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Howard R. Green Company <br />Project No. 823830) <br />State of Minnesota <br />The County of L~ Sl,~~.1,~1' <br />The City of _ 1 ~ (',~ n•~.~.r <br />Date:~~ '~ <br />_~.,.(~*~~~ l~~ ~n,~i1~~i , `-?~~. ~"~, ~'~p;~} (name, title) of O'Malley Construction, Inc., <br />has furnished all lab r and material entering into the 2004 Sidewalk and Gurb and Gutter <br />Improvements project for the City of Falcon Heights (Owner). <br />~` ~~~ ~a ~~'`~~'~~ .~~t`~~~~(.k''t~~- (name, title) of O'Malley <br />Construction, Inc., states further that Contractor has full knowledge of all obligations for such labor and <br />materials which have entered into and become part of that certain project known and designated above, <br />and Contractor further disposes and says that all debts and other obligations for such labor and materials <br />have been fully and completely paid for in good and lawful money of the United States of American and <br />that there are no suits for damages against them proceeding, prospective or otherwise, in consequence <br />of their operations on the above said project. <br />The said,=f~~, will hold the Owners, the City of Falcon Heights, blameless of any and all <br />Mechanic's Liens~ay be hereafter entered or filed for record, so as to constitute charge ainst said <br />• premises for work or labor done or materials fumished by them. ~ <br />IN WITNESS WHEREOF, Contractor has heretofore put their hand an seal. <br />SEAL <br />Co ractor's Authoriz en - <br />l~ '' ~ ~ '~ ,Notary Public in and for the above named County and State do <br />hereby certify that - ~ ; personally known to me to be the affiant in the <br />foregoing affidavit, personally appeared fore me this day, and, having been duty swum, deposes and <br />say that the facts set forth in the above affidavit are true and correct. <br /> <br />WITNESS my hand and seal this ~~ da of ~-~f"~~ <br />Y ~ , 2004. <br />my commission expires ~~r~1 r~~ <br />(~ <br />STEPHJiNIE JOIENE ANDERLEY • <br />NOTARY PUBLIC-N9NNfSQr1- <br />My Comm. Expires Jan. 31, 2007 <br />^ ~ <br />CONTRACTOR'S AFFIDAVIT <br />2004 Sidewalk and Curb and Gutter Improvements <br />Falcon Heights, Minnesota <br />SECTION 00674 <br />CONTRACTOR'S AFFIDAVIT <br />END OF SECTION <br />00674 - 1 <br />30 <br />