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MAR-02-99 TUE 11~40 AM PENCE KELLY FAX N0, 503 585 7477 P, 08/OS <br />~ <br />• FINAL AFFIDAVIT, LIEN WAIYER AND RELEASE <br />With refcrcnce to construction of the Courthou~c Sqaare <br />Proiect on the site at .Court & HiLh Strcets. Sale~ Oregon (ihe <br />"Project"), the undcrsigned for value reeeived, acknowled~es that, h~n a eheck l~as been properlv <br />endorse~i~ nd_ _~~egn,~'~~bv the bank upon which it is drawn it has becn paid in full for all <br />labor, services, equipment and matccials providcd or transpartad in connection with thc Projoct <br />through , 199~ except retainage, if any, and hcreby fully and <br />unconditionally waives and releases any and all right to payment, liens, claims of licn, righl.s to <br />licn, bond cl~tm rights, or any ot]ier ciaims or demands for labor, serviccs, cquipinent, materials <br />provided or transported in co~nection with thc Projcct through said date except retainage, if any, <br />and cxccpt: <br />1he affiaut be]ow does hereby sweaz and attest that hc/shc has full audiarity to sign this documcnt <br />on behalf of ttie undersigncd company and thai the undersi~ed company lktis p3id in full all of its <br />subcontradors, suppliecs and consultnnLs for labor, services, ec~uipmen~ ma~crials provided or <br />trai~spocted in connection with the Project throu~h the daie rd'crcnccci vi paragrapl-1 above. 1'hc <br />undersi~ed ~ant and campany further aeknowlcdge that Owner and its lenders or fin~~ncing <br />sourccs ar~c rclying on Aus Final ~clavit, Lien Waiver and Release in connection with processing <br />and aud~orizing fiuiding requests far payment. <br />On condiuon tha[ final payment in die amount of ~ is reccivcd, tl-e <br />undcrsigned waives and reieases all liens~ cIaims of lieq rights to lieq boitid claim risUts, or any <br />othcr claims or dcmands for payment it may have arising aut of or telating to tl~c Projcct. <br />• <br />Company: <br />Ry: <br />Tilic: <br />D~tcd this day of <br />199 <br />PencelKeliv Convtruction, Inc <br />STATE OF ORGGOI~ <br />) ss. <br />Couiuy of Marion ) <br />'Lhe forcgoing instnuneiu was acknowledged befare me this day of <br />199`, by {i€.si~e~e~e~,a~.e '~y~ ee~~ <br />(ir-~uet r-~4nw n{'!'n~nrv~ ~ <br />. f Pence/Kelfy Conctn,ct;~n, inc, a <br />Cornorntion on behalf of tlie Corporation. <br />Not<uy Public for Orcgon <br />My commission expires: <br />• <br />