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CORPORATE HEADQUARTERS <br />921 SHOTGUN ROAD <br />SUNRISE, FL. 33326 <br />964423-2627 <br />CREDIT DEM: FAX 954-736-1562 <br />WAIVER AND RELEASE OF LIEN <br />UPON FINAL PAYMENT <br />ON RECEIPT BY THE UNDERSIGNED CHECK FROM TIMOTHY ROSE CONTRACTING, INC. IN THE <br />SUM OF$10.00 PAYABLE TO BOBS BARRICADES INC. AND WHEN THE CHECK HAS BEEN <br />PROPERLY ENDORSED AND HAS BEEN PAID BY THE BANK ON WHICH IT HAS BEEN DRAWN, THE <br />DOCUMENT BECOMES EFFECTIVE TO RELEASE A MECHANIC'S LIEN, AND STATE OR FEDERAL <br />STATUTORY BOND RIGHT, ANY PRIVATE BOND RIGHT, ANY CLAIM FOR PAYMENT AND ANY <br />RIGHT UNDER ANY SIMILAR ORDINANCE, RULE OR STATURE RELATED TO CLAIM OR PAYMENT <br />RIGHTS FOR PERSONS IN THE UNDERSIGNED'S POSITION THAT THE UNDERSIGNED HAS ON THE <br />JOB OF <br />OLD DIXIE HWY <br />71S'r STREET TO CR510 <br />THIS WAIVER AND RELEASE COVERS ANY RETENTION OR LABOR, SERVICES, OR MATERIALS <br />FURNISHED AFTER THE DATE SPECIFIED. <br />DATED ON THIS 30TH DAY OF MAY 2017 <br />LIENOR'S NAME AND ADDRESS: <br />BOB'S BARRICADES, INC. <br />921 SHOTGUN ROAD, <br />SUNRISE, FL. 33326 <br />BY: <br />SIGN D: DEA BERRA / COLLECTOR <br />STATE OF FLORIDA <br />COUNTY OF BROWARD <br />SWORN TO AND SUBSCRIBED BEFORE ME BY DEYI BERRA, WHO IS PERSONALLY <br />KNOWN TOME ON THIS 30" DAYOFMA 111 111111111111111111111111111111111111111111111111 <br />:Public, <br />J. IIINotary e o1 FinMy ComMfâ–º 4, loseCamF 96"1OWde0 Nl tlplRy <br />NOTARY SIGNATURE <br />SEAL <br />NOTE: THIS ISA STATUTORY FORM PRESCRIBED BY SECTION 713,20 FLORIDA STATUES 1996 (EFFECTIVE 0= 84)? 1, <br />1996). A PERSON MAY NOT REQUIRE LIENOR TO FURNISHA IVAII/ER OR RELEASE OF LIEN TNAT IS DIFFERENT FROM <br />7HEST4TU7ORYFORAI <br />P78 <br />