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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 $11,275.OQ <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 />+no ! %l dl I -/ <br />STATE OF M0 n <br />Lienors Name: Superior Roadway Slices„IXL <br />By:✓L� <br />Printed Name: �j vv` P&S ` il <br />6rn <br />Title: <br />COUNTY OF 61.1'1 - <br />The foregoing instrument w1 s ackpoowledged before me this I r1day of Ill”- <br />2014 <br />lsty2014 by y tM 1 tt , (wh rsonally known to me) or (who has <br />produced as identification), and who (did) (did not) take an oath. <br />&"" <br />Notary Signature: <br />t+' 4: Notary Public - State of Florida <br />: My Comm. Expires Aug 24. 2015 <br />4 ? Commission 1 EE 124863 0 Notary Public Commission Number: EE (a-tie%3 <br />to` Bonded Through National Notary Assn.0 Notary Public Expire Date• 213-kf IS <br />ectaren14h+ue <br />Printed Notary Name: <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 />168 <br />