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HomeMy WebLinkAbout07-2334 Waiver of Lien I, the undersigned,+Z.. ~~hST RUCT SON . ©tyhCt ~Ciul ~1 l"(~<<eJa..~CG for and in consideration of Onsn ~CX~~ tOr1-v- onP tf~ov5c~nd ~ r fv Dollars ($ / `/~, 0 y0.00 )and other good and valuable consideration, to me paid, the receipt whereof is hereby acknowledged, do hereby waive, release, remise and relinquish any and all right to claim any lien or liens for work done or material furnished, or any kind or class of lien whatsoever on the following described property: / Oz/ ~ n ~ r AUe~u °, a~/' .mo~,fnt.JTPIg. /~ -•s~~~am~/„ b~,~~k ra,~ ~idm~ . Title owner of said property:~7~iP/~ca/a E'iee~~e and ~ v~-~«a~~ Signed, sealed and dated this ~9~ day of /~ar~i , 200' , at Signed in the presence of: ~~ By Witness Lienholder State of 12tf~nSv ~U4,n:0. County of 17auQ,~, ~ to } On aPF personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. COM ONWEALTH OF PENNSYLVANIA WITNESS my hand and official seal. ~~~ C~~~-'~l~ Diane L Hoerner, Nc#ary Public Swatara Twp., Dauphin Carriy S iynature rZ~ ~ Conxnission Expires July 9, 2Q09 Member, Pennsylvania Association of Notaries Signature of Notary Type of ID Affiant Known Produced ID (Seal) vvvvw.socrates.com ©2004, Socrates Media, LLC LF335 • Rev. 04/04 ~1 d ~ o -C, ~ r• rn rr "~ ~ rn -, , - ~ i = ~ c~ _` w ~= ~.~ ~~_~ n ~' ~ ~ w