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Payer, 13729513 <br /> Final Release <br /> 4 <br /> Date: September 9, 2013 <br /> UNCONDITIONAL WAIVER AND RELEASE OF LIEN <br /> FINAL RELEASE <br /> The undersigned lienor, in consideration of the final payment in the amount of TEN DOLLARS AND <br /> ZERO CENTS ($ 10.00), hereby waives and releases its lien and right to claim a lien to the extent of <br /> the hereinabove amount for labor, services or materials famished on the job of CARTER' S <br /> CONCRETE on the job of (Owner) to the following property described <br /> as : <br /> IRCO SOLID WASTE 9501ST PLACE <br /> INDIAN RIVER COUNTY , FL <br /> DATED on the 9TH Day of September, 2013 <br /> State of Florida <br /> County of Palm B <br /> WITNES Ye LIENOR: CEMEX Construction Materials Florida, LLC <br /> 1001 Jupiter Park Drive N 114 <br /> JupiterL33rg <br /> BY: <br /> Printed N e: Andrew Tate <br /> The foregoing was acknowledged before me this September 9, 2013 by Andrew Tate Coastal Region . <br /> Credit Manager, who is personally known to me and who took an oath. <br /> MY COMMISSION EXPIRES , <br /> 0*00or <br /> DORIS ALJCIA SERALDi <br /> MY COMMISSION NFF009M <br /> EXPIRES AWd 17. 2017 <br /> 1 a.lra..eem <br /> NOTARY PUBLIC <br /> NOTE: This is a statutory form prescribed by Section 713.20, Florida Statutes. A person may not require a lienor to furnish a waiver of <br /> release of lien that is different from the statutory form, - dberaldi <br />