1998-09-25 Omann Bros. Invoice
OMANN BROTHERS INC.
PO BOX 120
ALBERTVILLE, MN 55301
612-497-8259
BILL TO
Pilot Land Development
113736 Johnson St. N.E.
Ham Lake, Minn. 55304
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ITEM
Contractor
Contractor
Contractor
P.O. NO.
TERMS
Invoice
DATE INVOICE NO.
9/25/98 1753
DUE DATE
REP
Due on receipt
DESCRIPTION
Trails At Golf Course In Albertville
Cedar-Creek Golf South
Granite Installation
PAID: $18,832.14
REMAlNDER DUE: $2,092.46
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9/25/98
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Thank You!!!, We greatly appreciate you business
QTY
RATE
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17rJ!l if(] i,Zl ~'
Geotextile Matting Per Roll 2.5
Material & Labor Asphalt Paving of 1 .
Trails I
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Invj #
GLI#
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Satfh (#
Gheck #
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9,875.00
345.00
10,187.10
Total
PROJECT
AMOUNT
9,875.00
862.50
10,187.10
$20,924.60
Form No. 120.M (1031)
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UI""e:WOla U"dCH'!ft Co:Jft""'.ftCUt~ 8J.ft"~ ~ 1Mel
RECEIPT AL"\fD W AlVER OF jyIECH_-\L~lC'S LIEN RIGhlS
Dated' Apri 1 2 . 19~
The undersigned her~by acbowledges'recaipt of the sum of S 92,948.00
CHECK ONLY ONE
1) 0
2) D
J) 0
as partial payment for labor. skill and material tu...-nished
as payment for all labor, skill and mater.al ftlr::lshea or to be rul":lisned (excc[Jt the Sum or
.$ ret.:3.inage or holdback)
as f"tIlI and final payment for all labor. skiil and material fUr.J.isnec. or to oe f'.lr::ished
to t~e followi....'1.g desc::oed real property: (legal desc:-i~tion, sc:-eet acid..ress or project name)
Cedar Creek South
Rough Grading Improvement Project
Partial Payment No. 1
~nd ror value re~eived. he:eby waives all r:shts ac~uireci by t~e u.::.cerstg1':.ed to Ele or r~ccrd. r::.echa...'iic's iiens
ag-ainst said real proper::.... for labor, skirr-or mute:-ial fur::ished. to said real prop;;:"::; (only for the amount paid if
Box 1 is cne-.:kec.. a::i except for ::-etalna;;;e shown if Box 2 is checked). The undersig::ec a:::':-ms that all rndc::1al
. h T' 1- . . , 1- b . . - . IT' ., .., t' .. . , .
fUt":11SL ec. by' t..e unae:-slgnea l:..as e~rl pale. tor. a::.c. a..l succonc=ac~ors employee. O:t. :1e u::tie:SI~ea nave oee~
fl~:d. in fllll, EXCE?T:
~'-lC)TE: Ii t:l~S i..-:st:-u.::--.ent is e;t~:::.::c~ ::l a C~:-
D& M EXCAVATING
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poro.cion, it must be sig-ned by 0..'1. of.
fice:, and if e:t~cuted by a p D:rt:1e::s hip ,
it must be si~E'ci by a partner.
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Buffalo, MN 55313
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Form No. 121J.M (1031)
.1.4111.'.0.....5 C4_ ).(lnn..OOIl, no.
U'nn_:101. Un,'o,," C..3nw."anCJnq 8J.n"J: (1~
RECEIPT .A..l"\TD W 1\.IVER OF MECEAJ.~lC'S Lr~N RIGHTS
Duted' Apri 1 2 . 19~
The unders~gneci hereby ack:1owiedges. receipt or the sum of $ 80, 1 45 . 95
CHECK ONLY ONE
I) 0
2) 0
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as partial payment for labor, sial and material furnished
as payment for all labor, slcll and material fu::-:1lshed or to be fUr:1isn~ci (exc:;pc the SUm of
:':- ret.3.l....-:a;e or ::"0 ,cioac.:l:)
:.3)
as f,dl and final payment for all labor, skiil and material rUr:1ished or to be ['.!rr!ts::ed
to Lhe roilowi...'1.g- desc::bed reci proper::,-: (leg;!.l desc:-:ptor:, street acc..:ess or project na::;e)
Cedar Creek South
Rough Grading Improvement Project
Albertville, MN
Partial Payment No. 2
-
~nd for: vab~e recei.....ed. he:eby waives all r:g:'1:S ac~...!i=eci by tl:.e u.::.cersig-::eci to Ele or rec(':rc. =e~h2-"ic's Liens
a,L:ra.:::st said. :-eal pr:;per::-I for la.=or, sk:lror material :ur:::s::ed. to s~d :-eal P:'Jp.e:-::.; (()C11:",~ f.:;r ~he a:r:oun: pa.:c. if
Sex 1 1': cl1eck~c., a::.c ex~ept fer r=tai:1a~e SbC"l'G. i! 00= 2 is c~eckeci). T~e t;.::ciers~g-::ed a=:-::1s that all =atc~al
fur::.ished by the u"Ccie~signed has been pard fer, ar:.d c.II 3uocont::actcrs er:1ploye~ by. the u::de:-siped have oee:1
p:'lici in fJ.ll, E:<:CE?T:
E}r
D& M EXCAVA~T~G
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NGT~: E :::::05 ~~s:"::l:::e::::s e::cc:.::c..:.::: a c~:,.
por:;.~ion, it must be sig-:i.e-i by an of-
fice:, and if eA~c~ted. by a pn-:t:1ership,
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1. .::nust oe Sl5='-<>C. oy a par.:-ne:.
