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tr".) <br />EXCAVATING <br />& WRECKING <br />772 -3267 <br />BILLY <br />BASEMENT DIGGING <br />BACK FILLING <br />CRUSH ROCK <br />BLACK DIRT <br />FILL DIRT & SAND <br />SNOW PLOWING <br />& <br />HAULING <br />ED <br />N q 1049 £._cc/ <br />Date <br />4 <br />Customer <br />-+,/ <br />Address <br />• Phone ()if; / (N <br />)IA .7 <br />Signature of Owner <br />or Responsible Party <br />I hereby release the Timmers Excavating Co. and /or its employees from any liability for damages to blacktop. sidewalks, driveways. <br />walls, grass, concrete driveways, boulevards, or any other property. <br />rtc 2 <br />Exhibit A <br />