PS-2011-00251_0001.tif RECEIPT & WAIVER OF MECHANIC'S LIEN RIGHTS
07/07/11
The undersigned hereby acknowledges receipt of 55.00
for PS20110251
CHECK ONLY ONE
as partial payment for labor & material furnished to
to Total Fire Protection.
as full and final payment for all labor & material furnished or to be
furnished to Total Fire Protection.
For the following described real property -legal descript /street address /projec
WALMART BLAIR, NE, #4568 -00
1882 HOLLY STREET
BLAIR, NE 68008
and for value received hereby waives all rights acquired by the undersigned
to file or record mechanic's liens against said real property for labor or
materials furnished to said real property. The undersigned affirms that all
material furnished by the undersigned has been paid for and all subcontractors
employed by the undersigned have been paid in full, EXCEPT:
CITY OF BLAIR
218 S 16TH STREET
BLAIR NE 68008
By:
Return to:
TOTAL FIRE PROTECTION, INC.
1004 7TH AVENUE NORTH
BRANDON, SD 57005
FAX: 605 - 582 -2849 OR EMAIL: apinvoice@tfpsd.com