Claim_Release by Top Block & Brick, Inc.To:
RECEIPT AND
RELEASE OF CLAIM
THE CITY OF DUBUQUE, IOWA
c/o City Clerk
City Hall
50 West 13th Street
Dubuque, IA 52001
Project: Dubuque Wastewater Treatment Plant
795 Julien Dubuque Drive
Dubuque, Iowa 52003
COMES NOW, Top Block & Brick, Inc. and hereby acknowledges full payment
of all sums due to it for the above described public improvement project and hereby
releases it's claim as stated in the Notice of Claim filed October 12, 2012 with the Clerk
of the City of Dubuque.
Dated this day of
STATE OF IOWA
) ss:
DUBUQUE COUNTY )
, 2013
Marc Hess, Manager'
Top Block & Brick, Inc., Claimant
Vr) Su scribed and sworn to before me a Notary Public of Iowa on
iafit 7 / , 2013, by Marc Hess, known to be the manager of Top Block &
Brick, Inc. and authorized to act on its behalf here.
cc: Barry Lindahl, City Attorney
300 Main St. Ste. 330
Dubuque, IA 52001
Marc Hess
I
Notary Public, S
e of Iowa
PA°, ELA J. ilgcCAFIE1011
Commission Nu Per 772419
i69y Comm. Exp.