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03/04/2014 (2)
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03/04/2014 (2)
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Last modified
3/29/2018 4:47:20 PM
Creation date
3/23/2016 8:45:38 AM
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Template:
Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
03/04/2014
Meeting Body
Board of County Commissioners
Book and Page
221
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FilePath
H:\Indian River\Network Files\SL00000D\S0003VA.tif
SmeadsoftID
13691
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Jan 07 14 11:08a Asphalt Recycling 3216326395 p.1 <br />IC11-00— VI 1'3 . `IV rnvrl-nctluct Pim 't11 '31010'0.3100 1 —JUL) rituarror 101M2J r- to <br />RANGER CONSTRUCTION INDUSTRIES, INC. <br />1200 Elboc Way <br />Winter Garden. FL 34787 <br />FINAL WAIVER AND RELEASE OF LIEN <br />The undersigned lienor, in consideration of the final payment in the amount of $11,565.19 <br />hereby waives and releases its lien and right to claim a lien for labor. services or materials <br />furnished to Ranger Construction Industries, Inc. on the job of Incltan River Counts( <br />Roa ofCouttty Commissioners to the following described property: <br />CR 512 Resurfacing Protect <br />1;B OnlyRoseland Road to Easy Street <br />Indian River County <br />RPN: 3505362 <br />Dated on \'T-\`\ <br />ELIZABETH M. WEEKS <br />NOTARY PUBLIC <br />STATE OF FLORIDA <br />Comm# EE057827 <br />Expires 1/24/2015 <br />Lienors Name: Asvhaltt Recycling. Inc. <br />By: "_ - "144 <br />Printed Name: 7 h (v 1,4'%( 1 i) i <br />Title: JD N <br />STATE OF COUNTY OF c Q ac rc \ <br />The foregoing instrument was acknowledged before me this `14c\N day , <br />2014 by, sN-,Q.c�� ce. (who is personally known to me) or (who has <br />produced as identification). and who (did) (did not) take an oath. <br />SEAL <br />Notary Signature: <br />Printed Notary Name: c -x-1 �e P <br />Notary Public Commission Number. q1=%2."-1 <br />Notary Public Expire Date: \ 1 `--4 \ 2 4 \� <br />NOTE This is statutory form prescribed be section 71320, Florida Statutes 0996). kflective October 1. 1996, a <br />person may not require a lienar tape/ash a waiver or meas of lien that it different from the statutoryjohn <br />30 <br />
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