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Buffalo, MN 55313
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Form No. 120-,\1 (1031)
M'II.,..0."2 C~ .\.Cln"'..ao..S no.3-a8t
IIIUnn.~ol. U""orm ~n...,anc:a"., 81<<"_. ~ lS&el
RECEIPT p-...l."\JD W_~VER OF jyfECHA.l.~lC'S LIEN RIGHTS
Duted. ;J ~O'" .. . 19.!l!
The undet's~gned her~by ac~owiedges.rec~ipt of the sum of ~/3 ~ ,$.tJd. 5(:?
CIiECKONLYONE '.
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1) G' as partial payme:lt for labor, skill and material tu.r.1isnec. :JIb
2)
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as full and .::nal pay:nent for all labor, ski1! and ::1aterial Eunishec. or t..J Ge f'.lr:1LSheci
as pa:n:::lellt for alllaoor, skill and lllate:rial fumisnec or to be f-rr::isnec (except the sum of
~ ::-ec.3.1:.:age cr ~oIc.:bac1::)
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tiJ tbe foil<J~-,-"'g dcsc~bed reci p~ope!:'ty: (legni desc::ption, st:-eet acici:ess or pr,~jec: na.:::e)
w~ a~~'
~nc. for vahle :-e(:ei../e~ he:eb:..r '?J'aives all r:g~ts ac~"':u-~,:, by tl1e u.::.c.e:sig::ed to ~le c:" :-ec~ri :::.ech2-'"11c's liens
aq:.1::st saic. real 9r~pe.rt:'" for labor, skilror ::1utc~ial fur::ished to sn..:d reai ;irope:-::.: (cr-J:.r for the arn.Ollnt paid if
Eu:< 1 i.: che~kec., a::.d e:!:cept fc~ ==taina~e s:::'o'f,v=, if BOl: 2 is c~ecked). T~e u:1dersig::eci a::::-:::s that all r:1n.tc:-:al
.., ,,~. Lot... " " " .. b . . . - ..., . .." .. " ,. .. , ..
f"J.c::lsned. oy ~ud.e Unc.e~slg::ea. !"'".:.2.S een pale. :cr, ac.c. a.~i .5t.:cconc::ac:ors er::p1oye-:. D::'" C:1e u::CJ.e!:'s~~ec. c.a"...-e jee:l
P::tci. in f~ll, E:(CEF1:
D & M EXCAVATING
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NO-:-~: If ::::s i.--:st:-:l:-::e::::s e:-:::~c:.::c-=. ::/ Co. .:::.:.-.
C.ilif;}
po:-::..tion, it n:.us: be si5':1eci by a.--:. of.
fie::, ~.nd if e:t:~c:rtcc. b:"," a ?<1rt::.e::ship,
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1: z:1US: be Slg=~C. o~.r a par:ne:-"
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Buffalo, MN 55313
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Form No. 120-M (1031)
Mlllar,Oavls Ca.. Mlnn.aDalls (l(~J.3Ill
!.llnnuola Uniform Convey.netn\! 8lank. (1gee1
HECEIP~D W AI~R OF MECHANA9-'Y LIEN RIGHTS
Dated' IJI~ 2f · 19.:z;f / 2 1 3;J-
Th~ers~gned hereby acknowledges receipt of the sum of $ I ) 0<
CHECK ONLY ONE
1)[:;tl
2) D
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as partial p'ayment for labor, skill and material furnished
~0
as payment for all labor, skill and material furnished or to be furnished (except the sum of
$ retainage or holdback)
~l) r-l as f1111 and f:nal payment for all labor, skiH and material furnished or to be furnished
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to the following described real property: (legal description, street address or project name)
CcJ~
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and for value received hereby waives all rights acquired by the undersigned to file or record mechanic's liens
ag-ainst said real property for labor, skill or muterial furnished to said real property (on ly for the amount paid if
Box 1 is checked, and except for retainaR'e shown if Box 2 is checked). The undersigned affirms that all material
furnished by the undersigned has been paid for, aoo al1suhcontractors employed by the undersigned have been
p:J.id in full, EXCEPT:
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Bv 7:~/..4U &' LUt--0
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NOTE: If this instrument is executed by a cor-
poration, it must be signed by an of-
ficer, and if executed by a partnership,
it must be signE'd by a partner. I
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Form No. 120-M (1031)
Mlller.Oevls Co~ "'lnnucoUs (1().3-8lI1
Mlnnesolal,lnllonn ConveyanClnq Blanks \ 1911111
jlCEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS
I 0 - dr;;, 19~
Jted:
The unders~gned hereby acknowledges receipt of the sum of $
c? 3? ft; ft?.).. ,).. 7
.CHECK ONLY ONE
/0 0
2) 0
;]) [Xl as full and final payment for all labor, skill and material furnished or to be furnished
to the following described real property: (legal description, street address or project name)
as partial payment for labor, slcill and material furnished
as payment for all labor, skill and material furnished or to be furnished (except the sum of
$ retainage or holdback)
ptUjm~ #- 7
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AL6El2rVJL..LE, ;W N
nnd for value received hereby waives all rights acquired by the undersigned to 5le'or record mechanic's liens
ag-ainst said real property for labor, skill or muterial furnished to said real property (only for the amount paid if
Box 1 is checked, and except for retainage shown if Box 2 is checked). The undersigned affirms that all materiul
furnished by the undersigned has been paid for, a~ all subcontractors employed by the undersigned have been
pnid in full, EXCEPT:
NOTE: If this instrument is executed by a cor.
poration, it must be signed by an of-
ficer, and if executed by a partnership,
it must be signE'd by a partner.
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