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Jan 08- 2014 -31 42PM HP LASERJET FAX <br />p.2 <br />01-06-'19 14;38 FRO11-Ranger North 4076563188 T-557 P0002/0003 F-730 <br />RANGER CONSTRUCTION INI2USTRITS, 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 claim a lien for labor, services or materials <br />furnished to Ranger Construction Industries. Inc. on the Job of Xndtan River County <br />pep) of County Commissioners to the following described property: <br />Dated on <br />CR 512 Resurfacing Project <br />EB Only Roseland Road to Easy Street <br />Indian River County <br />RPN: 3505362 <br />tenor ame: Palmetto Priftie-ot unman, <br />tine, <br />By: <br />Printed Name: <br />Title: <br />STATE OF FL'. <br />The foregoing ins <br />201d by <br />produce v <br />deer Irl iI �5 <br />COUNTY OP 4.15100411t <br />ant wts acknowledged before me this g-, r . day of <br />to at t. , (who is ersonall known t 0) or (wh <br />d as identification), and w o (did) id not) take an oath,-- -- <br />SEAL <br />Notary Signature: <br />Printed Notary Name: <br />Notary Public CommissionNumbe�.�'�r,:.�4 <br />o ary 'u• o Expire Date: %KIS. <br />V Stint inn <br />NOTE: Thi, it o ?laswsory form prescribed be uctioh 913,20, Florida Stamm (1996). 'scuta October 1. 1996. o <br />person nay nos reolelre a lienor to furnish a waiver Or reknit of filen that is d eront from flea trattiforyf orm, <br />33 <br />