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WAIVER AND RELEASE OF LIEN <br />UPON FINAL PAYMENT <br />The undersigned lienor, in consideration of the final payment in the amount of $10.00, hereby <br />waives and releases its lien and right to claim a lien for labor, services or materials furnished to <br />Johnson -Davis Inc. on the job of Indian River County BOCC (Owner). for improvements to the <br />following described project: <br />Gifford Area Stormwater Project; Bid No.: 2018045 <br />Project No.: IRC -1502 <br />Indian River County, Florida <br />Dated On .J),"(e n.- 4, „261 <br />Lienor's Name: Lake Point Restoration LLC <br />Address: 12012 South Shore Blvd., Suite 107 <br />Wellington, FL 33414-6397 <br />/ By: / c7u-t, C.t'�1 <br />../A...4 --- <br />Printed Name Title: 0,„, e Vie.., CO v�la--- <br />Sworn to and subscribe before me this p'k-CQ.4J - 1f #6, 004 <br />Signature of Notary Public <br />Commissioned State of Florida <br />;<•' •k�_ CHRISTINE E HENLEY <br />MY COMMISSION # FF977409 <br />V�1•QP�~ EXPIRES March 31. 2020 <br />Rriii§ ame9f iNotarysPublie <br />Personally Known XX or, Produced Identification: <br />Type of Identification Produced: <br />NOTE: This is a statutory form prescribed by Section 713.20, Florida Statutes (1996). <br />Effective October 1, 1996, a person may not require a lienor to furnish a waiver or release of <br />lien that is different from the statutory form. <br />107 <br />