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t <br />RAMCO'S FORM 403 <br />RELEASE OF LIEN! <br />e <br />D. <br />S <br />f <br />g <br />KNOW ALL ME (V BY. Tf�L<S'E P.RL-;4.L'NM <br />Thal the undersigned, for and in consideration of the payment of the sum of.... ............................ <br />& Credit on contract $661.00 <br />Nineteen Thousand Eight Hundred Seventy Two and/100 Dollars ($19.,J972-29 ) <br />Orin Cummings receipt of which is hereby acknowledged, <br />pa►d by the.......»..........................................................»»....»......».........................»..... p. Y <br />Dearie Pines Sub -division and Orin Cummings <br />hereby releases and quit claims to the said ......................... ............................... _................................... jl........................................................... <br />, <br />its successors and assigns, and..................Pan American Engineering Company... <br />the owner, all liens, lien rights, claims or demands of any land whatsoever, which the undersi,-:.cd now has or might <br />have against the building on premises legally described as .................. Mortimer Parkway Sub -division <br />Known As---------Dearie Pines Development <br />»».......».............................................................,.......»..................»....._................,............................................................................I........................._.... <br />on account of labor performed and/or material furnished for the construction of any improvements thereon. That all <br />labor and materials used by the undersigned in the erection of said improvements have been fully paid for. <br />IN WITNESS WHEREOF, I have hereunto set my hand and seal this . .........31st <br />........................ <br />August 78 <br />dayof..............................»...........................»..».............., <br />WITNESSES: <br />_?LL'L...:.G� ....................... <br />C <br />Pa erican Eng' ecririg C fan <br />.............................. .I..............' ....}�. .(N -el SEAL) <br />(S AL) <br />By.... .............................. i /t,,.. t . ................ <br />Secretary/Treasurer <br />STATE OF FLORIDA �.. <br />COUNTY OF <br />hereby acknowledge that the statements contained in the foregoing Release of Lien are true and correct. <br />S 1. <br />Sworn to and subscribed before me this _........ . �7/ ......day of............ !� r' .�...........................1 19 <br />My commission expires: <br />t,.,• .. <br />t., ..No%iry..................................................:.... i , . f 1 <br />9alance duce to Pin American Engincoring Company to coniplrte i.nipr.oveinonts par-CUIltrllctl <br />Hated July 1.2 ,1(na is $•t, 3f33. O£i. <br />�n,rm <br />;�,. <br />SEP 0 619`8 <br />