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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 $ 30,000.00 <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 />Indian River Blvd Resurfacing (US 1 to 17th Street) <br />Indian River County <br />RPN: 3505388 <br />Dated on Zo ( <br />Lienors Name: <br />By: <br />Printed Name: <br />Title: <br />Mill -It Corporation <br />Tre surr- <br />STATE OF f t tyrIdcr, COUNTY OF 151110 cb- <br />ZUN 24x014 <br />The forego' g instrument was acknowledged before me this 20th day of done <br />2014 by d jur Lady L- 2i61 l . (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 />cra,ac2_ <br />Printed Notary Name` <br />Notary Public Commission Number: <br />Notary Public Expire Date: <br />int <br />ur2aa sArruml <br />Notary Pubilo <br />Mate of Norida <br />Ff28898 <br />Exp: June 18, 2017_ <br />NOTE: This is a statutory form 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 different from the statutory form. <br />167 <br />