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Entry Properties
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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CONSTRUCTION MATERIALS , INCORPORATED <br /> Corporate Headquarters <br /> 1 4350 Northern Blvd. a P. O. Box 210189 a Montgomery, AL 36121 -0189 <br /> (334 ) 272-8200 9 FAX (334 ) 244-0946 <br /> www,constructionmaterialsltd. com <br /> Branch locations <br /> FT. PIERCE, FL <br /> ] 101 lrUstnal Ava 3 WAIVER AND RELEASE OF LIEN <br /> fe P,ort..s. FL 34946 <br /> ( 7741) 4d1 . 1243 UPON FINAL PAYMENT <br /> Fan (772) 561 -9299 <br /> BIRMINGHAM, AL <br /> 21001 5^ AM IIWoh <br /> It „T ,-.n, AL 352°3-391e STATE OF FLORIDA <br /> I:oS) 2:2sA5 <br /> JACKSON, MS COUNTY OF S'1', LUCIE <br /> 419 sopsmWou sheat <br /> J=:srn. US392014VA <br /> jC01 ) D59o22# 5 <br /> MOBILE, AL <br /> 401 snalh Royal SVWI <br /> h7uV:o. FtUA03• 1567 The undersigned lienor, in consideration of the final payment in the <br /> 12511432.7581 <br /> amount of S 10.00 , hereby waives and releases its lien and right to <br /> OORAVILLE• GA (Norcross) claim a lien for labor, services, or materials furnished to <br /> 6678 Bast Fnan* Rea* <br /> floacro», GA ]0340.3113 Doyle Masonry Inc <br /> (7701263.75f10 on the job of Oslo Customer Conv. Center <br /> HUNTSVILLE* AL to the following property: 950 1 " Place <br /> 72tltlYAr7lruxwN•Ohway Vero Beach , FL <br /> IluwAWaas AL 3541241010 <br /> 12561172.7351 <br /> JACKSONVILLE, FL <br /> 6189 Pn ps 1 idlalnal 81.9 <br /> J,sasonn'e. FL 322567010 <br /> M4) 26&1511 <br /> ORLANDO, FL DATED on July 25 . 2013 <br /> 1600 S&4gn Charge Avenue <br /> Orun*o, rL 7280946704 <br /> (437) 5594932 <br /> NASHVILLE, TN Sl �ncd • <br /> 2637Lcwftoo1 AsairmisicktilWaser <br /> ttassr.:a, IN m11114409 <br /> (u1513334WIS Of Construction Materials <br /> FT. MYERS, FL <br /> 115511wKftnwk Avwsw <br /> Fnrtlt,ers• FL 33905.4999 <br /> (279) 267.6977 <br /> PANAMA CITY BEACH, FL <br /> 1 ; 749 Asror Dare. Su-u A Sworn to and subscribed before me this <br /> Pram3 Gty Baacll. FL 32413.5120 <br /> (E50) 233 6600 _ <br /> 25th day of July doorX013 • T � KATHLEEN I rt ► 1 <br /> ' <br /> TAMPA FL MCS1081% 6;l; , <br /> Wata tU' Stwot l% ' 1 /y } 1Y (:Q'•.11r11$ ;'itf1N :: [4: • ., , <br /> !(61�S49.455705 CiJ � / L ( ,4 -���-- E `PI ;%ToS Wo%r : mU4r so , i <br /> TARY PUBLIC * Kathleen I . MCSwaln - r_ 00 <br /> 150MIN11iAvantoa My commission expires: 11 / 16/ 15 <br /> V anu Gwoons. FL 37169 <br /> 16541215-01" <br /> HOUSTON, Tx Construction Materials, Inc. <br /> l0QX Bamboo Rose <br /> IlarslakIX71041 .77ce 4350 Northern Blvd. , Montgomery, AL 36110 <br /> 133410.57.5009 <br /> K <br />
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