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RECEIPT FOR PAYMENT AND RELEASE OF LIENS <br />Date: <br />Received this date of the City of Paris, as full and final payment, the cost of the <br />improvements provided for in the foregoing contract between the City of Paris and <br />, dated , 2001 for dollars, <br />in cash, being the remainder of the full amount accruing to the undersigned by <br />virtue of said contract; said cash also covering and including full payment for the cost of all extra <br />work and material furnished by the undersigned in the construction of said improvement, and all <br />incidentals thereto, and the undersigned hereby releases said city from all claims whatsoever growing <br />out of said contract. <br />And these presents are to certify that all persons doing work upon or furnishing material for <br />said improvements under the foregoing contract have been paid in full. <br />In witness whereof the undersigned has hereto set his hand and seal this day of <br />, 2001. <br />CONTRACTOR <br />By <br />(CORPORATE SEAL) <br />Attest <br />Address for giving notices <br />License No. <br />Agent for service of process: <br />26 <br />