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October 3, 2006 CCP
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October 3, 2006 CCP
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AJR' <br />CB&1 Constructors, Inc. <br />9550 HICKMAN ROAD <br />CLIVE, IOWA 50325-5316 <br />PARTIAL WAIVER OF LIEN <br />To: City of Lake Elmo <br />3800 Laverne Ave. North <br />Lake Elmo, MN. 56042 <br />CB&I Contract Number: 37150791 <br />We, having been engaged by you to perform work in the construction of <br />750 MG CET 1114' 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 $109,346A3 for the following invoice(s). <br />Date Invoice Number Amount <br />Sep-26-06 150791-07 $109,346.43 <br />We hereby release to the extent of payment for said invoice(s) any and aft 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 us on prior or <br />subsequent invoice(s). <br />Executed this 26th day of Se tember, 2006 <br />L 6L�� <br />By: <br />AIR Administra or <br />CB&1 Constructors, Inc. <br />Subscribed and sworn to before me this 26th day of September, 2006 <br />"ry Public -: <br />a� GAYLA L. ZENZ <br />Commission NwTdw 713M <br />Mycommissio Ires . <br />Dec. 3, 20 <br />
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