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CONTRACTOR'S <br />RECEIPT FOR PAYMENT AND RELEASE OF LIENS <br />PROJECT: <br />CONTRACTOR acknowledges receipt this date from , as <br />full and fmal payment for the cost of the improvements provided for in the above referenced <br />contract between (OWNER) <br />and (CONTRACTOR) dated , 20`, the sum of <br />dollazs, being the remainder of the full amount accruing to the CONTRACTOR <br />by virtue of said contract, including fuil payment for the cost of any extra work and material <br />fumished by CONTRACTOR in the construction of said improvements, and all incidentals <br />thereto. <br />Further, CONTRACTOR hereby releases OWNER and ENGINEER, and their <br />employees, subconsultants, and agents from all liens, claims, complaints or actions whatsoever <br />growing out of said contract, and <br />Further, CONTRACTOR hereby certifies that all persons, corpora.tions, or other entities <br />doing work upon, or fumishing materials for, said improvements under the above referenced <br />contract have been paid in full. <br />In witness whereof the undersigned has hereto set his hand and seal this day of <br />, 20_ <br />CONTRACTOR: <br />BY: <br />(CORPORATE SEAL) <br />Subscribed and sworn to before me this day of , 20 <br />Notary Public <br />My commission expires <br />40 <br />i45, <br />