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Miller Excavating, Inc. <br /> <br />CONDITIONAL RECEIPT AND WAIVER OF MECHANICS’ LIEN RIGHTS <br /> <br /> <br />Dated: 12/11/24 <br /> <br />The undersigned hereby acknowledges upon receipt of payment, the sum of: $38,771.55 <br />Thirty-Eight Thousand Seven Hundred Seventy-One Dollars and 55/100 <br /> <br />FROM: City of Little Canada <br /> <br />CHECK ONE OF THE FOLLOWING: <br /> <br />1.) _as partial payment for labor, skill, and material furnished. <br />2.) as payment for all labor, skill, and material furnished or to be furnished <br /> (except the sum of $ for retainage) <br />3.) X _ as full and final payment for all labor, skill, and material furnished or to <br /> be furnished to the following described real property; <br /> <br /> Job No: 224029 <br /> Job Name: City of Little Canada 2024 St Imps <br /> SP/SAP: SAP 200-101-012 <br /> <br />and for value received hereby waives all rights acquired by the undersigned to file or <br />record mechanic’s liens against said real property for labor, skill, or material furnished to <br />said real property (only for the amount paid if box 1 is checked, and except for retainage <br />shown if box 2 is checked). The undersigned affirms that all material furnished by the <br />undersigned has been paid for, and all subcontractors employed by the undersigned have <br />been paid in full, EXCEPT: <br /> <br /> Miller Excavating Inc <br /> Signed: <br /> Print: Mindy Hackett ____ <br /> Title: Controller _______ <br /> <br /> <br /> <br />Docusign Envelope ID: 3FD52EC2-113E-47E2-998E-542900EAE514