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161064 <br />WAVER AND <br />FINAL RELEASE OF LIEN <br />The undersigned lienor, in consideration of the final payment in the amount of1$ 0.00 hereby <br />waives and releases its lien right to claim alien for labor services, or materials furnished to <br />COMMUNITY ASPHALT -- VERO BEACH for the job of TIMOTHY ROSE CONTRACTING INC. to the <br />following described property: <br />OLD DIXIE HIGHWAY RESURFACING <br />FROM 71ST STREET TO COUNTY ROAD 510 <br />VERO BEACH, FLORIDA <br />Dated on: 6/01/17 <br />Siboney Contracting Co. & Siboney Aggregates, Inc. <br />1450 Centrepark Blvd., Suite 100 <br />West Palm Beach, FL 33401 <br />By: 6a&a' <br />G. Ortega — A/R -Coll. <br />State of Florida <br />County of Palm Beach <br />Acknowledged before me this June 1, 2017 by G_ _ Ortega and on behalf of Siboney Contracting <br />Co. & Siboney Aggregates, Inc., and who is personally known to me. <br />-�-� Notary Seal/Commission Expires <br />Notary Public <br />• WSAMM <br />Wro) A0S30#FF237W0 <br />EXpjnES:septemtrer30,2019 <br />eood nwNoanpubrauld-d"" <br />Note. This Is a statutory form prescribed by Section 713.20, Florida Statutes (1996). Effective October 1, <br />1996, a person may not require a lienor to furnish a waiver or release of lien that is different from the <br />statutory form. <br />P77 <br />