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JUN 0 2 2014 <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 $ 180.00 <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 Indian River County <br />Board of County Commissioners to the following described property: <br />Dated on <br />Indian River Blvd Resurfacing (US 1 to 17th Street) <br />Indian River County <br />RPN: 3505388 <br />spy ZZ zoo1( <br />Lienors Name: <br />By: <br />Printed Name: <br />Title: <br />Natures Keeper. Inc. <br />APISTe/0it -4 <br />Oce -pP.35n ivr <br />STATE OF cQ COUNTY OF 5} . UGI e <br />ed ed before me this aa day of ' yNOLI <br />, (who is personally known to me),or (who has <br />produced " as identification), and who (did) (did not) take an oath. <br />The frego)ng insr ment wra ac <br />b <br />2014 by j'lj(J� <br />SEAL <br />i <br />4`04"*., COURTNEY L. MOWN <br />hoary ;Public = SIM of Florid: <br />Wcamn, IEx Mlwr. t017 <br />coo** Ir..al t>►es' <br />Notary Signature: <br />Printed Notary Name: <br />Notary Public Commission Number: <br />Notary Public Expire Date: <br />NOTE: This is a statutory farm prescribed be section 713.20, Florida Statutes (1996). Effective October 1, 1996, a <br />person may not require a lienor to furnish a waiver or release of lien that is di, ferent from the statutory form <br />164 <br />