VARGAS COMPUTER SERVICES, being Sub-Contractor having a contract with LI GROUP has performed work
and/or furnished Materials,
Equipment and/or Machinery for the project its job address(es) being:
The undersigned does acknowledge the receipt of payment from LI GROUP, totaling
and releases any and all mechanic’s lien,
material supplier’s lien, stop notice or other claim of the undersigned
to the project referenced above and payment has been made in full for the
performance of the contract.
Materials: Each and every material supplier who delivered materials, equipment and/or machinery to the site,
or fabricated materials especially
for the Project, of a value in EXCESS of $1,000.00 is listed below and has been
paid in full for the following:
| Supplier | Address | Description of work | Amount |
|---|---|---|---|
VARGAS COMPUTER SERVICES (Sub-Contractor) hereby waives all rights to liens and claims against the General
Contractor to the amount
of payment received for the performance of his Contract and further states that no other
person has any right to a lien or claim again the
General Contractor on account of work performed or for material
supplied during the period.
JOSEPH VARGAS (name) being the OWNER (Sub-Contractor) (officer's title) herby acknowledges the foregoing in full and certifies this to be a true and accurate statement.
|
(Signature – Officer of Company) |
| State of ___________________________ |
| County of _________________________ |
| Subscribed and sworn to before me this _________________day of _______________________________________, 2026. |
| Notary Public: _________________________________________ | |
| Seal: |