDRED NINETY THRBE THOUSAND SIX HUNDRED
FOURTEEN AND NINETY CENTS ($493.614.90) Dollars, and other good and valuable consideration, the receipt whereof is
hereby acknowledged, do(es) hereby waive and release any and aU lien Or claim of, or right to, lien, under the statutes of the
State of PA relating to rnechanics' liensJ with respect to and on said above~d~cribed premises. 'and the improvements
thereonl and on the materjal~ fixtures, apparat1.1s or machinery ~umished> ~nd on the moneys) funds or o~ler,consid~~~~p~~,:,~~~.:..,:,..-:,~,,:,
~r to become due froIn the owner, on account of all labor ~erVlces, material. fixtures. apparatl15:.or machme~Y..~,~lS~~4,.,~()';.th~,:~;,<~;'J'~::'~
date by the undersigned for the above-described premises, INCLUDING EXTRAS.. . :"//;~~f'.;'lt;!{;,~\~'t;f~
. :::AT:~AN:2:,~:id:i'~=o:o:;n;~}~o ..::;Vp~\~%~
.EXTRAS INCLUDE BUT ARE NOT LlMITJ;D TO CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT, .
CONTRACTOR'S AFFIDAVIT
STATE OFiLLu"JlSI=R-)
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COUNTY OF ~ )
TO WHOM 1T MAY CONCERN;
THE UNDERSIGNED, (NAME) ~', c IN:ur~ -fO.(O-.J.(\.~ BEING DULY SWORN,
DEPOSES ANI> SAYS THAT HE OR SHE IS (POSITION) (' ~a OF (COMPANY
NAME) Leon Wintermver. Ine WHO IS THE CONTRACTOR FURNISHING
Sitework WORK ON TaE BUILDING'LOCATED
AT 700 ALLEN ROAD, CARLISLE. PA OWNED BY FlRSTINDUSTRIALDEVELOPMENTSERVICES '.'
'That the total amount of the contract including extras. is S 5,052.842.00 on which he or she has received !,a!'ln~nt,:.9f\. .....;,
. $ 0 prior to this payment. that aU waivers are true, correct and genuine and delivered uncondiliojl~11~:.~11(tt~~~1':,,:;:,,;:::,:
the!'e is no. claim either legal. or equitabl~ to defect the validity of s~id waivers.. That th~ foHo,:"ing are the n.ame.s' ~:~(l,;<:~~~~t . ,.." ~~
of all, parlles who have furmshed matenal or labor, or both, for saId work and aU partles 'havmg cont.<:acts',?r:.su.b.'P!5t1!'i,~ii!!!;i ,'~;,
.pecific portions of said work or for material entedng into the construction thereof and the amount due or.ti?J)~olile..::t;J,i!4:~ .' ,:$t!{
each, and that the items mentioned included all labor and material required to complete said work accordib~.:!il '"p'\a#Jl;~~ltit(;:;:'.:;):
specifications: '. '. " . : 'n' ,-' ,.' 1.:';r~:":'f;:':"?::P;~'~7.!1::'';':'~,~'i~~~t~'~~{}
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MUST BE FILLED OUT: CONTRACT PRICE AMOUNT THIS'.' , .' .'... DAI;.ANce:
. NAMES AND ADDRESS WHAT FOR mCLOG -eXTRAS'" PAID PAYMENT' om
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TOT AI- tABOR AND MA TERrAL INCLUDING EXTRAS. TO COMPLETE: / .,1 11
That ther,~~:~ no otheccontractsJor,said work outstandin and that there is noJhin due 00;'0 bee. to' any ,person f9r
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material, labor orothe.rwork ofany kind done or to be done upon or in conne~tio, wi
PATE, I a/del IDD .. ; SlGNATUREG' I:
SU13SCRI13ED AND SWORN TO BEF ~ F
Notarial Saal
llcn]a J. l.IIog, Notary Public
Newbll(Y 1Wp" Vllrk County
My' CommlSGlon EX Ires Oct 21, 2Q02
MemllIlt,~_tIonotNotaI1as
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i~ ,:~fo~r"than above stated.
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.83201
THE NORWOOO COMPANY
m ftITllflN, PA
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