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2013-231
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2013-231
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Last modified
12/11/2015 1:51:13 PM
Creation date
10/1/2015 5:45:08 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
11/19/2013
Control Number
2013-231
Agenda Item Number
15.B.2
Entity Name
Paul Jacquin & Sons
Subject
Oslo Customer Convenience Center Change
Change Order No. 3
Project Number
6706-647687
Supplemental fields
SmeadsoftID
12610
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WAIVER AND RELEASE OF LIEN <br /> UPON FINAL PAYMENT <br /> 308118 <br /> The undersigned lienor, In considaration of the final payment In the amount ors I OAO hereby waives and <br /> releases its lien and right to claim a lien for labor, services or materials, invoiced to FASTRAC ELECTRIC <br /> CORP on the job of INDIAN RIVER COUNTY (owner), to the fbltowing described property, <br /> INDIAN RIVER COUNTY OSLO CUSTOMER CONVENIENCE CENTER, CONSTRUCTION OF NEW <br /> WASTE DROP OFF, BID 02012051 BOND RECORDED IN OR BOOK 2619 PAGE 1124, INDIAN <br /> RIVER COUNTY FLORIDA <br /> DATED on SEPTEMBER 18. 2013 <br /> REXEL <br /> ATTN: CHRISTA CARTER <br /> 14951 DALLAS PKWY <br /> DALLAS TX 752 1 <br /> i <br /> OSIS APODA <br /> r <br /> AREA CREDIT 94ANAGER <br /> S to an subscribed before me this SEPTEMBER 1 & 2013 <br /> 0"y LTWJI <br /> y VY ; �•OSI►� : <br /> jyppq�.l.t�t6 • <br /> Si ofry Public Inat. or p <br /> Commission4d State ofTEXAS Name 0 otary Public <br /> Personally Known ACX ,, OR. Produced NIA <br /> Identification �- <br /> Type of Identification Produced NIA <br /> NOTE: This is a statutaryform prescribed by Section 713-20, Florida Standes 1994 Effective 000ber <br /> 1. 1996, a person may not require a !tenor to feral-th a waiver or release of lien flint is ` <br /> dorcnt frons the starurary,f"), <br /> i <br /> } <br /> t <br /> I <br /> r <br />
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