Laserfiche WebLink
<br /> <br />RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS <br /> <br /> <br />Dated: April 29, 2022 <br /> <br />The undersigned hereby acknowledges receipt of the sum of $ 354,275.52 <br /> <br />CHECK ONLY ONE <br /> <br />1. as partial payment for labor, skill and material furnished <br /> <br /> <br />2. as payment for all labor, skill and material furnished or to be furnished <br /> (except the sum of $_18,646.08__ retainage or holdback) <br /> <br />3. as full and final payment for all labor, skill and material furnished or to be <br /> furnished to the following described real property: <br /> <br /> <br />LEGAL AND/OR ADDRESS <br /> <br />City of Little Canada: County RD D & Greenbrier St <br /> <br />Job # 20-4842 <br /> <br /> <br />And for value received hereby waives all rights acquired by the undersigned to file or record <br />mechanic's liens against said real property for labor, skill or material furnished to said real property <br />(only for the amount paid if Box 1 is checked, and except for retainage shown if Box 2 is checked). <br />The undersigned affirms that all material furnished by the undersigned has been paid for, and all <br />subcontractors employed by the undersigned have been paid in full, EXCEPT: <br /> <br /> <br /> <br /> <br /> <br />Valley Paving <br /> <br /> <br />__________________________________ <br /> By <br />__________________________________ <br /> Title <br />__________________________________ <br /> Address <br />__________________________________ <br /> Address <br /> <br />X <br />X <br />NOTE: If this instrument <br /> is executed by a corporation, <br />it must be signed by an officer, <br /> and if executed by a partnership, <br /> it must be signed by a partner. <br /> <br />DocuSign Envelope ID: 78BE553F-A869-4C01-BC39-9532DF17E430 <br />8800 13th Ave.E Shakopee MN 55379 <br />President <br />Brent Carron