CONTRACTOR'S	O	^
	A
RCHITECT	^
AFFIDAVIT OF	CONTRACTOR	^
RELEASE OF LIENS	OTHER	^
AIA DOCUMENT G706A		
TO (Owner) ARCHITECT'S PROJECT NO:
~ I~ ~~,~ TEXlIS -I CONTRACT FOR: PFIfISE 3 RfNDVATICNS
700 MAIN SIREEI I~RRVILIF, TX 78028
~ J CONTRACT DATE: FEBRUARY 8, 1999
PROJECT: PHASE 3 REN(~ATIpIS TO KQ2R CTY CWtTFIOUSF/ANNEX
(name, address) ~ MAIN SiREEE I~RRVIUE, TX 78028
State of: TEXAS
County of:
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AIA Document
A201, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases
or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equip-
ment, and all performers of Work, labor or services who have or may have liens against any property of the Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS. (If none, write "None" If required by the Owner, the Contractor shall furnish bond satisfactory to the
Owner (or each exception.)
FOR PAYMEM OF: ~ o{ ~ Q~Q, dO
FOR PERIOD EPUING: "-
SUPPORTING DOCUMENTS ATTACHED IIERETO:
1. Contractor's Release or Waiver of Liens, condi-
tional upon receipt of final payment.
2. Separate Releases or Waivers of Liens from Sub-
contractors and material and equipment sup-
pliers, to the extent required by the Owner, ac-
companied by a list thereof.
p'" ~*, l1NDANEMEGHFNNIG
MY COMMISSION EXPIRES
-f• ' ~ Ł~' poor 11,2009
t ~~W. el ~ ~l/r~
~ CONTRACTOR
Address:
/~rgosc~ ~loDr C~vl°r~y
BY. ~~ _
Subscn bed and sworn to before me this
day of 19
{ /
Notary Publit~ lr 1U.U ~}ry}~~ ~if~~l~
LIN]4 NFTEC FIFNI' IG (I
3~1_e~^ My Commission Expires: 12/11/9Spj
I CAUTION: You should use an original AIA document which has this caution printed in red.
An original assures that changes will not be obscured as may occur when documents are reproduced.
AIA DOCUMENT G7abA CONTRACTOR'S 4FFIDAVIT OF RELEASE OF LIENS APRIL 79]0 EDITION AIA^~
"-` 1970 • THE A!~1CR ICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK Al'E , N\V. \V 4SHINGTON D C. _OOOG (>KE P:\GC
WARNING: Unlicensetl photocopying violates U.S. copyright laws antl is subject to legal prosecution.
CONTRACTOR'S AFFIDAVIT OF
RELEASE OF LIENS
AIA Document G706 A
TO O WNER: COUNTY OF KERB
!Nome and Add/exs) 700 MAIN STREET
KERRVILLE, TX 78028
PROJECT: KERRVILLE COUNTY COURTHOUSE
/Name andAddnre) PHASE 3 RENOVATIONS
OWNER []
ARCHITECT []
CONTRACTOR []
SURETY []
OTHER 11
PROJECT NO.:
CONTRACT FOR: KC3
CONTRACT DATED:
STATE OF:
COUNTY OF:
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, the Releases or
Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work,
labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any properly of the Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS:
AMOUNT: $1,936.48
SUPPORTING DOCUMEN'T'S ATTACHED HERETO:
I Contractor's Release or Waiver of Liens, conditional upon
receipt o!'final payment.
2. Separate Releases or Waiver of Liens from Subcontractors
and material and equipment suppliers, to the extent
required by the Owner, accompanied by a Iisl thereof.
SUB CONTRACTOR: ARGOSY FLOOR COVF,RING INC
/Name andAddree.,J
+~ r'~s: LINDA NEMEGHENNIG
n; pg
- z MY COMMISSION ENPIAE9
`fi••...+
,E,Vk,~' December 11, 2003
W-
Subscribed and sworn to before me on~th,(is~dayt~e:,{ , /~~ CJ
Notary Public: ~ ~ ~ '' W I IiL.C~ !•
L A NI3MEC HENNIG
My commission expires: 12/1 I/03
BY: L ""
/,Ggnomrc aufhnrr_ed representative)
o Icer-f _ ~. ArJ~
(printed ome and ride)
AIA DOCUMENT G7l/6AC(K'fK:y("fOR'S AFF'IUiYrr Of NELG:\SE OF LIENS. 199) ELC("IRORI(51'Ht:A11511I(fl'
F.UI'1'10\,\Lt.l'M/d;I'tlt:\SIt:RI('4~~IIVS'1'rl't!TE Ot \NCHITF,('T5, 173c NEW yORA NQ'r:\P{IOI(H IIPy
N't'.\I't:. Wy, \\' \SIIItiCIl)\, U.C. '_O~gW$203
V ui. '~'`t J/ilPm'~
G706A-1994
CONTRACTOR'S AFFIDAVIT OF
RELEASE OF LIENS
AIA Document G706 A
TO OWNER: KF.RR COUNTY, 'FX
(Name and Address) 700 MAIN STREET'
KERRVILLE, TX 78028
OWNER [ ~
ARCHITECT [ ]
CONTRACTOR ~]
SURETY []
OTHER I I
PROJECT NO.:
CONTRACT FOR: PHASE 3 RENOVS
PROJECT: PHASE 3 RENOVATIONS TO
Mame and Addres,al KERR CTY COURTHHOUSE
ANNEX
700 MAIN STREF.~F KERRVILLE, TX
CONTRACT DATED: 02/08/99
STATE OF:
COUNTY OF:
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, the Releases or
Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work,
labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS:
PAYMF,NT OF : 3,744.00
$865.00
SUPPORTING DOCUMF.N"FS ATTACHED HERETO:
1 Contractor's Release or Waiver of Liens, conditional upon
receipt of final payment.
2. Separate Releases or Waiver of Liens from Subcontractors
and material and equipment suppliers, [o the extant
required by the Owner, accompanied by a list thereof.
SLIB CONTRACTOR: ARGOSY FLOUR COVERING
(NUme and Addrea~vl
BY: ~ e e{/
Z
~~
/lgnah,re o~authorv-rd rcprevenmhvc•J
(Printed Hume and tidel
a~'"•`r'•5;=, LINDA NEMEC-HENNIO
=*i MY COMMISSION EXPIRES
';'~`•' December 11,2003
W- .. ~~~ ~ .t .,.,~.....,.,,,~... c..
I-
Subscribed and sw~orn~to~,b/efore me on this date~:~~/a/p~~,(~q~ t a~~
Notary Public: r^-t' s""` ~ (J
LINDA NEMEC HENNIG
My commission expires: 12/1 I/03
AIA DOCUMENT G7O6A. CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS. 1994 EhECTRONIC SPREADSHEET
EDITION, AIA.1994.THE Ah1ERICAN INSTITUTE OF ARCHITECTS, 1735 NF.W V'ORIC NOT A PHOTOCOPY
AVENUE, NW, WASHINGTON, D.C. 20006-5292
G706A-1994