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is=~ <br />~~ '',~ CB&I Inc. -Steel Plate Structures <br />~~~3 . <br />~) !~ ~~~~ 9550 HICKMAN ROAD <br />CLIVE, IOWA 50325-5316 <br />PARTIAL WAIVER OF LIEN <br />To: City of Ramsey <br />7550 Sunwood Drive NW <br />Ramsey, MN 55303 <br />C681 Contract Number: <br />37147815 <br />We, having been engaged by you to perform work in the construction of <br />2MMG HP / 152' TCL <br />Water Tower No.3 Project No.08-21 <br />at job location site: <br />Ramsey, MN <br />in accordance with the AGREEMENT SIGNED/EFFECTIVE DATE OF July 9, 2009 <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 $7,600.00 for the following invoice(s). <br />Period To Invoice Number Amount <br />Apr-24-10 147815-10 $7,600.00 <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 pen`ormance 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 29th day of April, 2010. <br />By: <br />A/R Adminis rat <br />CB8 nc. -Steel Plate. Structures <br />Subscribed and sworn to before me this 29th day of April, 2010. <br />By: <br />N ary Public ~ <br />C~AYL.A L. ZEMa <br />g~ Commi~lon Numb~er~ 713x88 <br />ow DeCe~mber2o ~~ <br />