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SEWER. WATER& eXcAvATION <br />Date: (I)ate] <br />The vadersigied hereby acknowledgesf iW4jpt of the oam of $:38 <br />CEMCKONLYONE <br />1) D as partial payment f6r labor, skiTand-jh4fe;isl.WSh.Ied <br />1241,9 Pine.Street - FA Box 590 <br />Decker, MN 65308-D690 <br />Offide 763-2P2-0430 <br />5Ax M-909-0439 <br />2) as payment -f6r all labor, skill: and material furnished or to be hirnishcd (except the sum of <br />$(amount] reWfiagp orhbldbiek) <br />as full and finkI payro nt fqt all labor, skill and.'MaWaffamisked or be fittfiblied., <br />-N­Ir6"s lie-h r yas i5 6-016'� <br />0 P + <br />to the f6lipwina d4scribodmal'PropeTty. (legalidescOption,. sfitetaddrcss drpmjda .-Awe). <br />For -All axi(Imsm on check number ' stub is attached <br />.y of Wbidb itaadl.the s <br />Vbegai Descriptions Street Address or PrujettXamgl.�Ok.r�). <br />and loot -value -MONOd hereby waives'.811 righis..%4quirW t y the 1*40tgtgned to rile of word mechanic's UAA-� -.404.4- SOO <br />property. (Only fbt the'amount pidd if Box- I is Chi6k4t- - <br />realrealPproperty for tabor, skill or material 6 fumished mid real P ��(O and <br />except fbr re"iilpp. shoWn if R pX 2 is ohocked). THe VadWiPOd affinOCOMVAR Materiajhrdished by the undersigned has <br />been-paidfor, aud..ail subr-ontractors�exnpidye'dbytikeiandq(signedbavabeattpm'd"mAifl,.EX-CEPT- <br />None— 'The, undersiped. detbff *akihe...ttadersigned bag paidjolt PA!' ,w>bo h.Ave @royiiledl.provideF of labor, <br />materials, equ,Meut or supplies for to said rOM,0VIjPertY uiderzsibeomWd t.Offi-thN *e:undersigned. Tir <br />e <br />und6rsipedherebyOy agrees to. DR amDWj-defitka iadh6)AhArmIes9 iho, bonen to�0m <br />Cam. ,xis <br />any arfift of dt*699 for IneehIMICS' liedi bY, SAY'VXrty -who has <br />lender; successors 91id assigns, 8910-im asst Oesuopliftlo to -am reA property nWWa subpantmti-with the <br />provided pr6vid& of Ialwr,-wate!*hyeqvipOI�n <br />undrwsignedo , <br />U —"&IPslruimeat is e*oMited by :al <br />corp4es&6n,.I.tmust be signed by <br />an <br />offiger, and it executed by al <br />pirtlib"p ru, it must be slimby a <br />V .1 ed <br />partner. <br />ny <br />