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WAIVER AND RELEASE OF LIEN UPON <br />FINAL PAYMENT <br />The undersigned lienor, in consideration of the final payment in the amount of THIRTY <br />EIGHT THOUSAND THREE HUNDRED NINETY NINE AND 021100 ($38,399.02), hereby waives <br />and releases Its lien and right to claim a lien for labor, services, or materials <br />furnished to: TIM ROSE CONTRACTING on the job of INDIAN RIVER COUNTY to the <br />following described property: <br />Description of Property: <br />INDIAN RIVER OLD DIXIE•HWY RESURFACING <br />OLD DIXIE HWY VERO BEACH/CAC#7051 <br />*71 ST TO CR 510 <br />PORTION OF PUBLIC LAND IN INDIAN RIVER COUNTY FL <br />Dated on May 30, 2017 <br />Lienors Name COMMUNITY ASPHALT CORPORATION <br />9675 NW 117 AVE <br />SUITE 108 <br />MIAMI, FLO IDA 33178 <br />By <br />Printed Name Re -tri Exch <br />The foregoing instrument was acknowledged before me this 30 day of May, 2017, by who Is <br />personally known to me or who has produced as identification and who <br />did take an oath. <br />s <br />My commission Expires: <br />Note: This is a statutoryform prescibed by section 713.20, Florida statutes (1996) <br />Effective October 11996, a person may not require a lienor to furnish a waiver or <br />release of lien that is different from the statutoryform. <br />re: 2215632 - 7051 <br />LUMMORA <br />ire 141 YCOAMNIONWOMD <br />`;.• ` EXPIRES 8ePWi xr26, 2020 <br />B�ded7lwNomryV869oUmfaavratero <br />P79 <br />