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R's Contract No. To furnish for the premise known as Project: Project No.: of which the State of Illinois, acting through Southern Illinois University is the owner. The undersigned, for and in consideration of ($ ) Dollars, and other good and valuable considerations, the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of, or right to, lien, under the statutes of the State of Illinois, relating to Liens Against Public Funds on the monies, bon.

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