Laserfiche WebLink
WAIVER AND RELEASE OF LIEN <br />UPON FINAL PAYMENT <br />The undersigned lienor, in consideration of the final payment in the amount of S10.00, hereby <br />waives and releases its lien and right to claim a hen 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 I L- q _ i <br />Lienor's Name: Unlimited Turf, LLC <br />Address: 850 NW Federal Highway, Ste 170 <br />Stuart, FL 34994 <br />By: <br />Printed Name/ <br />Sworn to and subscribe before me this t e _ .14 t 71 <br />Signature of Notary Public <br />Commissioned State of Florida <br />Chri e -1 e is . <br />Print Name of Notary Public <br />Personally Known XX or, Produced Identification: <br />Type of Identification Produced: <br />tvotary'ubi'c State of Floes <br />14:4i_14t(1. Chf ore P Repass <br />MY Cote P slonRep ss 158404 <br />zpr <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 />110 <br />