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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 /> Project number: 61378500/01877170000/499 <br /> The undersigned lienor, in consideration of the final payment in the amount of $0.00 , <br /> hereby waives and releases its lien and right to claim a lien for labor, services or <br /> materials furnished to : JA Taylor Roofing on the job of INDIAN RIVER COUNTY owned <br /> by INDIAN RIVER COUNTY - OCCC to the following described property: 950 FIRST PL, <br /> PCN 33 39 13 00000 5000 00041 . 0 SE 1 /4 OF SW 1 /49 S OF SO , RELIEF CANAL , <br /> LESS PORTION IN R BK 305 PP 520 , VERO BEACH , Florida ; As recorded in the public <br /> records of INDIAN RIVER COUNTY , Florida . <br /> Dated this 07/15/2013 American Builders 6r Contractors supply <br /> Company, Inc . <br /> 6944 N US Hwy 41 <br /> APOLLO BEACH Florida , 33572 <br /> By : ' ' floA * A � J <br /> Printed Name : Ma ! ry Power <br /> Tltle : CFS Admin <br /> State of Florida <br /> County Of Hillsborough <br /> The foregoing instrument was acknowledged before me Ihis 07/15/2013 by <br /> Mallory Power, CFS Admin for American Builders & Contractors supply <br /> Company , lnc(who is Personally knorn', to rnf: r who has produced <br /> ---•� as identification , and who did,idid not take an oath . <br /> L101 <br /> sit <br /> I4y Commission expires : ,crr�e : �e •n, :�;; t <br /> , or N:� ih„ Y:7rJr Pfi: l'Cx,4'.„`n• (� <br /> )A TAYLOR ROOFING <br /> 302 MELTON DR <br /> FORT PIERCE Florida . 3e: 951 <br />
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