Document V3Q4xp0mazDBNedrJM0zLD6Rw
GH-1 Production Facilities Project B-2995-2 P. O. No. 64780-P2
STATE OF____ Louisiana______ PARISH of East Baton Rouge
AFFIDAVIT AND WAIVER OF LIEN
R. L. Conkling
Nichols Construction Corporation
_____________________________________________of----------------------------
Secretary - Treasurer being first duly sworn, says that he is the-------------------------------------------
___________________.of
Nichols Construction Corporation
(hereinafter referred to
as the "Contractor") and is familiar with the facts herein stated.
That said Contractor performed work and labor and/or furnished material for use, in the construc-
. tion by the Owner of certain buildings, improvements and equipment on premises owned or leased by
Ethyl Corporation
, Baton Rouge, Louisiana
That said Contractor has fully paid for all of said work, labor, material, machinery and equipment fur
nished by it or by its subcontractors or materialmen upon said premises, or furnished therefor.
That the balance remaining due from the Owner and unpaid to said Contractor is the sum of
One Hundred Eighty-two Thousand, One Hundred Seventy-nine and 62/100. ---------__Dollars ($182,179. 62 ) and that upon the
payment to it of said sum, it hereby waives all liens and claims against the said owner, its premises and
property, and further, he represents that no other person or party has any right to a lien on account of
any work performed or material furnished to said Owner.
Further affiant saith not.
6$
SWORN TO before me and subscribed in my presence this.
day of
CJ/
PRINTING, INCORPORATED
E-09531