WAIVER OF Material provider's lien

STATE OF ________)
COUNTY OF _______)


WHEREAS, on ______________, __________________, referred to as 
CONTRACTOR, is the owner/claimant of that certain Material 
provider's lien, acknowledges payment in full of the same, which 
was recorded at ________________ Book, Book ___, page ___ of the 
_______ County, State of ________, and consents to the release of 
the property from the lien and satisfaction of the Material 
provider's lien on the record.

Dated: ________________________


___________________________________________


_________________, having being duly sworn to tell the truth, 
acknowledges the execution of this release of Material provider's 
lien for the purposes stated herein.


__________________________________________
Officer

My commission expires: ___________________