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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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FINAL WAIVER AND RELEASE OF LIEN <br /> The undersigned lienor, In consideration of the final payment in the amount of <br /> S _ 10.00_, hereby waives and releases its lien and right to claim a lien for labor, <br /> services or materials to : _DOYLE MASONRY MED (customer) on the job of (owner of <br /> property) : OSLO CUSTOM CONVENIENCE CENTER . to the following <br /> described property : <br /> 950 1 � PLACE <br /> INDIAN RIVER COUNTY <br /> DATED one. _5 JUNE _ 20 010130MMMMMM <br /> Lienor's Name Cast Crete Corporation <br /> 6324 CR 579 <br /> Tampa . FI 33584 <br /> By ; eo% r, p <br /> Carl R. Eschmann <br /> Branch Manager <br /> STATE OF FLORIDA — <br /> COUNTY OF BREVARD <br /> The foregoing instrument was acknowledged before me this 5 day of <br /> JUNE , 2013, by Carl it. Eschmann , who is personally known to me. <br /> 16 APRIL12016 <br /> Notary Public: Constance M . Price : ��llifJlilsYl E�gfAtCH: <br /> conu "M # EE 171132 <br /> ExplM Apil 10, 2016 <br /> pp,, s�IpigrIan ramm10s &M <br />
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