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FINAL WAIVER AND RELEASE OF LIEN <br />The undersigned lienor, in consideration of the final payment in the amount of $10.00, hereby waives <br />and releases its lien and right to claim a lien for labor, services, or materials furnished to Kempfs' Site <br />Development, Inc.to the following described property: <br />Dated <br />il8 <br />, 2014. <br />Gifford Park Ballfrelds <br />4715 43`d Avenue <br />Indian River County, FL <br />Lienor's Name: Blueline Rentals Printed Name: <br />Address: 1449 NW Commerce Centre Pkwy. Signature: <br />City/State/Zip: Port St. Lucie, FL 34986 <br />STATE OF: Pc <br />COUNTY OF: c • 14-AC4( <br />Sworn to and subscribed before me by y, f/ s%j A), , who is either personally known to me or <br />has produced , as identification on this I rk day of a� sr -5 " , 2014. <br />PlAid <br />.� • ✓✓/ <br />04 Notary Pu c State of Florida <br />Fred R Parker Jr <br />c7 My Commission FF 008623 <br />Expires 0016!2017 <br />My Commission Expires: 404/.240/� <br />NOTE: This is a statutory form prescribed by 713.20 Florida Statutes (1996). Effective October 1, 1996 a person may not require lienor to furnish a waiver or <br />release of Ilen that is different from the statutory form. <br />134 <br />