CONTRACTOR'S AFFIDAVIT OF
RELEASE OF LIENS
AIA Document G706 A
"fOOWNER. KERR COUNTY, TX
/Name and Addrs.crl 700 MAIN S'IREE'T
KERRVILLE, TX 78028
UWNER []
ARCHITECT [ ~
CONTRACTOR ~J
SURETY []
OTHER I 1
PKO.IHCT NO.:
CONTRACT FOR: PHASE 3 RENOVS
PROJECT: PHASE 3 RENOVATIONS TO
(Name and Addruel KERR C'I'Y COURTHHOUSE
ANNEX
700 MAIN STREET KERRVILLE, TX
STATE OF':
COUNTY OF:
CONTRACT DATED: 02/08/99
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 perY'ormance of the Contract referenced above.
EXCEPTIONS:
PAYMENT OF : 21877.51
~i - ~~~
P
SUPPORTING DOCUMENTS AT'fACHF,D HERETO:
1. Contractor's Release or Waiver of Llens, conditional upon
receipt of final payment.
2. Separate Releases or Waiver of Liens from Subcontractors
and material and equipment suppliers, to [he extent
required by [he Uwner. accompanied by a list thereof.
SLIB CONTRACTOR: DUPONT FLOORING
//VanIC and dddree:J
__~
BY.:
(.Sr~ma men an[ a frraed rrprerenmGrc
p~~ ~ ti
t -'4p• UNDA NEMEGHENNIG Q'nmed name and Ltfc)
_*~ '~_= MY COMMISSION EXPIRES
iN UBCBrI$IBf ~~,'2OII3
Subscribed and sworn to before meV~on tthi~s d~at~e: ~h ,I 0
W- Notary Public: ~(,~.~ ~~ (E;/ I ~- ,F/
I- LINDA NEMEC HENNIG
My commission expires: 12/11/03
AIA DOCUMENT GTOSA. CONTRACTOR'S AFFIDAVIT OF RELEASE OF I.I F.NS. 1993 ELf;CTRON'IC SPREADSHEET
EDITION, AIA.1993.THE AMERICAN INSTI7UTE OF ARCHITECTS, 1935 VEW YORK NOT A PHOTOCOPt'
AVENUE, NW, WASHINGTON, D.C. 20006-5292
G706A-1994
CONTRACTOR'S AFFIDAVIT OF
RELEASE OF LIENS
AIA Document G 706 A
TO OWNER: KERB COUNTY, TX
(Name and Addiee.vl 700 MAIN STREET
KERRVILLE. TX 7802R
PROJECT: PHASE 3 RENOVATIONS TO
(Namr andAddrecr) KERR CTY COURTHHOUSE
ANNEX
700 MAIN STREET KERRVILLE, TX
OWNER [ ]
ARCHITECT I ]
CONTRACTOR [~
SURETY ~]
OTHER I 1
PRO.IEC"i NO.:
CONTRACT FOR: PHASE 3 RENOVS
CONTRACT DA'CED: 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 [he 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:
FOR PAYMENT OF : 1646.69 A / ~ ~~ C7C~~
7 ~ F k"._.:RR _
~ ~~ _
SUPPORTING DOCUMENTS ATTACHED HERETO: SUB CONTRACTOR: UUPONT FLOORING
	(Name and Addree~s)
1. Contractor's Release or Waiver of Liens, conditional upon	
receipt of final payment.	
2. Separate Releases or Waiver of Liens from Subcontracmrs	
and material and equipment suppliers, to the extent	^ - - -
) ~ ~
required by the Owner, accompanied try a list [hereof	~
%
	/
r
1 ~ `~~
	~gnalu>e of autGnrized repreaenTahveJ
7 ~ ~ )' I ~
~ / ,p i~ /Y
(}'Holed name mid n([e) ~1 i Al
~m r_i
Z "'ri. LINDA NEMEC-HENNIG
"' MY COMMISSION EXPIRES Subscribed and sworn to before me on [his date:
=" ~` Decerllbyr 11,2003 ~ j ~
••,,:.4~:~~^` ~'u'K~f)t ~~.i'p1~ ~'-1'11 ""~J
,~,,.e.,,,,ry,,,,.,_„_„ Notary Public:
LINDA NEMEC HENNIG
My commission expires: 12/11/03
AIA DOCUMENT G7OBA. CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS. l99J ELECTRONIC SPREADSHEET
EDITION, AIA.t99LTHE AMERICAN INSTITCiTE OF ARCHITECTS, 1735 NEW YORK NOT A PHOTOC'OP1'
AVENLi E, NW, WASHINGTON, D.C. 20006-5292
G706A-1994