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06%05/2017 15:46 <br />7634543451 <br />SUNRAM CONSTRUCTI0N <br />RECEIPT AND WAIVER OF MECHANICS' LIEN RIGHTS <br />N.D. - It is important that the following directions be ciose!y follow, d as otherwise the receipt WILL NOT 8E ACCEPTED: <br />7. This is x LEGA%. INSTRIiMENT rssrd must be executedaccordingly by Officers of corporation and by aartuers in co-parmcrships. <br />2. it is important that ALL the blanks be completed and the P1vt0UIvT P91D gE SHCWY, <br />3. if ua}•merit. is rat in full to date, so state, SHOW UNPAID RETAINAGE OF $2,35236 <br />4. A receipt similar to this or legal waiver of lien rights wil! be reouired for all plumbing, heating and plastering materials, etc. <br />5. NO ERASURES OR ALTERAI IONS MUST HLA` 31ADE. <br />C" E- 02/0x2 <br />6/5/'2017 <br />toll*, <br />The undersigned acknOveledges having received payment of _. T'A FNTY THREE THOUSAND <br />FIVE HUNDRED SEVENTY SIX AND 65j 10(, Dollars, $23,573.65 <br />(.A:nOtirll Faidj 1 <br />From SUNRAM CONSTRUCTION INC in FULL payment o-, <br />(Name of Payor <br />all PLANTINGS, MULCH, FENCING, FILTER LOGS <br />(Kind of `viaterisi or Labor) <br />by the undersigned delivered or furnished to (or performed. at) <br />CARMAN SAY SHORELINE RESTORATION PROJECT - CITY OF ORONO <br />{3t*eel Address of Legal Uesonptiont <br />andfor value received hereby svaives all rights which may have been acquired by the under signed to file <br />mechanics' lien against said premises for labor, skif.. or material furnished to said premises prior to the <br />date hereof but payment has been made by chuck and this lien waiver is not valid anti' said check has <br />cleared all banks. <br />{�JS� <br />/ (Company Namei <br />l� t i:dlw t <br />v(.. -- <br />{Printed Marne and T;tte1 <br />�.L J ' �-�9 <br />` Address! <br />!City/Stare/Zip Codd <br />PLEASE SIGN & RETURN TO: <br />SUNRAM CONSTRUCTION INC <br />20010 75TH AVP; N01?TH <br />CORCORAN MN 55340 <br />OFFICE (763)420-2140 <br />FAX (763)494-3951 <br />