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d <br />nreferred <br />MATERIALS, INC. <br />FINAL WAIVER AND RELEASE OF LIEN <br />The undersigned lienor, in consideration of the _final payment in the amount of $131,903.53 hereby waives <br />and releases its lien and right to claim a lien for labor, services of materials furnished to Timothy Rose <br />Contracting to the following described property: <br />County Road 512 Westbound/Eastbound Roseland Rd <br />To US1 <br />Indian River <br />Brevard County, Florida <br />Dated on 1 Y Ukr6) . 2018 <br />Uenor's Name: Preferred Materials, Inc. <br />1806 33rd Street, STE 150 <br />Orlando, FL 32839 <br />By: 2-0. 6` <br />Printed Nam <br />TitleZ646,* tr` <br />State of FloLida <br />County of 'UM(1 e <br />Swom to and subscribed beforle me <br />thi 1 d y of �A(Y�tn 2018 <br />Tamara Albright <br />Notary Public: ��ty NOTARY PUBLIC <br />My commission expir I (��• P'i STATE OF FLORIDA <br />u , w Comm# GG141165 <br />Expires 11/3/2021 <br />NOTE.• This is a statutory form prescribed by Section 713.20, Florida Statutes (1996). Effective October <br />1, 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 />47 <br />