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May 2, 2006 CCP
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May 2, 2006 CCP
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CB&I Constructors, Inc. <br />9550 HICKMAN ROAD <br />CLIVE, IOWA 50326-5316 <br />PARTIAL WAIVER OF LIEN <br />To: City of Lake Elmo <br />3800 Laverne Ave. North <br />Lake Elmo, MN. 65042 <br />CB&I Contract Number: <br />37150791 <br />We, having been engaged by you to perform work in the construction of <br />750 MG CET / 114' TCL <br />at job location site: Lake Elmo, MN <br />in accordance with the SIGNED AGREEMENT DATED October 24, 2005 <br />certify that we have fully paid for all work, labor, material, and equipment furnished to <br />date by us, or by our subcontractors, or material men. in consideration of the payment <br />to us of $152,000.00 for the following invoice(s). <br />Date Invoice Number Amount <br />Apr-21-06 150791-04 $152,06-000 <br />We hereby release to the extent of payment for said invoice(s) any and all lien, or <br />right of lien, on account of labor and/or material furnished in the performance of our <br />work. This partial waiver of lien is limited to the work included in said invoice(s), and <br />this waiver does not extend to any labor and/or material furnished by as on prior or <br />subsequent invoice(s). <br />Executed this 21 st day of April, 2006. <br />By: <br />I oa ne lleaion A/R Administrator <br />CB&I Constructors, Inc. <br />Subscribed and sworn to before me this 21 st day of April, 2006. <br />By: <br />o <br />v GAYLA L. ZENZ <br />$ Commission Number713MB <br />MyCommiasionEngres <br />Dec. 3, 20 <br />
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