DR9306-CS 960815 AFFIDAVIT
STATE OF TEXAS ]
COUNTY OF TARRANT ]
Before me. the undersigned authority, a Notary Public in the
state and county aforesaid, on this day personally appeared
~,~, ~c~ , known to me to be a credible person,
who being by me duly sworn, upon his oath deposed and said
That all persons, firms, associations, corporations or other
organizations furnishing labor and/or materials have been paid
in full;
That the wage scale established by the City Council in the City
of Coppell has been paid; and
that there are no claims pending for personal injury and/or
property damages;
On contracted described as
Contractor
Subscribed and sworn before me ~~~~O.~ 1996
Not~ry~?~-blic in and for
TarranZ~County. Texas
Print&d Name
Date Commission Expires