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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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t <br /> t <br /> FINAL WAIVER AND RELEASE <br /> OF LIEN <br /> The undersigned llenor, in consideration of final payment In the amount of $ 10.00 <br /> hereby waives and releases Its lien and right to claim a lien for labor, services or <br /> materials Airalshed PASTRAC ELECTRIC CORP. fbr the Job INDIAN RIVER COUNTY the <br /> MmIng described property: <br /> INDIAN RIVER COUNTY OSLO CUSTOMER CONVENIENCE CENTER <br /> 950 /990 Is? PLACE VERO BEACH , 6L <br /> PROPERTY CONTROL 133391300000500000041 . 0 <br /> PUBLIC OR 305 /520 <br /> PUBLIC RECORD OF INDIAN RIVER COUNTY , IM <br /> I hereby acknowledge that the statements contained in the foregoing waiver and release <br /> of lien of final payrnent is true and correct. <br /> PENINSULAR ELECTRIC DISTRIBUTORS, INC <br /> 1301 Okeechobee Road <br /> West Pal emb, FL 33401 <br /> By: AS <br /> Irene tsllCredit Manager <br /> SPATE OF FLORIDA <br /> PALM BEACH COUNTY FLORIDA <br /> Sworn to and subscribed before me this 19th day of SEPTEMBER . 2013. The Affiant <br /> Is personally (mown to me. <br /> My commission expires: <br /> NOTARY PUBLIC <br /> :Em <br /> r <br />
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