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the Undersigned Has Been Paid in Full for All Labor, Services, Equipment or Material Furnished Form
_______________________________ on the job of
YOUR CUSTOMER
_____________________________
OWNER
located at ______________________________ and does hereby waive and release any right
to a mechanic's lien, stop notice, or any right against a labor and material bond on the job, except
for disputed claims for extra work in the amount of $____________________.
Dated: _______________
_____
Company Name
By:
SIGNATURE
_____
TITLE
NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES
THAT...
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