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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 /> FINAL PAYMENT <br /> The under signed lienor, in consideration of the final payment in the amount of <br /> 510.00, hereby waives and releases its lien and right to claim it lien for <br /> labor, services, or materials 1Urnished to Scot Murphy Plasterinl� <br /> on the job of . to the following property : <br /> IRC Oslo Customer Convenience Center <br /> 950 1 " River Place <br /> Vero Bench, Florida <br /> DA'Z'ED ON June 20, 2013 L & W Supply <br /> 13y : 17f I kte� <br /> Title : Mary F Thomas, Credit Manager <br /> The foregoing instrument was acknowledged before me this .lune 20. 2013 <br /> 13v Ntnry F Thomas who is personally known tome, or who has produced <br /> Identification N / A and who di / did not take an oath . <br /> holy Commission expires: September 120 16 <br /> Nota6t Public : Renee Smyth <br /> RENEE SWTH <br /> :' •r: Commission # EE 194788 <br /> �- Expires September 2, 2D16 <br /> ' AWA ?rev pan ►w Wwwoo1S r :i <br /> St Lucie County, Florida <br /> This is a statutory forni prescribed by section 713 .20, Florida statutes ( 1996) . Effective <br /> October 1 , 1996, a person may not require a lienor to furnish a waiver or release of lien <br /> that is different form the statutory form . <br />
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