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RANGER CONSTRUCTION INDUSTEIES, 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 $10.00 <br />hereby waives and releases its lien and right to clahn a lien for labor, services or materials <br />furnished to Ranger Construction Industries, Inc, on the job of Indian River County <br />Board of Comity Commissioners to the following described property: <br />Dated on l b%� <br />STATE OF <br />CR 512 Resurfacing Project <br />Ela Only Roseland Road to Easy Street <br />Indian River County <br />RPN: 3505362 <br />Lienors Name: Nature's : eeper <br />By: <br />Printed Name: <br />Title: <br />6, -er, <br />` <br />i C� "f'_c�tGiPnl— <br />coUNPY of St . Lu el e,, <br />The foregoing instrument was acknowledged before this J day of &lit" 11, lac <br />2014 by \ir S \ -t)(‘ rsonally known to me or (who <br />produced s identification), and who (di') 'tr, not take an oath. <br />SEAL <br />Notary Signature: <br />Printed Notary Name: . f•t• -''RSOn <br />Notary Public Commission Number, l7 Q 99'3n12 <br />Notary Public Expire Date: 5 -i -1 <br />NOTE; This is a statutory form prescribed be section 713.2( Florida Sanaa, (1996). Effective October 1, 1996, a <br />person may not require a lienor to famish a waiver or release ellen that is dl ferent from the manor yfomt. <br />31 <br />